NewCamp Wakonda Assistant Counselor Keene Young MensCamp Wakonda Assistant CounselorKeene, NH$12.57–$15.71 / hourExperience preferred in one or more of the following areas: outdoor living/education, music (instrumental or songs, dramatic arts, aquatics, sports/PE/recreational games, creative arts, etc.). Assists in leading energizing, fun, culturally aware, safe, camp activities and field trips, as directed by the supervisor, to carry out the YMCA mission and goals.
Licensed Professional Counselor HeadwayLicensed Professional CounselorKeene, NHHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Mental Health Counselor (Remote) HeadwayLicensed Mental Health Counselor (Remote)Keene, NHRemoteHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Professional Counselor (LPC) Granite State Mental HealthLicensed Professional Counselor (LPC)Bedford, NHMaster’s degree or higher in counseling, social work, psychology, marriage and family therapy, or a related field. Support clients in building coping skills, improving functioning, and working toward personal goals.
School Adjustment Counselor - Whitcomb Middle School Marlborough Public SchoolsSchool Adjustment Counselor - Whitcomb Middle SchoolMarlborough, MASchool adjustment counselors support students and families on their caseload in meeting social/emotional needs and play an integral role with student support colleagues to connect students and families to a variety of support structures in and out of school, including but not limited to referrals to therapists, psychiatrists and other critical services. Job Summary: School adjustment counselors provide direct service through individual and small group meetings as well as indirect support through collaboration and consultation with colleagues across disciplines including administrators, teachers and student support providers.
School Adjustment Counselor - Early Childhood Center Marlborough Public SchoolsSchool Adjustment Counselor - Early Childhood CenterMarlborough, MAThe counselor works collaboratively with educators, related service providers, administrators, and community agencies to support the developmental, behavioral, emotional, and social needs of young learners in inclusive and specialized early childhood settings. This role includes collaboration with Early Intervention (EI) providers, community agencies, and families to support smooth transitions into school-based services and ensure continuity of care for students entering preschool programming.
In School Counselor - PT Medway School District Transitions Counseling ServicesIn School Counselor - PT Medway School DistrictMedway, MassachusettsWho We Are Looking For • Independently licensed clinicians (LICSW or LMHC), or • Provisionally licensed clinicians with a master's degree in social work or counseling who are working toward independent licensure • Experience with children and adolescents preferred • Comfort with documentation and electronic health records (we use SimplePractice) • A collaborative, warm, and student centered approach. About the Role As an in school counselor, you will provide individual counseling to students during the school day, working closely and collaboratively with school counselors and staff to support each student's success.
School Counselor - Middles School Monadnock Regional School DistrictSchool Counselor - Middles SchoolSwanzey, New HampshireAbout Monadnock Regional School District: Our Vision Our vision is to be a model of leadership and collaboration, committing to serve our community of learners through: Active Stewardship of social, emotional, physical, and intellectual growth & well-being Unfailing Integrity that encourages positive communication, respectful relationships, and moral courage in a diverse environment Perpetual Innovation by continuously reviewing and updating our programs, technologies, and instructional practices to inspire complex thinking and creative problem-solving Our Goals and Objectives Towards Active Stewardship, in the area of Student Growth: We will foster the belief that learning, participating, and contributing to the community is critical to the social, emotional, physical and intellectual development and overall well being of each child and the community as a whole. Essential Functions: Collaborate with the Director of School Counseling and the MRSD school counseling team to design and deliver a comprehensive school counseling program that improves student outcomes.
At Risk School Counselor (9-12th Grade) Monadnock Regional School DistrictAt Risk School Counselor (9-12th Grade)Swanzey, New HampshireAbout Monadnock Regional School District: Our Vision Our vision is to be a model of leadership and collaboration, committing to serve our community of learners through: Active Stewardship of social, emotional, physical, and intellectual growth & well-being Unfailing Integrity that encourages positive communication, respectful relationships, and moral courage in a diverse environment Perpetual Innovation by continuously reviewing and updating our programs, technologies, and instructional practices to inspire complex thinking and creative problem-solving Our Goals and Objectives Towards Active Stewardship, in the area of Student Growth: We will foster the belief that learning, participating, and contributing to the community is critical to the social, emotional, physical and intellectual development and overall well being of each child and the community as a whole. Provides direct support for faculty and staff regarding student behavior, classroom management, and group dynamic issues for the purpose of assisting in the fostering of a successful learning community that meets the needs of all students.
Mental Health Counselor Inpatient Behavioral Health TaraVistaMental Health Counselor Inpatient Behavioral HealthDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Inpatient Behavioral Health, Per Diem TaraVistaMental Health Counselor Inpatient Behavioral Health, Per DiemDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Child Inpatient Psych 24hr Split Shift TaraVistaMental Health Counselor Child Inpatient Psych 24hr Split ShiftDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Adult Inpatient Psych, 24 Hour Split Shift TaraVistaMental Health Counselor Adult Inpatient Psych, 24 Hour Split ShiftDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Adolescent Inpatient Psych 24hr Evenings TaraVistaMental Health Counselor Adolescent Inpatient Psych 24hr EveningsDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Adult Inpatient Psych 24hr Days TaraVistaMental Health Counselor Adult Inpatient Psych 24hr DaysDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Child Inpatient Psych 24hr Evenings TaraVistaMental Health Counselor Child Inpatient Psych 24hr EveningsDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
Mental Health Counselor Inpatient Psych - 20hr Day/Eve Mondays plus Every Other Weekend TaraVistaMental Health Counselor Inpatient Psych - 20hr Day/Eve Mondays plus Every Other WeekendDevens, MA$20.11–$24 / hourYou will provide direct care and support not only to our patients but also their families and make decisions that impact the lives of your peers, your patients, and your community. You will also conduct safety checks, monitor patients, assist with ADL’s, de-escalate acute situations, and provide supportive interactions with patients.
SUD Counselor Anew Behavioral Health, New HampshireSUD CounselorManchester, New HampshireUtilizing evidence-based practices, this counselor conducts focused assessments, develops treatment plans, provides case management services, provides appropriate referrals for mental health treatment, and facilitates individual and group counseling sessions focused on developing SUD recovery skills. If information is received that raises concern related to background checks, credentials, driving eligibility, sanctions, exclusions, or fitness for duty, the organization may take action consistent with policy and law, including delaying start date, restricting duties, removing the employee from service delivery, requiring supervision or corrective action, reassignment, suspension, or separation from employment.
26-150 Long-Term Substitute; School Counselor Hopkinton Public Schools26-150 Long-Term Substitute; School CounselorHopkinton, MA$150–$294.63 / yearThe School Counselor helps all students to explore and recognize strengths and weaknesses, develops self-esteem, teaches and assists students in decision-making, and supports students in times of personal and academic crisis. Online is our preferred method of application, however, if you wish to apply by mail, please download and print the appropriate application form on our website: https://www.hopkinton.k12.ma.us/employment1.
School Adjustment Counselor - Orchard Street Academy (OSA) Assabet Valley CollaborativeSchool Adjustment Counselor - Orchard Street Academy (OSA)Marlborough, MassachusettsPrioritizes a clinical and instructional focus with a blend of the following: Social emotional learning, restorative practices, culturally relevant teaching, wellness, healing centered, collectivism, student driven learning. To achieve shared leadership, we need to engage in continuous study of the principles of cultural proficiency, culturally responsive practices, human-centered design, design thinking, and social innovation.
Licensed Mental Health Counselor (LMHC) (In-person) MTC CareLicensed Mental Health Counselor (LMHC) (In-person)Hudson, MAOur clinical team includes trained psychiatry and psychology providers with a focus on tailored interventions to ensure quality of life for patients, a supportive environment that promotes mental well-being, interdisciplinary collaboration, and compliance with regulatory organizations. MTC Care is the industry leader in providing exceptional behavioral health services to patients residing in skilled nursing and assisted living communities.
Licensed Mental Health Counselor (LMHC) Gotham Enterprises LtdLicensed Mental Health Counselor (LMHC)Worcester, MA$115,000–$120,000This remote LMHC position is centered on providing practical, consistent mental health support to clients who need a safe and structured space to work through emotional, behavioral, and personal challenges. You will conduct therapy sessions online, help clients understand patterns affecting their day-to-day life, and guide them toward healthier coping skills and treatment goals.
NewElementary School Counselor Athol Royalston Regional School DistrictElementary School CounselorMAPlanning, organizing, and delivering the comprehensive school counseling program through large/small group/individual sessions of developmentally appropriate instructional activities, presentations, and assessments that cultivate students'' competencies across key developmental domains utilizing the MA Model for School Counselors. This position may be responsible for implementing guidance curriculum modules using Character Strong, CASEL, and evidence-based practices, including creating scope and sequence charts that describe the topics and competencies to be taught at each grade level, articulating what students should know, understand, and be able to do as a result of the program.
NewAdjustment Counselor FITCHBURG SCHOOL DISTRICTAdjustment CounselorFitchburg, MAJob Details: The Adjustment Counselor will provide direct, in-person services to students in need of academic, social, and/or emotional support. Questions related to this policy must be addressed to: The Office of Human Resources, 376 South Street, Fitchburg, MA 01420, HR@Fitchburg.k12.ma.us.
Admissions Counselor University of Massachusetts AmherstAdmissions CounselorMAStay informed on trends in nursing education, workforce demands, and higher education recruitment practices to effectively advise students and refine strategies. The Admissions Counselor is responsible for developing, managing, and executing strategies to attract, engage, and convert prospective students for the College of Nursing''s U+/Flex programs.
Residential Counselor - Developmental Disabilities The Edinburg centerResidential Counselor - Developmental DisabilitiesWestford, MassachusettsWho We Are: A dedicated team of professionals who have chosen to join an organization with a forty year history of serving people with mental illness, developmental disabilities, brain injury and autism in the community. At work, we are psychiatrists, social workers, clinicians, nurses, behavior specialists, peer specialists, board certified behavior analysts, direct service staff and employment specialists.
NewSchool Social Worker/Adjustment Counselor (grades 6-8) Lunenburg Public SchoolsSchool Social Worker/Adjustment Counselor (grades 6-8)MAThe mission of The Lunenburg Public Schools is to provide all students with the skills, confidence, and passion for life-long learning so that they may find their own paths to successful careers, active citizenship, and rewarding lives. EXPERIENCE The ideal candidates will have: Flexibility to provide services outside of the normal school day (with schedule adjusted accordingly) Previous experience working in a school setting or other behavioral health environment.
Counselor Clinician Franklin Pierce UniversityCounselor ClinicianRindge, NHFull timePosition Requirements/Skills/Abilities: Master’s degree in Mental Health Counseling, Clinical Social Work, Clinical Psychology, or a closely related field, with a minimum of two (2) years of clinical experience providing psychotherapy; or Doctoral degree in Clinical or Counseling Psychology with eligibility for licensure as a Psychologist in the State of New Hampshire and ability to provide clinical supervision, if applicable. The Counselor Clinician will provide culturally affirming clinical services including triage, assessments, intake evaluations, diagnostic assessments, treatment planning, crisis intervention, brief individual counseling, couples counseling, and group therapy.
Residential Counselor Justice Resource InstituteResidential CounselorLittleton, MassachusettsYOU will helpâ¯studentsâ¯discover what makes them feel competent and valuedâ¯by working with themâ¯to develop life skills suchâ¯as cooking, banking, vocational skills, and more.â¯Yourâ¯day-to-dayâ¯workâ¯willâ¯support studentsâ¯inâ¯developing a sense of selfâ¯andâ¯provide them the skills to be successful in their next steps.â¯. YOUâ¯will be able to develop your skills in providing enriching daily activitiesâ¯for our studentsâ¯such asâ¯arts and crafts,â¯recreational activities including offsite fieldâ¯trips,â¯andâ¯more!â¯.
Overnight Residential Counselor Justice Resource InstituteOvernight Residential CounselorMarlboro, MassachusettsYOU will help students discover what makes them feel competent and valued by working with them to develop life skills such as cooking, banking, vocational skills, and more. As an Overnight Residential Counselor, you will be able to convey your passion for helping others with a dynamic team by bringing an energetic and positive approach while working with our students!
Adolescent Counselor - Part Time Dublin School IncAdolescent Counselor - Part TimeDublin, NHPart timeDublin School, an intentionally small 9-12 co-ed college preparatory boarding and day school located in beautiful, rural southwestern, NH seeks a Part-Time Adolescent Counselor to join our community starting for the 2026-27 school year. We are searching for someone who can join our counseling staff and increase our capacity to support our students as we strive to provide a calm, nurturing environment to help our students succeed through their difficult times.
School Academic Counselor Sizer SchoolSchool Academic CounselorFitchburg, MAJOB SUMMARY Sizer School, a North Central Charter Essential School, is seeking a School Counselor dedicated to student success to join our Student Services team. The Counselor serves as an advocate, liaison, coordinator, case manager, and consultant for students, parents, school staff and community agency personnel.
Licensed Clinical Mental Health Counselor (LCMHC) LifeStance HealthLicensed Clinical Mental Health Counselor (LCMHC)Bedford, NH$95,000–$130,000 / yearFull timeAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare.
CBHT - Mental Health Counselor Accurate Staffing child board (JobRobotix)CBHT - Mental Health CounselorGardner, MAQualified candidates must hold an active MA license and have a minimum of 2 years of recent U.S. Experience in Mental Health Counselor as a CBHT. Accurate Staffing Consultants is currently seeking a CBHT –Mental Health Counselor for an assignment in Gardner, MA.
Rehabilitation Counselor (A/B) Commonwealth of MassachusettsRehabilitation Counselor (A/B)MARehabilitation Counselor (A/B)'',''Rehabilitation Counselor (A/B)'',''United States-Massachusetts-Baldwinville -184 Freight Shed'',''United States-Massachusetts-Baldwinville -184 Freight Shed'',''Community and Social Services'',''Community and Social Services'',''Department of Developmental Services'',''Department of Developmental Services'',''Full-time'',''Full-time'',''Day'',''Day'',''Jun 9, 2026, 2:34:45 PM'',''Jun 9, 2026, 2:34:45 PM'',''1'',''1'',''88,610.60'',''65,066.30'',''88,610.60'',''Yearly'',''Christina About the Department of Developmental Services: The mission of the Department of Developmental Services (DDS) is to create innovative and genuine opportunities for individuals with intellectual and developmental disabilities including Autism Spectrum Disorder to participate fully and contribute meaningfully to their communities as valued members.
NewSubstance Abuse Counselor I Commonwealth of MassachusettsSubstance Abuse Counselor IMASheriff Worcester Prof Grd 17'',''Sheriff Worcester Prof Grd 17'',''United States-Massachusetts-West Boylston-5 Paul X Tivnan'',''United States-Massachusetts-West Boylston-5 Paul X Tivnan'',''Direct Care'',''Direct Care'',''Sheriff''s Dept Worcester'',''Sheriff''s Dept Worcester'',''Full-time'',''Full-time'',''Day'',''Day'',''Jul 6, 2026, 6:04:21 PM'',''Jul 6, 2026, 6:04:21 PM'',''1'',''1'',''57,073.06'',''57,073.06'',''57,073.06'',''Yearly'',''Dianne OCC positions require the following: Bachelor''s Degree in psychology, education, counseling, psychology, rehabilitative counseling, social work from an accredited college or university and a minimum of two years supervised counseling, or equivalent combination of education and experience.
Enrollment Counselor Rivier UniversityEnrollment CounselorNashua, NHIn addition to a competitive salary, Rivier University offers full-time employees a comprehensive benefits package which includes medical, dental and vision coverage, employer paid life and disability plans, retirement plan with employer match, Health Reimbursement Arrangement (HRA), Health Savings Account (HSA) with employer contribution, flexible spending accounts, paid time off, holidays, educational assistance benefits, employee assistance program (EAP) and a variety of additional discounts and services. Maintain strong understanding of current programs, policies, and procedures including: academic programs, financial aid policies, business office policies, nursing licensure qualifications and processes, state educational certifications, and international student application requirements.
Licensed Clinical Mental Health Counselor (LCMHC) (No Associates) - Remote Rula HealthLicensed Clinical Mental Health Counselor (LCMHC) (No Associates) - RemoteNashua, NHRemotePart timeMinimum QualificationsMust be licensed as a Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW) or Licensed Clinical Mental Health Counselor (LCMHC). By taking care of all the new client marketing and administrative heavy-lifting, we allow providers at Rula to focus on what they do best; helping clients get better.
Licensed Mental Health Counselor (LMHC) (No Associates) - Remote Rula HealthLicensed Mental Health Counselor (LMHC) (No Associates) - RemoteWorcester, MARemotePart timeBy taking care of all the new client marketing and administrative heavy-lifting, we allow providers at Rula to focus on what they do best; helping clients get better. About RulaRula is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality care to individuals, couples, and families.
Licensed Clinical Mental Health Counselor - Remote BetterHelpLicensed Clinical Mental Health Counselor - RemoteManchester, NHRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Retail Business Counselor- Keene, NH Associated Grocers of New England IncRetail Business Counselor- Keene, NHKeene, NHActing as both consultant and coach, the Counselor helps retailers strengthen operations, enhance financial performance, and differentiate their stores in an increasingly competitive marketplace. Work involves some exposure to unusual elements, such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors, and/or loud noises.
Counselor Recovery Services ADVOCATES, INCCounselor Recovery ServicesWorcester, MAClinical services which may include treatment adherence monitoring, referrals to other services and levels of care (including detox, inpatient and residential care), health insurance application assistance, transportation, and communication with probation and the courts. The Counselor will provide a range of cognitive and motivational services to individuals referred to substance use residential services at Advocates, in order to promote successful reintegration into community living.
Relief Counselor - Brain Injury Services Eliot Community Human Services IncRelief Counselor - Brain Injury ServicesFramingham, MAOur Brain Injury residential programs provide high-quality, innovative programming that help adults with brain injuries enhance their lives, develop skills, and engage in community activities while building supportive relationships. We foster belonging in the workplace by identifying and removing barriers that may prevent individuals of all backgrounds from reaching their full potential, advancing into leadership roles, and fully engaging at all levels of the organization.
Admission Counselor - Clark University Clark UniversityAdmission Counselor - Clark UniversityWorcester, MALocation: Worcester, MA Category: Staff and Administrators Job Type: Full-time - Exempt Posted On: Wed Jun 3 2026 Job Description: The successful candidate will be a dynamic and dedicated individual who will engage in a range of admissions and recruitment activities designed to present the Clark University undergraduate educational experience to prospective students, their parents, counselors, and alumni. The Admission Counselor will analyze and review applications to the University"s undergraduate program in line with institutional policies and priorities.
Family Support Counselor ADVOCATES, INCFamily Support CounselorMABachelor's degree in social work, psychology, or related field, OR 5+ years of experience working with youth/families • Strong computer knowledge and ability to use an Electronic Health Record to document services • Ability to thrive in a fast-paced, team-oriented environment • Strong organizational skills and ability to multi-task • Outstanding reasoning and problem-solving abilities • Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations • Ability to read and write English • Must have valid driver's license • Must have access to an operational and insured automobile and be willing to use it to transport members. • Conduct assessments of strengths and needs • Complete crisis plans and coordinate treatment planning, in collaboration with family members • Provide individual and family support and coaching • Identify community resources and develop natural supports for youth and parent/guardian • Provide comprehensive care coordination.
Substance Use Counselor ADVOCATES, INCSubstance Use CounselorMAOverview Salary: $55,000 The Substance Use Counselor provides supervision to residential staff while developing staff skills in responding to complex issues such as co-occurring disorders, substance abuse, and trauma. • Support persons served by utilizing strategies including Screening, Brief Intervention and Referral for Treatment (SBIRT), Stages of Change model, Motivational Interviewing, and Harm Reduction.
NewImpactful Guidance Counselor for Student Growth Young World Physical EducationImpactful Guidance Counselor for Student GrowthManchester, NHResponsibilities include developing guidance programs, assisting students with personal and academic challenges, and collaborating with staff and parents to support student growth. Young World Physical Education is seeking a full-time Guidance Counselor for Manchester School District Memorial High School.
NewGuidance Counselor Young World Physical EducationGuidance CounselorManchester, NHApplication ProcedureThe Manchester School District uses this Applicant Tracking on‑line application platform, please visit our site: The Manchester School District's website is www.mansd.orgPosition Type: Full-TimeJob Categories: Student Services > School/Guidance CounselorJob RequirementsAt least 2 year(s) of relevant experience preferred. To consult with administrative and teaching staff in the area of guidance by sharing data which have implications for policy making regarding the structure and process of schooling; participation in the in‑service training programs, assisting teachers to secure materials and develop procedures for a variety of classroom group guidance experiences.
Counselor Recovery Services Female Only ADVOCATES, INCCounselor Recovery Services Female OnlyWorcester, MAClinical services which may include treatment adherence monitoring, referrals to other services and levels of care (including detox, inpatient and residential care), health insurance application assistance, transportation, and communication with probation and the courts. The Counselor will provide a range of cognitive and motivational services to individuals referred to substance use residential services at Advocates, in order to promote successful reintegration into community living.
Licensed Professional Counselor (LPC) (In-person) MTC CareLicensed Professional Counselor (LPC) (In-person)Nashua, NHOur clinical team includes trained psychiatry and psychology providers with a focus on tailored interventions to ensure quality of life for patients, a supportive environment that promotes mental well-being, interdisciplinary collaboration, and compliance with regulatory organizations. MTC Care is the industry leader in providing exceptional behavioral health services to patients residing in skilled nursing and assisted living communities.