Case Study: Automating Entra ID Deployment with Immy Bot for a Growing Assisted Living Provider

Modernizing Identity and Access Management in Assisted Living Environments

For assisted living providers, scaling operations often brings new challenges—especially when it comes to maintaining consistent, secure access to systems across multiple locations. As organizations grow through acquisitions or new facility development, their IT environments can quickly become fragmented and difficult to manage.

That was the case for one provider expanding its footprint across several states. While their care model was consistent and mission-driven, their IT infrastructure varied widely from site to site. Some facilities operated on legacy on-premises domain controllers; others had little to no centralized management at all. This patchwork approach created risks—not just for operations, but for HIPAA compliance and overall security posture.

Louisville Geek partnered with the assisted living organization to deliver a scalable, cloud-native identity solution using Microsoft Entra ID (formerly Azure Active Directory). Combined with automation through Immy Bot, we helped them standardize user provisioning, enforce security policies, and streamline onboarding at every new facility.

Overcoming Identity Management Gaps Across Multi-Facility Assisted Living Networks

This assisted living organization was grappling with fragmented user management practices across multiple locations. While Azure AD had been partially implemented, inconsistencies in provisioning, role-based access, and policy enforcement were creating operational inefficiencies and potential compliance gaps.

The stakes were high:

• Sensitive patient data required strict protection under HIPAA
• Manual identity provisioning was error-prone and unsustainable
• Each facility had different configurations and lacked centralized oversight
• With additional facilities expected to come online in the near future, the need for a scalable, repeatable deployment model was critical to avoid compounding IT complexity.

They needed a scalable, automated solution to standardize identity management, enforce compliance, and eliminate downtime during the migration.

Automating Microsoft Entra ID Configuration and Migration with Immy Bot

Louisville Geek developed a technical roadmap to fully implement Microsoft Entra ID (formerly Azure Active Directory) across the client’s multi-site environment. To execute this efficiently across multiple sites and hundreds of users, we utilized Immy Bot, an automation platform that accelerates IT deployments and migrations.

1. Automated Entra ID Deployment

Our engineers built customized Immy Bot scripts to automate Entra ID provisioning and configuration. This included:

• Assigning user roles based on job function (clinical, administrative, support)
• Enforcing multi-factor authentication (MFA) and conditional access policies
• Onboarding devices into Entra ID for policy-based management
• Integrating identity with Microsoft 365 and core healthcare applications

This automation eliminated inconsistencies between locations and ensured HIPAA-aligned security configurations were applied from day one.

2. Entra ID Setup Designed for HIPAA Compliance and Security

Ensuring HIPAA compliance was a core priority throughout the project. Louisville Geek leveraged Immy Bot to automate the application of critical security policies and compliance controls:

• Multi-Factor Authentication (MFA): Enforced across all users to provide an additional layer of identity protection—essential for accessing systems with protected health information (PHI).
• Conditional Access Policies: Configured to allow or deny access based on factors like device health and user location, helping prevent unauthorized access.
• Access Auditing: User permissions and login activity are logged and centrally monitored, supporting HIPAA-required audit trails.
• Single Sign-On (SSO): Enabled through Entra ID for seamless and secure access to integrated applications used by clinical and administrative staff.

By automating these configurations, Immy Bot ensured every site was aligned with the same compliance and security posture—without manual setup or variability.

3. Seamless Identity Standardization with Entra ID

Standardizing identities, permissions, and access controls across multiple facilities required precision. While the provider had previously used Azure Active Directory in limited capacities, Louisville Geek helped them fully adopt and optimize Microsoft Entra ID—Microsoft’s modern identity and access platform.

Using Immy Bot’s powerful automation workflows, we were able to:

• Migrate existing user data and credentials with minimal manual input
• Maintain uninterrupted access to systems and applications during the transition
• Preserve critical third-party integrations used in clinical workflows
• Apply consistent security policies across all sites—while allowing flexibility where required

Our phased rollout prioritized high-risk departments first, ensuring robust testing and validation before moving to broader facility-wide deployment.

Improved Security, Speed, and Scalability Across the Organization

By leveraging Immy Bot to automate Entra ID deployment and migration, Louisville Geek helped this assisted living organization achieve rapid, secure, and scalable identity management—delivering measurable results within weeks:

• 70% faster deployment compared to manual methods
• Zero disruption to staff workflows during the migration
• HIPAA-compliant configuration across all facilities on day one
• Improved scalability — allowing the IT team to onboard acquisitions with minimal overhead

Entra ID now serves as the single source of truth for identity across all users, systems, and locations. Immy Bot continues to support new user provisioning and policy enforcement, reducing IT lift for ongoing maintenance.

As part of this engagement, we also aligned identity configurations with our broader IT Security Solutions, helping the organization enhance its protection against cyber threats while supporting compliance at scale.

How Automation Enhances HIPAA Compliance and IT Scalability in Healthcare

In assisted living environments, IT must enhance care delivery — not complicate it. By automating the configuration and rollout of Microsoft Entra ID with Immy Bot, Louisville Geek empowered this client to:

• Maintain compliance with HIPAA and other healthcare regulations
• Protect sensitive patient data through consistent security policies
• Free up internal resources by reducing manual IT tasks
• Confidently scale as new facilities are brought online

Transforming Identity Management for Assisted Living with Louisville Geek

This case illustrates how a thoughtful combination of Microsoft Entra ID and Immy Bot automation can transform identity management for assisted living facilities. By partnering with Louisville Geek, the client was able to simplify complex processes, strengthen their security posture, and remain agile in a fast-changing industry.

If your healthcare organization is navigating identity management challenges, our team is ready to help.

Contact us today to learn how Louisville Geek can automate and secure your Entra ID deployment—so your team can focus on delivering care, not managing credentials.