01
Seen in the building
Consults happen at the bedside on a schedule set with your team, with new referrals picked up between standing rounds.
Skilled nursing facility consult service · Southern California
Physiatry and interventional pain care, delivered inside your building.
Precision Pain and Rehabilitation provides on-site physician consult coverage to skilled nursing facilities across the Los Angeles metro, San Fernando Valley, Long Beach, and Ventura, Orange, San Bernardino and San Diego counties. Residents are seen at the bedside. No transport, no outside appointment for your staff to coordinate.
- Clinical team
- Board-certified physicians, nurse practitioners and physician assistants, led by a double board-certified physiatrist
- Network
- A growing group of facilities across Southern California
- Model
- On-site rounding on a standing cadence
What is on-site SNF physiatry and pain coverage?
On-site SNF physiatry and pain coverage means a physician-led team trained in physical medicine and rehabilitation and in interventional pain medicine examines skilled nursing residents at the bedside, on a standing schedule, and writes consult notes the facility's nursing, therapy and MDS staff can act on. Precision Pain and Rehabilitation provides this coverage to facilities in Los Angeles, Orange, Ventura, San Bernardino and San Diego counties.
- Cost to the facility
- No facility fee. Consults are billed to the resident's insurance.
- Format
- In person at the bedside. Not telehealth.
- Cadence
- A standing round set with each facility, most often weekly.
- Onboarding
- Usually weeks, paced by your credentialing process.
What coverage looks like
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Both disciplines, one team
Function, mobility and pain evaluated together by clinicians working under a physician trained in physical medicine and rehabilitation and in interventional pain medicine.
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Notes your team can use
Complete, accurate consult documentation written for the clinical record, specific enough for nursing, therapy and MDS staff to work from.
What coverage has produced
+1.3
CMS star rating
Average change in covered buildings by the following rating cycle.
36.7%
Fewer send-outs
Reduction in transfers out of the building for pain and musculoskeletal complaints managed on site instead.
68.7%
Patient satisfaction
Improvement in resident-reported satisfaction with how their pain is addressed.
Internal, unaudited averages across covered facilities, each measured against its own baseline before coverage began. Not a guarantee of results; see how these are measured.
How this is different
Most buildings have had some version of pain coverage before. The difference is usually structural rather than clinical intent.
| Typical consult coverage | Precision Pain and Rehabilitation | |
|---|---|---|
| Who comes in | Whoever is available that week, often remote. | A physician-led team of MDs, NPs and PAs on a standing in-building cadence. |
| Scope of the consult | Pain addressed separately from function, often two referrals. | Physiatry and pain evaluated in one visit by clinicians trained in both. |
| What happens next | A recommendation the building has to find someone to execute. | Interventional capability behind the plan, so the recommendation can be carried out. |
| Documentation | Brief notes that leave MDS and therapy guessing. | Complete, specific, PDPM-aware notes your own team can work from. |
| Working with rehab | A note dropped in the chart, with no contact with therapy. | We work closely with the rehab team: pain addressed so residents can participate, with plans built around therapy KPIs and outcomes. |
| Between visits | A phone tree. | Direct access to the clinician who saw the resident. |
More detail where it matters: documentation and MDS/PDPM accuracy, outcomes and CMS star improvement, opioid stewardship, or the case as your role sees it — for administrators and for directors of nursing.
Led by
Raj Desai, MD
Medical director of Precision Pain and Rehabilitation. A physiatrist double board-certified in physical medicine and rehabilitation and in pain medicine, he directs the team of physicians, nurse practitioners and physician assistants who round in covered facilities. Every clinician on that team is board certified and experienced in rehabilitation medicine and pain medicine.
Meet the clinical teamVerify the license with the Medical Board of California
- Board certification
- Physical Medicine and Rehabilitation, American Board of Physical Medicine and Rehabilitation
- Board certification
- Pain Medicine, American Board of Physical Medicine and Rehabilitation
- Residency
- Northwestern Medicine Marianjoy Rehabilitation Hospital
- Medical degree
- American University of Antigua College of Medicine
- California license
- A163057
- NPI
- 1508258559
Who this is for
Administrators, directors of nursing, and regional clinical or operations leaders deciding whether to bring physiatry and pain coverage into a building or a group of buildings.
The next step is a short conversation, or an in-person visit to your facility to meet the clinical team and see how coverage would fit.
Request an intro call