Provider rounding
Board-certified pulmonologists and respiratory-trained providers round in your facility on a set schedule — up to five days a week — so residents get expert lung care at the bedside.
The physicians who round in your facility.
Both came from the Cleveland Clinic. Both round personally at the bedside, alongside respiratory-trained advanced practice providers — so the clinician who knows your residents is the one who keeps seeing them.
Dr. Kar-Ming Lo, MD
25 years across private practice and the Cleveland Clinic, with deep experience in invasive and non-invasive ventilation and advanced respiratory support.
Dr. Harish Kakarala, MD
25 years of practice including 10 at the Cleveland Clinic. Supervising Member of the State Medical Board of Ohio, where he has served for over seven years.
When the mask comes off at 2 a.m.
Non-invasive ventilation (NIV) only helps if the resident keeps the mask on.
Masks leak. They dry out mouths, rub a sore spot across the bridge of the nose, and feel closed-in. So the mask comes off in the night, and nobody hears about it until the resident turns sleepy and confused from the carbon dioxide building up. By then it's a hospital transfer.
An outside clinic sees that resident every few months. Our provider is already in the facility. We watch a resident try the mask, swap it for one that fits, ease the pressure down, add humidity, and give it another night. Most refusals turn out to be a comfort problem with a fix.
Every resident has a version of this. A little more oxygen than last week. A ventilator setting that no longer fits. A cough that won't clear. Wait for the next outside appointment and the small thing becomes the transfer. Provider rounding closes that gap.
What we do about it
Refit the mask
A different size or style — nasal pillows instead of a full face mask — is often all it takes.
Adjust the settings
Pressure, ramp, and humidity tuned at the bedside, on the resident's own schedule.
Write it down
What we tried, what the resident refused, and the plan going forward — written in your EHR, so your care plan and survey documentation hold up.
A full pulmonary program, delivered at the bedside.
From residents on ventilators to the everyday care of long-term lung disease. No transfers, and no waiting weeks for an outside consult.
Ventilators & breathing support
We set up invasive ventilators and non-invasive ventilation (NIV), adjust the settings as the resident changes, and work toward getting them breathing on their own again — including advanced modes such as AVAPS.
Care-plan & MDS support
Documentation that keeps your coding accurate, your MDS clean, and your facility ready for survey.
Tracheostomy care
Day-to-day trach care, plus a plan to step residents down to a smaller tube and, when they're ready, take it out for good.
COPD, asthma & pulmonary fibrosis
Diagnosis, the right medications, and fast treatment when a flare-up starts.
24-hour on-call
A lung specialist your nurses can reach between visits, day or night.
Staff training
Bedside teaching that makes your nurses and respiratory therapists more confident with breathing equipment.
Set up once, then it runs.
Set the cadence
We match visit frequency to your census — from weekly to five days a week — and agree on which residents we follow.
Round at the bedside
Providers assess residents, adjust orders, manage devices, and coordinate directly with your nursing team.
Document in your EHR
Notes, orders, and care-plan updates land in your system — not a separate portal your staff has to check.
Cover the in-between
24-hour on-call handles questions, order changes, and acute issues between scheduled visits.
Review the program
Monthly reviews track transfers, outcomes, and reimbursement capture so the program keeps improving.
Bring provider rounding to your facility.
Tell us about your census and we'll build a rounding cadence that fits.
- No obligation — the first call is a conversation, not a pitch.
- We'll tell you on that call whether we cover your county.
- You'll usually hear back within one business day.
Summit Clinical ServiceRespiratory care programs for skilled nursing facilities.