Your Required Behavioral-Health Infrastructure for Senior Care Facilities

We install, manage, and operate the behavioral-health system inside your facility — full screening, centralized scheduling, provider coordination, and automated Title 22 compliance, with no added staff work.

Get Title 22 Compliant
How OBS Works

HIPAA Compliant • Licensed Clinicians • NPI 1063372662

Why Facilities Need OBS

We Are Your Facility’s Behavioral-Health Infrastructure

OBS installs, manages, and operates the complete behavioral-health system inside your community — so your staff never has to. We screen every resident, coordinate all provider visits (both in-person and telehealth), centralize scheduling, and automate Title 22 compliance through one unified workflow.

Every resident receives a dedicated in-room telehealth device, full behavioral-health screening, ongoing support, and easy access to therapy without travel or staff involvement. All services are billed through Medicare, Medicaid, and most insurance plans, with no cost to the facility.

Our clinicians provide care.
OBS handles everything else.

We replace fragmented behavioral-health processes with one integrated, compliant, fully managed infrastructure — built around your residents and your regulatory requirements.

Title 22 Requirements (What You Must Manage)

Facilities must maintain:

  • Documented mental-health status and care notes (both at intake and throughout stay)

  • Ongoing psychosocial and mood monitoring

  • Behavioral and cognitive observations

  • Dementia-related behavior tracking

  • Regular mental-status checks

  • Updated records for each resident receiving behavioral support

Penalties for Not Meeting Standards

Non-compliance is treated as a serious violation:

  • CA facilities have received six-figure fines on Title 22 violations

  • CDSS is increasing enforcement and fining or closing facilities lacking behavioral-health tracking

  • Missing or incomplete notes count as a violation — even if care was provided

OBS prevents these issues before they occur, protecting your license and keeping you inspection-ready.

Are You Actually in Compliance?

Self-Check FAQ

Answer these questions.
If the answer is no to any of them, your facility is out of Title 22 behavioral-health compliance.

1. Do you receive documentation for every outside therapy session?
If not, you are out of compliance.

2. Do you receive follow-up recommendations after those sessions?
If not, you are out of compliance.

3. Do you have logs showing when each behavioral-health session occurred?
If not, you are out of compliance.

4. Are depression and dementia-related concerns being tracked and documented?
If not, you are out of compliance.

5. Are missed sessions and required follow-ups flagged for you?
If not, you are out of compliance.

6. Can you show CDSS evidence of ongoing behavioral-health monitoring for every resident?
If not, you are out of compliance.

OBS provides the infrastructure and system management your facility needs to meet these Title 22 requirements.

Our Commitment to Safety, Compliance & Clinical Quality

Title 22 Behavioral-Health Compliance Infrastructure

  • OBS installs and manages the in-room telehealth devices, secure access controls, documentation workflows, and tracking tools your facility needs to meet Title 22 behavioral-health requirements.

    Your compliance is fully supported, automatically, and continuously.

HIPAA-Secure Telehealth System Management

  • Every OBS device is locked, encrypted, monitored, and maintained. We manage connectivity, uptime, updates, access permissions, and audit-ready documentation storage — with no work for your staff.

Automated Behavioral-Health Tracking & Documentation

  • The OBS platform tracks screened residents, follow-up requirements, telehealth activity, compliance deadlines, and completed documentation — ensuring your facility remains Title 22 compliant at all times.

Integrated Provider Access (When Needed)

  • For facilities without an in-house behavioral-health provider, OBS gives you access to a private network of licensed clinicians who use the system to deliver screenings and sessions.

    This network is optional, and fully coordinated through OBS.

Zero Workload for Your Staff

  • OBS manages device setup, system maintenance, scheduling coordination, compliance reporting, and all Title 22 required tracking — so your staff never need to handle technology or documentation.

Trusted Compliance Support

  • Your facility receives reliable behavioral-health compliance infrastructure that protects residents, passes CDSS audits, and eliminates the risk of Title 22 citations.

Registered Behavioral-Health Organization

  • OBS is a registered behavioral-health organization (NPI 1063372662) providing the infrastructure and system management required for Title 22 compliance in senior care facilities.

What We Do

OBS provides the infrastructure and system management your facility needs to meet Title 22 behavioral-health requirements.

  • Quick behavioral-health screenings for new and existing residents.

  • Licensed clinicians perform full assessments for residents who screen positive.

  • We confirm coverage and connect residents to enrollment support when needed.

  • We provide the devices, set them up and manage them. Residents only tap once to join sessions.

  • OBS provides your facility with a daily list of all scheduled sessions — telehealth or onsite — including times, providers, and resident status.

    This eliminates undocumented visits and strengthens Title 22 compliance.

  • Telehealth sessions for residents who need continued care.

  • Yearly behavioral-health updates required under Title 22.

  • We coordinate everything with licensed clinicians so your staff doesn’t have to.

Get Title 22 Compliant

How OBS Works

OBS is your behavioral-health infrastructure — screening every resident, centralizing all provider visits, and automating Title 22 compliance.

  • We install the full system: in-room devices, kiosk-mode setup, telehealth access, scheduling platform, and Title 22–compliant tracking.

    Nothing for staff to manage.

  • You choose the screening day(s).
    OBS conducts a quick, universal mental-health screening so every resident gets documented — even those already seeing outside therapists or with dementia (required for Title 22 compliance).

  • We reach out to each resident’s existing therapist, psychologist, or wellness provider to:

    • Move all future in-person visits into the OBS scheduling system

    • Ensure every visit is tracked and timestamped

    • Ensure the facility becomes fully Title 22 compliant

    Your staff no longer has to coordinate anything.

  • We verify insurance, coordinate benefits specialists for uncovered residents, and set up all telehealth access for each resident.

    We leave properly configured devices onsite for therapy connections.

  • We schedule and manage all therapy sessions (onsite + telehealth).

    All sessions are documented by the clinicians and routed through OBS for Title 22 tracking.

Get Title 22 Compliant

For Facilities

Behavioral Health That Reduces Work — Not Adds to It

OBS Is Built For:

  • Assisted & independent living

  • Senior apartments & senior housing

  • Memory care & dementia programs

  • Adult day centers

  • Affordable & HUD communities

  • Transitional or homeless senior housing

  • Disability & mobility-support housing

  • Community or multi-use centers

Residents get support. Families get peace of mind.
Your staff stays focused on care — not compliance.


  • No staff scheduling, coordination, or follow-up

  • No managing outside providers’ visits

  • No technology setup or troubleshooting

  • No compliance tracking — OBS handles all of it

  • No billing or insurance involvement

  • No cost to the facility

OBS replaces fragmented behavioral-health tasks with one unified system your staff never has to touch.


For Residents (What Your Community Gains)

A Complete Behavioral-Health System Installed in Every Room — Fully Managed by OBS

COBS builds, installs, and operates your community’s behavioral-health infrastructure.
All services are covered through Medicare, Medicaid, and most insurance plans — no cost to your facility or residents for covered services.

Your residents receive:

  • A dedicated in-room telehealth device configured, secured, and supported by OBS

  • Facility-wide behavioral-health and wellness screenings

  • Regular emotional check-ins and support sessions

  • Therapy without needing to travel or schedule transportation

  • Help using the device and staying connected during sessions

  • Support through anxiety, sadness, grief, confusion, or behavioral changes

  • Continuous monitoring and follow-ups to ensure no one slips through the cracks

  • Care from a team experienced with seniors, aging, dementia, and cognitive decline

Your facility benefits because every session, provider visit, and interaction is automatically scheduled, logged, and routed through the OBS system — giving you seamless Title 22 compliance without any staff workload.

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 FAQs

  • OBS is $3,500 per unit per year with a 5-year compliance contract.

  • Yes — facilities may qualify for full grant funding through the Aged Behavioral Health Advancement Trust.

  • Grants cover the installation, maintenance and management of the behavioral-health Title 22 system.

  • Submit the short form under the Grant Application tab. Approval decisions are made within 48–72 hours.

  • Any licensed senior care facility serving residents who require behavioral health support (RCFE, ALF, Memory Care, Board & Care, Senior Housing, etc.).

  • Just:

    • A point of contact

    • Help scheduling the screening day

    • A room for screenings

    • Assistance reminding residents of their appointment times

    OBS handles ALL compliance setup, assessments, coordination, and telehealth support.

  • No.


    OBS works alongside your current providers. Every resident still goes through the screening/assessment process for compliance.

  • Yes.

    Title 22 requires facilities to identify, document, and monitor behavioral-health needs.

    A facility cannot know whether a resident “has mental illness” or “needs behavioral-health services” without conducting an assessment first — and the state expects facilities to ensure that identification.

  • OBS connects them with benefits specialists to quickly help secure coverage (Medi-Cal, Medicaid, etc.). We still complete an initial behavioral-health screening for the facility baseline.

  • The licensed clinicians who provide the services maintain their own EMR records.


    OBS does not hold medical records.

  • Covered therapy and mental-health services through insurance.

    OBS coordinates scheduling and support but does not direct or supervise clinical decisions.

  • Most facilities can start within a 1 week of applying for a grant or signing a service agreement.

  • Not currently. We are looking to include it in the near future.

  • Yes — OBS directly supports Title 22 compliance and reduces the risk of fines, citations, deficiencies, or closures.

Schedule an OBS Visit

Get Title 22 Compliant

Have questions about how our services can help your community or organization? Or just have questions? Drop us a line!