How Ernie Tosh's Firm Triaged 35 Nursing Home Cases in 3 Days Instead of Months
Tosh Law Firm takes nursing home cases from Hawaii to New Jersey, and those cases turn on records that no AI vendor Ernie interviewed could read. Today a medical chronology and a first-pass negligence analysis come back the same afternoon.
Ernest Tosh, Esq.
Published
to review and triage 35 nursing home cases
for medical chronology & negligence analysis (was 3-4 months)
saved per case on outsourced chronologies alone
co-designing nursing home tools with Anytime AI
Overview
One Practice Area, Nationwide
Our client, Ernest "Ernie" Tosh, is the founding attorney at Tosh Law Firm, which handles nursing home abuse and neglect litigation and nothing else. The firm is based in California and takes a deliberately limited number of serious cases on a docket that runs from Hawaii to New Jersey. Ernie has tried more than 150 jury trials to verdict and is a nationally recognized authority on nursing home staffing and corporate structure.
Ernie brought in Anytime AI in the spring of 2025, and he has helped build its nursing home tools since the first module. Anytime AI is a legal AI platform built for plaintiff-side nursing home abuse, personal injury, and complex litigation firms. It reads and structures the fragmented documentation these cases are built on, produces the medical chronology, and runs a first-pass negligence analysis, all without sending records to an outside vendor.
A workup that once ran three to four months, with the medical chronology alone costing $1,000 or more, now comes back the same afternoon. That mattered early in 2026, when a California firm collapsed and 35 nursing home cases came up for reassignment on a three-day deadline. Ernie's team read every file and took 14 of them.
The Challenge
Records That Stopped Every Vendor He Interviewed
Nursing home records are not a longer version of a hospital chart. They are fragmented across shifts and departments, inconsistently formatted, and built around daily care documentation rather than discrete clinical events. Ernie had handled hospital and surgical injury cases earlier in his career, so he knew the difference firsthand.
That difference had a price. Every new case started by buying expert time twice, once for a chronology and again for a nursing expert's read on negligence. None of it was optional: a nursing home case turns on what the records show, and reading them properly is expert work. Ernie had already interviewed several AI companies. None could read nursing home records, which meant there was no reason to buy one.
Records built to resist review
Nursing home records differ fundamentally from the medical records in a hospital or surgical injury case, and the AI tools the firm evaluated could not handle them.
Two expert invoices per case
Every case carried an outside chronology at $1,000 or more, often significantly more, plus a medical expert nurse for the first-pass negligence read. Both were standard for work this document-heavy.
Three to four months of outside turnaround
The chronology took several weeks. The nurse's negligence analysis added another month to six weeks. The bottleneck was never the analysis itself. It was waiting on someone outside the firm to do it.
"The records in nursing homes are so different than the medical records in hospital cases, or a surgical injury case. I've done those cases in the past. Nursing home records are vastly different, and they're very difficult to read."
Ernest Tosh, Esq.
Founding Partner at Tosh Law Firm
The Turning Point
Two Hours in a Corner in New Jersey
In the spring of 2025, Ernie was speaking at a seminar in New Jersey. Dr. Lingfei "Teddy" Wu, an Anytime AI co-founder, was on the program right before him, talking about what the platform was building. Ernie made a note to find him afterward.
Then Ernie took the stage to speak about data analytics in nursing home cases. Teddy was on his way out of the room, stopped to listen, and sat back down. He found Ernie as soon as the session ended, and the two of them spent the next two hours in a corner comparing notes.
Ernie's first request was not about features. Before anything else, the platform had to be able to read nursing home records. That became the first module he worked on with the Anytime AI team.
"[Anytime AI co-founder Teddy Wu] was about to leave the room, stopped to listen, then sat down, and then he came up after and approached me and was like, hey, I want to talk to you. And so we went off to a corner and chit-chatted for about two hours about data analytics, and what you guys were doing, and what I was doing, and it turned out to be a perfect fit."
The Solution
35 Cases, 3 Days, 14 Taken
Early in 2026, another California firm with a nursing home practice collapsed. Its nursing home docket held roughly 35 cases, and if Tosh Law Firm did not take them, they would be distributed to other attorneys. Ernie had worked as an expert with that firm and knew some of the matters, but knowing the attorneys is not the same as knowing whether a case is worth signing.
The firm had three days. In that window, Ernie's team loaded 35 case files into Anytime AI, ran medical chronologies on every one, ran the negligence review on every one, and identified the 14 strongest. Those are the ones the firm took; the rest went elsewhere.
Ernie's read on it: "We could have never done that without Anytime AI's functionality. Would not have been possible to look at those records and make that determination that quickly."
01
Nursing home record analysis
Anytime AI reads and structures the fragmented, shift-based documentation that defines a nursing home file, the capability Ernie made a precondition of working together.
02
Medical chronology
A complete medical chronology is generated in-platform from the loaded record set.
03
First-pass negligence and liability analysis
The platform produces an initial liability read on the record set, the analysis a medical expert nurse would otherwise be retained for.
04
Legal research and discovery drafting
Case-specific legal research and document drafting, which Ernie's attorneys use for discovery. He describes it as a tremendous help in handling that work.
"We used to have to send out those medical records to have somebody do a chronology on them, which would take several weeks and, let's say at least $1,000, maybe significantly more. Well, we save the thousand and the weeks."
The Results
35 Cases, 3 Days, 14 Taken
Early in 2026, another California firm with a nursing home practice collapsed. Its nursing home docket held roughly 35 cases, and if Tosh Law Firm did not take them, they would be distributed to other attorneys. Ernie had worked as an expert with that firm and knew some of the matters, but knowing the attorneys is not the same as knowing whether a case is worth signing.
The firm had three days. In that window, Ernie's team loaded 35 case files into Anytime AI, ran medical chronologies on every one, ran the negligence review on every one, and identified the 14 strongest. Those are the ones the firm took; the rest went elsewhere.
Ernie's read on it: "We could have never done that without Anytime AI's functionality. Would not have been possible to look at those records and make that determination that quickly."
case files analyzed in a 3-day window
Every record set from a collapsing firm's nursing home docket was loaded, chronologized, and reviewed for negligence within three days.
Outside experts needed for the first-pass negligence analysis
The medical expert nurse engagement that added a month to six weeks to every new case is gone from the front end of a matter.
Of platform cost covered by day-one savings
The savings on the first day of a signed case cover Anytime AI on that case for three years, by Ernie's own accounting.
"We get the report, and in one afternoon, we have a medical chronology and a negligence analysis, and we can start engaging our attorneys immediately instead of it being three or four months down the road."
Ernest Tosh, Esq.
Founding Partner at Tosh Law Firm
Why It Works
Built With Nursing Home Lawyers, Not Just For Them
Ernie did not buy a finished product. The record-reading capability was his condition for working together, and he has been in the build ever since. His team is not involved in developing the tools; they ask for what they need the platform to do, and those requests reach it. Several of the features they asked for are included in Anytime AI 3.0.
The staffing analysis module came out of the same relationship, in an area where staffing is Ernie's own expertise. Eighteen months in, he says each version has been easier to use than the one before it, and the trainers have been easy to schedule and easy to reach.
"It is the best platform for nursing home cases that exists, that it is getting better constantly, because we are constantly building tools with you guys… the fact that Anytime is incorporating customer feedback and developing tools specifically for us makes it absolutely unique in the marketplace."
Ernest Tosh, Esq.
Founding Partner at Tosh Law Firm
Ernie knows other people worry about price, and he has a short answer for it. Before Anytime AI, opening a case meant two vendor invoices: one for the chronology, one for the expert nurse's read on negligence. Both line items are gone.
"The amount of money that I save on a case on day one more than covers the cost of having Anytime involved in that entire case for the next 3 years."
Ernest Tosh, Esq.
Founding Partner at Tosh Law Firm
The Bottom Line
Time Bought Back, Spent on the Case
The obvious read on a months-long workup collapsing into an afternoon is capacity: more cases, more volume, more revenue. That is not what Ernie did with it. Tosh Law Firm is deliberate about taking a limited number of serious nursing home matters, and the time the platform returns goes back into those matters rather than into more of them.
For firms handling complex litigation, Anytime AI is built for depth rather than volume.
"I'm not interested at all in increasing the volume of our business. It's not about saving time to do more cases. It is saving time to do our cases better. And if we can do our cases better, we add value to that case, and we help our client more. So that is exactly what Anytime AI is doing for us."
FAQs
Can AI read nursing home medical records?
Often not, but Anytime AI can. AI medical record review breaks down on nursing home files, which are fragmented across shifts and departments, and none of the vendors Ernie Tosh evaluated before Anytime AI could handle them.
What is a first-pass negligence analysis in a nursing home case?
It is the initial review of a record set to identify where care fell below the standard and whether a viable liability theory exists. Tosh Law Firm used to hire a medical expert nurse for this step, which added a month to six weeks before an attorney could evaluate the case.
Is there AI for nursing home abuse cases?
Yes. Anytime AI is built as AI for plaintiff law firms rather than a general legal tool, and nursing home litigation is one of its core practice areas. Its nursing home tooling was co-designed with practicing nursing home trial attorneys.
How is Anytime AI different from general AI tools like ChatGPT for legal work?
General-purpose tools are not built to interpret specialized litigation records or produce work product grounded in a specific case file. Anytime AI is built for plaintiff-side complex litigation, keeps client data encrypted, and never uses client files to train its models.
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