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Why now

Home health is the fastest-growing care setting.

The technology that runs it is failing.

Source: U.S. Bureau of Labor Statistics, Occupational Outlook 2023–2033. Home health care services projected to grow 22% (820,500 new jobs), the largest occupational growth in the U.S. economy.

The evidence follows and is clear. We use this evidence to inform our product, our pitch, and our public commitments.

Section one

The documentation crisis

Of every shift
40%

Now spent typing into a screen instead of caring for patients.

Black Book Research 2025, national survey of 9,000+ U.S. nurses
Of nurses
92%

Say their EHR is crushing their job satisfaction.

Black Book Research 2025
Per 12-hour shift
132 min

Average time an inpatient nurse spends actively navigating the EHR.

UCLA Health · AHA 2025
A 2023 BMC Nursing study documented 2,871 workflow interruptions across 145 nursing shifts, finding that nurses spend an average of 85 minutes per shift on EHR tasks, with over 60% of that time (52 minutes) consumed by constant task switching. Shan Y, Shang J, Yan Y, Ye X. Workflow interruption and nurses' mental workload in electronic health record tasks. BMC Nursing, 2023.
These findings come from surveys of nurses across hospitals, surgery centers, and outpatient facilities. Home health workflows have the additional barrier of unreliable connection, making the documentation even more difficult.

Section two

The nurse exodus

The labor crisis in home health is growing. The cost of replacing a nurse is high enough to wipe out an agency's margin on a single departure.

Home health RN turnover
>30% per year

Annual turnover rate for home health registered nurses. This is the highest across healthcare.

Bergman et al, PMC 9122113, Medical Care Research and Review, 2022
Home care aide turnover
79% per year

Annual turnover for personal support workers and home health aides.

DailyPay Healthcare Turnover 2024
Replacement cost per RN
$61,110

Average cost to replace a single registered nurse.

IntelyCare 2025
Considering leaving
34% / 19%

34% of nurses are thinking about leaving their job within a year due to EHR-related stress. 19% are thinking about leaving nursing entirely.

Black Book Research 2025

Section three

The UK crisis

The UK home care market has a major opening for purpose-built platforms designed specifically for home care. The numbers speak for themselves.

Vacant care posts
111,000

Vacant adult social care posts in England in 2024/25. Sector vacancy rate is 7.0%, which is about three times the UK economy.

Skills for Care 2024/25
Providers can't meet demand
48%

Of UK home care providers say they cannot meet current demand. 84% cite recruitment difficulties as the primary reason.

Homecare Association Workforce Survey 2024
District nurses lost
50% drop

Drop in qualified district nurses per 10,000 people aged 65+ over the last 14 years.

CQC State of Care 2023-2024
UK home care market
£11.5B+

UK home care and domiciliary care industry value in 2024. Projected 27% workforce growth needed by 2040.

PolicyBee 2025 · Skills for Care

Section four

The hidden mortality

The connection between documentation burden and preventable deaths has been measured in peer-reviewed Canadian research.

Harmed in first month
1 in 3

Medicare nursing home residents are harmed by an adverse event within their first 35 days. 60% of those harms are preventable; 37% involve medication errors.

HHS Office of Inspector General report (2014)
Higher death risk from neglect
+55%

Long-term care residents in Ontario showing clinical signs of neglect had a 55% higher 90-day mortality risk before COVID. During the pandemic, the figure jumped to 80% higher.

Hsu et al, McMaster University, Healthcare Policy, peer-reviewed
Sepsis deaths per year
25,000

US nursing home residents die from sepsis each year after being transferred to hospitals. Medicare cost: $2 billion annually. The Sepsis Alliance estimates 80% of sepsis deaths are preventable.

KFF Health News / Chicago Tribune 2018
Cited for inadequate infection control
72%

Of US nursing homes have been cited for not having or not adhering to an infection control program.

CMS data via KFF Health News

Section five

The provider cost

Wrongful neglect lawsuits against care providers are rising in frequency and settlement amount. These settlements can be equivalent to an entire year's profit at a mid-size provider.

Average settlement
$251,296

Average wrongful neglect settlement against a skilled nursing facility in 2024. Up 16% since 2018.

CNA Aging Services Claim Report 2024
Increase in claim totals
+45.7%

Increase in average total incurred for resident abuse claims at skilled nursing facilities.

CNA Aging Services Claim Report 2024
Required minimum insurance
$1M / $3M

Per-occurrence and annual aggregate liability insurance required for California skilled nursing facilities, and policy limits often constrain settlement negotiations.

Berman & Riedel California
Claims denied on first submission
Up to 20%

Each denial costs an agency an estimated $118 to manage, and many denials would have been preventable with cleaner referral and authorization tracking.

Sirius Solutions Home Health Billing KPIs 2026

Case study A $30.9 million judgment

According to court records in McKnight's Senior Living, a jury found Pine Creek Care Center liable involving Sam Rios, Jr., 86. The court found that Mr. Rios was repositioned only once in 42 shifts and that the care plan did not include pressure sore prevention documentation. The jury awarded $5.9 million in compensatory damages and $25 million in punitive damages.

McKnight's Senior Living published the case under the headline: "$30 million judgment hits nursing home that failed to document, reposition rehab patient."

We cite this case because it illustrates a systemic pattern that a study in Ontario confirmed: When caregivers are buried in paperwork, important patient changes are easier to miss. The Ontario data shows the link is statistically significant. The Pine Creek verdict shows what the financial consequences can become.

Sources: McKnight's Senior Living · BamLaw California · Robert Kreisman, Chicago Nursing Home Lawyers Blog

Section six

The aging tsunami

Demand for home-based care is accelerating.

Canada 65+ 2030s
24%

Of Canada's population will be 65 or older by the end of the 2030s. Currently 18.9%. Ontario alone is projected to add 650,000 seniors in just 5 years.

Statistics Canada
UK 65+ by 2030
15.5M+

People aged 65+ in the UK by 2030. The 65+ population is projected to grow by 8.6 million over the next 50 years.

Caremark UK Aging Report 2025
Unmet home care needs (Canada)
475,000

Canadians aged 65+ who reported unmet home care needs. The gap between demand and supply is widening every year.

Government of Canada Expert Panel
Canadian eldercare cost trajectory
$29.7B → $58.5B

Annual eldercare costs in Canada will nearly double from $29.7B in 2019 to $58.5B by 2031,

CMA-commissioned report

Section seven

The family caregiver subsidy

The home care system survives today because families are supporting it with billions of unpaid hours. That subsidy is unsustainable.

Hours of unpaid care (Canada)
5.7B hrs/yr

These hours are worth $97.1 billion Replacing this labor would require 2.8 million full-time workers

Vanier Institute · RAPP / U Alberta + U Manitoba
US family caregiving value
$873.5B

Annual labor value of US family caregiving. Equivalent to a company larger than Apple, Amazon, or Walmart by revenue.

Columbia Mailman / Otsuka 2024
Ontario caregivers at the breaking point
69%

Ontario caregivers say they are so burnt out they don't know how they will keep going. 1 in 5 have brought the person they care for to the emergency department because they needed temporary caregiving relief.

Ontario Caregiver Organization Spotlight Report
Canadian unpaid caregivers
8M+

Canadians provide unpaid care to adults, 75% of all home care delivered in Canada comes from unpaid families.

Canadian Centre for Caregiving Excellence
If all caregivers took a week off, every Canadian would experience the collapse of care systems before noon on the first day.
Canadian Centre for Caregiving Excellence, "Giving Care" white paper, November 2022

Section eight

What this means for CuraNexus™

Everything above is the reason we built CuraNexus as a risk-mitigation operating system for home care. Home health doesn't need just another EHR, the existing ones are part of the reason the system is failing.

Our wedge is simple: give nurses their time back. AI documentation that runs inside the security perimeter. Referral pipelines that connect to billing without spreadsheets. Real-time business visibility for the agency owners who write the checks. All built from scratch for home health.

The data on this page is the foundation of our pitch and our public commitments. If the numbers change we update this page. Every claim we make traces to a primary source you can verify yourself.

Where we come from

  1. Incubated at YSpace York University, Markham, Ontario
  2. Backed by Futurepreneur Canada Startup financing for young Canadian founders