My Thoughts
I write about marketing, branding, business strategy, artificial intelligence, the things happening in life that matter to me, television worth watching, and whatever else I can't stop thinking about long enough to not write down.
A systems engineer ran Claude Code daily for a year. Which senior living technology operations earn an agent, and which fail the screen.
I Heard The Energy From The Banyan While Walking Carroll Creek on a Saturday Night My wife Kimberly and I walked along Carroll Creek this
HIPAA never mentions artificial intelligence, and that silence is exactly why the rules reach every AI tool a clinician touches. This guide quotes each rule that decides the question, names the one federal provision that does mention these tools, and marks the two places where a court changed the answer in the last twelve months.
American Healthcare REIT agreed on August 10 to pay $873 million for eight senior living communities, including The Kensington Bethesda and Kensington Park Senior Living in Montgomery County. No federal or Maryland law requires anyone to notify the residents or the families paying the bills.
Patients are suing three health systems over ambient AI scribes that recorded them without consent. The same category of product reaches senior care in October 2026, captured through a staff member’s phone. HIPAA permits it. State eavesdropping law is what makes it a crime.
Cadence broke ground in 2020. Cogir bought them in 2022. Harbor Retirement Associates came in during 2025. Nobody explained any of it to the families living inside.
An intern on a physical therapy table told me about her summer job. That sent me to a census income map and a question about where you sell summer when summer is scarce.
I founded Sentinel Silver, so I have a commercial interest in this argument and I am putting that on the table first. Now, what the Spring Arbor story says about the metric senior living still is not measuring.
The industry says marketing liaisons gather intelligence, then sends them out with a quota and a trunk full of brochures. Here is what actual tradecraft would look like in this job.
The home care liaison arrives full of energy and is gone twelve months later. The industry calls this a hiring problem. It is not a hiring problem.
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