Pacifico RMS replaces the spreadsheet sprawl with one cloud system: compliance, financials, projects, audit trail, and the MAR. From caregiver to comptroller, every record is timestamped and audit-ready by default.
Spreadsheets get out of date the moment they hit email. Disconnected systems leak documentation. Audits arrive and your team scrambles. Pacifico RMS makes every record audit-ready by default, so the next audit is a query, not a crisis.
Caregivers log on paper, billing rekeys into Excel, the comptroller works from a PDF that was already stale when it was emailed. Three departments, four sources of truth, zero traceability when CMS asks for the chain of custody.
Every action writes a row with timestamp, user, role, and context. Once written, never edited. The MAR, the financial entry, the document upload, the approval. One source of truth, with full reconstructable history, queryable from a dashboard or exported to your auditor in two clicks.
Single Audit prep drops from weeks to hours. Burn rate dashboards surface variance before the month closes. Compliance officers stop hunting for missing receipts and start running a department. Leadership decides on live numbers, not a stale Excel.
Live KPIs, a 12-month compliance score trend, and an event feed updating every few seconds. No clicking through five reports. The number you need is on screen the moment you log in.
Pick the modules you need. They share the same identity, the same audit log, and the same reporting layer. No integrations to configure. No data to reconcile across tabs.
Automated checks against FedRAMP, SOC 2, HIPAA, OMB Uniform Guidance, and PR Reg 7349. Track deadlines, requirements, and corrective actions. Surface findings before the auditor does, schedule attestations, and export the workpapers package in one click.
Real-time burn rate by grant, project, and cost center. Automated reconciliation. Approval workflows that match your delegation matrix.
Milestones, deliverables, and resources, each linked to its funding source.
Append-only event log. Every action timestamped, user-stamped, and role-stamped. Once written, never edited.
Medication Administration Record built for HIPAA-conscious operators. Bedside to billing in one record, with sub-5-second latency and role-based access for caregiver, nurse-admin, family, and owner.
Versioned storage, automatic expiration tracking, and retention policies tied to your compliance regime. Attach supporting docs to transactions or attestations, then export the entire audit package as a signed PDF bundle.
Bi-directional sync with your accounting, ERP, CRM, document, and identity systems. Ship the data once, query it everywhere.
Every tier includes the audit trail, the compliance engine, and the dashboard. Tier is about scale and depth, not which features get gated.
Single-entity teams getting their first audit-ready system in place.
Multi-grant, multi-project teams with federal funding and a real compliance regime.
Multi-entity, multi-jurisdiction operators. Single Audit, FedRAMP-conscious, on-prem optional.
Direct answers. No marketing pivot.
The platform is FedRAMP-conscious. We design controls against the FedRAMP Moderate baseline, our cloud infrastructure runs on FedRAMP-authorized providers, and we maintain a current SSP. We are pursuing FedRAMP authorization. For agencies that require Authority to Operate today, we offer on-prem deployment under the Enterprise tier.
The event log is append-only at the database layer with hash chaining between rows. No user, including a platform admin, can edit or delete a historical event through the UI or the API. Each row carries a SHA-256 hash of its content plus the prior hash, so any tampering breaks the chain and is surfaced at the next integrity check. Exports include the chain hashes so your auditor can verify independently.
You own your data, always. On termination, we deliver a full export within 30 days: structured tables as CSV or Parquet, the document vault as a hierarchical ZIP, and the signed audit trail as a JSONL bundle with verification hashes. We retain a read-only copy for the contractual retention period required by your compliance regime, then we destroy it under documented procedure.
For Starter, single-entity teams are live in 2 to 3 weeks. Operator with a multi-grant migration usually runs 6 to 10 weeks, dominated by data hygiene on your existing spreadsheets. Enterprise with multi-entity consolidation, custom compliance frameworks, and SSO is 3 to 5 months. We do not quote 30-day enterprise rollouts. That is a lie that ends in a stalled project.
No, and that is intentional. The MAR module is built for the operational record that auditors and regulators actually inspect: medication administration, incident logs, attestations, family permissions, and retention. If you need full clinical documentation, we integrate with the EHR you already run. If your existing EHR is a paper binder, the MAR module is the upgrade.
A 30-minute demo, your data flow on screen, no slide deck. We will walk through the modules that matter to your operation.