Urgent Situations

In an urgent situation? Let’s talk — fast.

Sometimes a center can’t wait for the normal timeline. If you’re facing a serious situation, tell us what’s happening and we’ll get back to you quickly.

Is this the kind of situation you’re facing?

  • You just failed a survey
  • You struggled badly through a recent survey
  • You lost key leaders who knew how everything worked
  • You have an urgent need for interim leadership
  • Your license, accreditation, or certification is at risk
  • You’ve lost—or are about to lose—deemed status

Two things we want to be honest about

We can’t promise instant availability. We read every request personally and respond quickly, but we won’t over-promise—if we can’t take you on in your timeframe, we’ll tell you honestly and, where we can, point you in a good direction.

We take centers that genuinely want to be better. If you’re ready to make real changes and build something that lasts, we want to hear from you. If you’re only looking to pass the next survey without changing anything underneath, we’re probably not the right firm—and that’s okay.

Need us right now by phone? Call 585-594-1167. Otherwise, the form gets your situation in front of us with an urgent flag.

Request urgent support

This goes straight to John Goehle’s inbox, flagged urgent. By sending, you’re asking us to reach out about your situation—there’s no obligation on either side.