Sensi AI

The models are the product. The Care Agent's audio pods are microphones placed in a client's home; everything the agency buys from them is the model classifying verbal and non verbal sound into alerts, predictive insights and care visualization, and without it there is a speaker in a room.

The rest of the line is sold as agents: the Growth Agent automates inbound demand, lead nurture and a self updating CRM, and the Ops Agent covers callout coverage, caregiver oversight and a virtual concierge, with an AI agent that places calls for the agency. The terms of service grant the company a license to use de-identified recordings, transcripts and outputs to improve its models, which confirms learned components behind both lines.

The system alerts and a person decides, and two parts of the oversight are missing. Care Agent insights and real time alerts go to the agency's care team, and the terms state that the dashboard is not an emergency response system and that insights are not diagnoses, which sets what the system may not do. The company does not publish the thresholds that turn a sound into an alert, or what happens after the system is wrong.

No person listens to the audio that did not trigger an alert, so a missed event leaves nothing to review. The Ops and Growth Agents act on the agency's behalf, placing automated calls and covering callouts, with no stated escalation to a person. Alert fatigue is the main failure mode for continuous monitoring, and the broader the detection set the more that matters.

The approach is described in general terms and nothing under it is identified. The Care Agent classifies audio from in home pods into more than 100 reported insight types, and the company has cited 90 percent accuracy for identifying care relevant events and described seven years of development with clinicians working alongside engineers.

A single accuracy figure across insights as different as a fall and early cognitive decline cannot describe performance on any one of them, and accuracy is close to uninterpretable for infrequent events. The Growth and Ops Agents include an AI agent that places calls and produces transcripts, with no model or supplier named. No architecture, training data description, versioning or update practice is published.

One delivery supplier is named and the model layer is not. The terms of service name Twilio for text and multimedia messaging and require customers to follow its messaging policies. The data processing agreement (updated 1 June 2026) lets the company engage subprocessors with 14 days' notice and a right to object, and publishes no list.

The calling agent in the Growth and Ops Agents places calls and produces recordings and transcripts, and nothing says whether a speech or language model from another company sits in that path; no hosting provider is named for the audio pipeline. Where the Care Agent's classification runs decides whether any party beyond the company ever receives audio from a home.

Named customers and outcome percentages without method. The company says it supports more than 80 percent of major US home care networks, names Visiting Angels, Senior Helpers, Hummingbird and Home Matters Caregiving as customers, and announced a nationwide rollout to SYNERGY HomeCare franchisees.

Its home page reports outcomes including an 80 percent reduction in hospitalizations attributed to a Visiting Angels testimonial, a 22 percent reduction elsewhere, twice the length of stay, 20 percent more revenue and $500,000 in savings, with no population, period, comparison or source. No clinical validation study is published, and the audio detections, such as possible urinary tract infection and pneumonia, come with no sensitivity or specificity. Scale of adoption is not evidence of benefit.

Training use and de-identification are stated in the contracts, and no retention schedule is. The terms of service (updated 18 June 2026) grant the company a perpetual license to aggregated, de-identified recordings, transcripts, outputs and metadata to maintain and improve its services and models and to develop new products.

The data processing agreement (updated 1 June 2026) limits processing of personal data to providing the service, bars combining it across customers, and requires deletion or return of customer data at termination; the Business Associate Addendum (30 June 2026) permits de-identification and bars re-identification. How the license and the agreement's purpose limit fit together is not explained.

Audio data is listed as processed, and nothing states whether classification runs on the pod or in the cloud, which decides whether conversation ever leaves the home. Consent from visitors and family is placed on the agency. Safety engineering, such as how a false or missed alert is detected and handled, is not published.

The agreement is published, its scope is stated, and it binds subcontractors. The terms of service (updated 18 June 2026) state that where the customer is a covered entity under HIPAA, both parties are bound by the Business Associate Addendum published at sensi.ai/baa.

The addendum (Clanz Technologies Ltd., doing business as Sensi.AI, updated 30 June 2026) is the full text: it requires agents and subcontractors that receive or access protected health information to agree in writing to the same restrictions, requires breach reporting without unreasonable delay, permits de-identification and data aggregation while barring re-identification, and requires return or destruction of protected health information at termination.

The conditional scope fits the market, since many private duty home care agencies are not covered entities, and for them the terms name Washington's My Health My Data Act and Connecticut's data privacy act. The terms also tell customers not to send protected health information by text, since that may not meet the Security Rule.

An audit route is offered by contract and no attestation is named as held. The data processing agreement (updated 1 June 2026) commits to reasonable security procedures and controls and says audit evidence can include an ISO/IEC 27001 or 27701 certification, a SOC 2 report or recent penetration tests, without saying which the company holds; breach notification is without undue delay, and the Business Associate Addendum carries its own security incident reporting.

No trust page, certification, penetration testing cadence or encryption specification is published. The holding matters: continuous audio sensing in bedrooms and bathrooms produces a longitudinal record of an older adult's physical, cognitive and emotional state, and captures the working patterns of caregivers who enter the home.

No device claim is made and the terms scope the product away from one. The terms of service state that the company is not providing diagnoses, that nothing it provides is medical advice, and that the dashboard is not an emergency response system; insights are described as information for the agency. Against that scoping sits the detection list: the company has described flagging possible urinary tract infections, pneumonia and early signs of cognitive decline from audio.

Low risk monitoring and wellness software can sit outside device regulation, and nobody in that position is required to publish sensitivity, specificity or false alarm rates. The terms also name the regimes that do apply to the service, including the Telephone Consumer Protection Act for calls and messages and Washington's and Connecticut's consumer health data laws. Audio capture in a home also engages state recording laws, several of which require all party consent, and the terms place consent on the customer without naming that body of law.

Clinicians are described in development and nothing is published on how the models perform across the people they listen to. The company has described a clinical team of nurses, social workers and occupational and physical therapists working with its engineers on the insights, and its terms state that insights are not diagnoses. No performance breakdown by any client characteristic, bias testing statement, model update policy or outside audit is published.

The exposure is specific to audio. Sound and speech recognition varies with accent, dialect and language, and with the voice changes common in older adults: reduced volume, breathiness, tremor and dysarthria after stroke. A distress call in a language the model was not trained on is a missed detection rather than a degraded one, and homes contain visitors, caregivers and televisions the system must tell apart from the client.

A person acts on every insight, and the terms put the risk of a wrong one on the customer. Care Agent alerts and insights reach the agency's care team through the dashboard and notifications, and staff decide what to do, so an insight can be checked against the client before care changes.

The terms of service (updated 18 June 2026) state that the company does not guarantee the accuracy or completeness of any insight, summary, analytics or follow up and that the customer relies on them at its own risk, that insights are not diagnoses, and that the dashboard is not an emergency response system. Liability is capped at the fees paid in the prior twelve months, and the customer indemnifies the company for its use of the dashboard, app, kits and AI agent. Nothing covers a missed event, and no accuracy figure is published with its method.

No integration with the agency's system of record is published. Read for home care, that system is the agency's scheduling and visit verification platform: it holds the client roster, care plan, shifts and visit documentation, so it is where an alert needs to land for the right caregiver to act and for the response to be documented.

Care Agent insights surface in the company's own dashboard and app, with text notification through Twilio, and the Ops Agent's callout coverage and the Growth Agent's CRM imply access to scheduling and client data without naming the systems involved.

The company's June 2026 announcement of its agentic operating system names no agency platform, record system, interface or direction of data flow; it states that the company is HIPAA compliant and supports more than 80 percent of the largest home care networks in North America, which describes customers, not integrations. If detections live in one system and the care plan in another, staff work two systems and the record that a change in condition was noticed and acted on is split.

Vendor supplied hardware in the client's home, a hosted service behind it, and nothing committed about where. Small audio pods are placed in key rooms of the residence, typically the bedroom, bathroom, living room and kitchen, with no cameras or wearables, so nothing depends on the client remembering to charge or wear a device.

The data processing agreement (updated 1 June 2026) is written to US data protection law and covers deletion or return of data at termination, but names no hosting provider, region or tenancy model, and the contracting entity is Clanz Technologies Ltd. Where classification runs also bears on privacy: if it runs on the pod, only derived events leave the home; if it runs in the cloud, audio from a private home leaves first.

No rate card, and the commercial model is discoverable. The company sells to home care agencies rather than to families, pairing the audio kits, leased under its lease terms, with software subscriptions, and its terms describe fees paid by the customer; the agency is the buyer and carries the contract. A buyer can understand the structure before a sales call, though not the amount. The company frames value partly as agency revenue growth through billable hours and client acquisition, so the business case runs through agency economics as much as clinical savings.

The setting is named and deployments stand behind it; the condition specific detections are not validated. The product is built for clients of home care agencies living at home, with pods in the rooms where care events happen, and named home care networks (Visiting Angels, Senior Helpers, Hummingbird, Home Matters Caregiving, SYNERGY HomeCare franchisees) stand behind that setting.

The detection scope is broad: alongside falls the company has described flagging possible urinary tract infections, pneumonia, early signs of cognitive decline, and changes in activity, sentiment and companionship, with a Solo Care offering for clients living alone. No published result validates any of the condition specific detections.