“A lot of the time you hear people say, 'I don't know if it's really doing any good.' This lays out the numbers and gives the facts.”

_{John Brackle, Director of Therapy Operations, Vetter Senior Living}

In skilled nursing, decline is the default. Vetter's therapists worked hard to hold residents steady, but a Berg score in a chart couldn't tell an administrator, a family or a payer whether that work was paying off.

THE CHALLENGE

Vetter brought 300 therapists in-house across 23 skilled nursing facilities and wanted three things from a new tool: a proactive way to find fall risk before the fall, documentation that got stronger without getting slower, and something simple enough to roll out to every building in weeks.

HOW ONESTEP HELPED

OneStep went live in 18 buildings in one summer, trained region by region by Vetter's own two directors. A resident walks with a phone in a pocket; the therapist gets a walk score, 30+ gait parameters and a fall-risk level, then pastes objective results into the note with one click.

WHAT CHANGED

Across 895 residents assessed at least twice, 80.6% held steady or improved on fall risk. On sit-to-stand, 90%. Directors report stronger extension requests, residents competing over walk scores, and one Walk-with-Therapy screening hour that produced seven referrals. Objective data even helped one therapy team persuade a physician to start a resident on Parkinson's medication — and his function improved dramatically.

Four in five residents didn't get worse. In this population, that's the outcome that matters.

Key Outcomes