Caregiver Performance Engineering

Compliance training tells caregivers what to do. Aven engineers whether they do it.

In community-based care, the moment that decides quality and compliance happens in a private home, with one caregiver, and no one else watching. Aven is built for that moment.

That is the outcome Aven is built to produce — and the hypothesis our pilot program is designed to test.

PACE In-Home Hospice HCBS

Performance is not a personality trait. It is the result of engineered conditions.

Our founding principle
Where Non-Compliance Begins

It is a moment problem, not a paperwork problem.

Non-compliance does not happen in a filing cabinet. It happens in a single interaction between an undertrained caregiver and a participant — before any documentation exists.

In PACE day centers, in-home hospice visits, and Medicaid HCBS, there is no ambient oversight infrastructure. No supervisor down the hall. No peer at the next bed. The entire compliance burden rests on one person, in one moment, alone. Course completion cannot establish whether the right behavior occurs there. Only pre-conditioned behavior can.

PACE Day Center · 42 CFR §460.71
4:40 PM
A participant rises, agitated, and moves toward the door. One aide is present. What happens next is either compliant care or a survey deficiency — decided in seconds, with no one watching.

Aven puts that caregiver through this exact moment — scored, and reviewed by a qualified professional — before it happens for real.
75%
annual turnover in home-based care
Activated Insights Benchmarking Report, 2025 (2024 data)
$2,600
average cost to replace one caregiver
Activated Insights, cost-of-turnover analysis
772K
new direct-care jobs projected, 2024–2034
PHI, Direct Care Workers Key Facts 2025 (BLS projections)
The Platform

Aven Comply™

One platform for caregiver performance engineering, built on three integrated layers. Not a learning management system, and not a better way to track course completions — a different theory of how compliance is produced.

An LMS records that training happened. Aven records whether the caregiver can perform — and flags exactly who needs which drill before their next shift.

Layer One

Compliance

Maps each regulatory requirement to the specific caregiver behavior it demands — the connective logic that translates federal regulation into human performance.

Layer Two

Learning

Develops those behaviors through branching care scenarios — clinically authored and AI-varied — that build reflexive competency under realistic pressure, not passive recall.

Layer Three

Insight

Built to convert competency evidence into a live view of workforce readiness, relieving administrators of manual compliance reconstruction. When a caregiver struggles with de-escalation pacing, the administrator sees it — before that caregiver's next shift, not after an incident report. The system gets better at supporting the worker — never at watching them.

The Operating System

How Aven Comply Works

A seven-layer methodology that engineers the conditions for compliant behavior, sequenced from diagnosis to organizational scale.

01
Diagnosis
Shows an administrator which regulatory behaviors their team can already demonstrate — and which are exposure waiting for a survey.
Compliance Layer
02
Training
Compliance-mapped adaptive training: what each regulation demands behaviorally, and how to develop the ability to meet it.
Learning Layer
03
Implementation
A caregiver runs "The Late Afternoon" — a real sundowning scenario — and the system scores whether they de-escalated safely or triggered a survey risk. They practice until execution becomes reflexive.
Learning Layer
04
Reinforcement
Spaced re-drilling, re-practice routed to thinning competencies, and Readiness Rounds™ — structured administrator coaching directed by the competency picture.
Learning + Insight
05
Leadership Enablement
Equipping administrators and IDT leads to coach care teams and interpret the competency picture.
Learning + Insight
06
Workforce Readiness
Every scenario produces a competency record. Aven surfaces which caregivers have demonstrated readiness and which need targeted re-drilling — replacing the manual scramble before a survey.
Insight Layer
07
Optimize & Scale
Organizational clarity and infrastructure for sustainable scale across multi-county community-based operations.
Insight Layer
Regulatory Fit

Anchored to federal law, verified against the live record.

Every regulatory mapping is confirmed against the live electronic Code of Federal Regulations before use, each carrying a dated verification. These are the anchors that lead the case.

Across every setting, a qualified professional remains the deciding authority. Aven prepares and evidences; it never certifies.

§460.71
PACE · The Affirmative Anchor

PACE organizations must ensure caregivers demonstrate competency before independent practice — and on an ongoing basis. An affirmative federal mandate that Aven's scenario mechanism directly supports, with every competency determination reviewed by a qualified professional. Aven evidences competency for that professional's review — it does not substitute for their judgment.

§418.76(c)
In-Home Hospice

Hospice aides require observed competency evaluation by a registered nurse; simulation is a permitted method for select subject areas. Aven prepares and evidences caregiver readiness for that RN evaluation — it does not replace it.

HCBS
Medicaid Waiver · State-Level

Competency and training requirements are set by states as conditions of waiver participation — where operational value and workforce outcomes lead the case.

Aven maintains a proprietary Compliance Knowledge Graph — a structured mapping of regulatory requirements to the specific caregiver behaviors they demand. Its architecture is a trade secret of Aven, Inc.; what we show is its output.

Where We Begin

Built first for the settings where no one is watching.

Aven starts in community-based care — the settings where the compliance burden rests entirely on a single caregiver in an unsupervised moment, and where documentation-first platforms are structurally weakest.

Entry

PACE

Programs operating under an affirmative federal competency mandate, with concentrated decision-making and short adoption cycles.

Adjacent

In-Home Hospice

Where observed competency is federally required and the hardest moments happen at the bedside, in the home.

Expansion

HCBS

Founder-led, multi-county Medicaid waiver operators who control the training budget and can move in weeks, not enterprise cycles.

Federal Work

A Track 2 entrant in the HHS ACL Caregiver AI Prize Challenge.

Aven is competing in the Administration for Community Living's national challenge to extend and strengthen the direct-care workforce — a category that maps precisely to what Aven Comply is built to do.

Aven's working proof of concept demonstrates the mechanism directly: a dementia-sundowning de-escalation scenario in which different caregiver decisions produce differentiated, reproducible competency outcomes, each traceable by any reviewer to specific federal requirements. Whether this competency transfers to the unsupervised moment of care is the hypothesis Aven's pilot program is designed to test.

Track 2
AI Tools for Extending the Caregiver Workforce
Status: Phase 1 application submitted July 31, 2026. Decisions expected September 2026.
Administration for Community Living
U.S. Department of Health & Human Services
Founder
The first level of care is the caregiver. Everything else is downstream of whether that one person can perform, correctly, in the moment it matters.
Geoffrey H. Fullerton
Founder & CEO, Aven, Inc.

Aven brings a performance-engineering methodology, refined over years in high-stakes professional environments through Fullerton Management Group Ltd., to the defining workforce problem in aging care. The clinical foundation is guided by Dr. Richard Lyn-Cook, MD, MBA, MPH — Clinical Advisor & ACL Primary Point of Contact.

When the moment of care and the moment of compliance become the same moment — that is not a compliance achievement. That is a cultural one.

Work With Aven

Build this with us.

We are recruiting a small group of founding partners and advisors ahead of our first pilots.

Pilot Partners

We are in conversation with founding PACE and HCBS operators. Lend your name to a federally aligned effort, help shape a tool built for your regulatory environment, and decide on an actual pilot only when the time is right — at no cost and no obligation.

A pilot runs about 90 days, needs a few hours of administrator setup, and tracks competency and time-saved against your current baseline.

Advisory Council

We are assembling advisors across regulatory, clinical, workforce, and community-based operations to guide Aven's build and federal work. If you lead in these fields, we would value a conversation.