Sereniq renders the HHSC forms residential providers print most (4119, 4122, 3092, 4123, 8002, 3608, 2125, 8578, 3044, 4719, and the ISS log on 8615) and tracks the rest as uploaded documents with due dates, plus the internal documents your team uses to keep the agency running. State forms carry the Texas HHS lockup with a facsimile footer. Internal documents carry Sereniq branding so a reviewer can tell what’s what at a glance.
Each form ships with explicit column geometry, the Texas HHS lockup, and a “Sereniq-generated facsimile of HHSC Form NNNN” footer. What you print is what your state auditor expects to see.
Service Delivery Log: HCS RSS daily / HCBS SL weekly, plus a calendar-month print
Service Delivery Log: HCBS Host Home / Companion Care, weekly
Medication Administration Record: monthly grid
Nursing Services Delivery Log: one log per nurse visit, RN or LVN, signed by the nurse who gave the care
Transportation Log: per-trip record
Fire Drill Report: per-home safety drill record
Individual Plan of Care (IPC): annual HCS authorization, drafted from the PDP
Implementation Plan: one fillable plan per HCS service, renewed each IPC period
ID/RC Assessment: four-page fillable form with HHSC code lists, renewed yearly
HHSC settings checklist, run monthly per home as a settings check
ISS Service Delivery Log: weekly on-site and off-site log, filled from the attendance board
HHSC-style incident print, with a house-report variant
PDP (Form 8665): Uploaded, read once by AI, goals and services confirmed by a person, annual expiry tracked. Sereniq does not generate these forms.
CNA (Form 3091) and Form 3090: Uploaded and tracked with due dates in the nursing binder. Sereniq does not generate these forms.
Delegation forms 8509, 8585, 8588: Nursing delegation paperwork, uploaded and expiry-tracked in the nursing binder. Sereniq does not generate these forms.
Form 4119 in 20 seconds (timed at a live agency), not 30 minutes. Sereniq logs HCS RSS daily and HCBS SL weekly, with a calendar-month print when a reviewer wants the whole month.
| Activity | Sun | Mon | Tue | Wed | Thu | Fri | Sat |
|---|---|---|---|---|---|---|---|
| Personal hygiene | JR | JR | TC | JR | TC | JR | JR |
| Money handling | - | JR | - | TC | - | JR | - |
| Community access | JR | - | TC | JR | - | - | JR |
| Meal prep | JR | JR | TC | JR | TC | JR | JR |
| Health & safety | JR | JR | TC | JR | TC | JR | JR |
One-click state auditor packet: demographics, IRP/PDP, MAR, incidents, notes, consents
Delegation paperwork with due dates, meds, allergies, vitals, controlled-meds counts
Single-page ER / appointment snapshot
Per-individual emergency plan, posted in the home
12 standard consents, agency-profile auto-filled
Two-witness count log with discrepancy alert, printable count sheet
Diabetic monitoring trend print
Per-drill print, state auditor-ready
Per-request print for the shopper
Date-range, individual, staff-filtered SDL packet
Per-individual quarterly report, AI-drafted section by section
Upload and track the agency-level HCBS quarterly for the survey-prep bundle
Full follow-up detail beyond the state form
Per-individual monthly sign-in sheet for the day program
One bill per placing agency per month (statement, invoices, Form 8615 weeks as PDF), plus the hours report
Filterable, formula-leader neutralized for spreadsheet safety
ZIP of CSVs for an admin-chosen date range: lists for the state auditor + deficiencies for the admin. MAR and transportation logs print separately.
Timesheets + manual entries + summary, normalized to your pay-period config
The period’s home, staff, medication, and compliance numbers, for administrators
A walkthrough built around your programs and your HHSC forms. We reply within one business day.
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