Rubato uses wristband-collected physiological response data to personalize therapeutic playlists and support timely music-based intervention in dementia and Mild Cognitive Impairment (MCI) care.
Already in clinical use, Rubato helps skilled nursing and rehabilitation teams provide measurable, non-pharmacological support with minimal workflow disruption.
Rubato’s evidence story bridges ongoing NIH-supported clinical study, translational research, and real-world skilled nursing deployment. Our development model combines academic collaboration, physiological response data, clinician-supervised implementation, and practical healthcare workflow integration.
Ongoing NIH-supported clinical study evaluating feasibility, acceptability, and clinical outcomes related to agitation, anxiety, and depression in dementia care, alongside wearable-based physiological response measures.
Conducted at SEMC, Rubato’s personalized music-based intervention abstract showed statistically significant improvements in depression (GDS) and anxiety (STAI).
Rubato’s oncology study was published in the Journal of Geriatric Oncology, supporting feasibility and physiological signal monitoring in chemotherapy care.
Read the JOGS publication →Rubato combines personalized therapeutic playlists, machine learning, and wristband-collected heart rate (HR) and heart-rate variability (HRV) data to refine recommendations, reveal recurring patterns over time, and support responsive care.
Machine learning continuously refines each patient’s personalized playlist by learning how they respond to musical characteristics such as tempo, structure, key, rhythm, and familiarity.
For patients with anxiety, cognitive impairment, behavioral dysregulation, agitation risk, or participation challenges.
Rubato can identify unexpected physiological changes relative to an individual’s established pattern and alert caregivers when agitation risk may be increasing.
Built for care delivery, Rubato combines response insights, PointClickCare integration, therapy visibility, and Medicare Part B-aligned workflows.
Heart rate (HR), heart-rate variability (HRV), and other physiological data help refine personalized playlists, reveal recurring agitation patterns over time, and identify meaningful changes that may require attention now.
Machine learning refines personalized playlists using patient preferences, physiological response, and musical characteristics.
When physiology changes unexpectedly relative to an individual’s established pattern, Rubato can alert caregivers that agitation risk may be increasing.
DORs and therapists can review recurring patterns across days and weeks—such as agitation at a particular time or around a care activity—alongside relevant clinical context to refine treatment scheduling and make therapy delivery more efficient and effective.
Music can remain emotionally and physiologically meaningful for people living with dementia and MCI. Rubato uses biometric response data to personalize music-based intervention over time.
Music can engage emotional and memory pathways when verbal direction, redirection, or routine care are harder to sustain.
Preference, memory, physiology, and current state shape response, so Rubato adapts intervention to the individual patient.
Commercial deployment data from current care settings.
Rubato helps therapists review physiological response and participation patterns to guide timing, delivery, and use before or during physical, occupational, or speech therapy (PT, OT, or ST).
Objective physiological context helps therapists understand immediate response and recognize recurring agitation, engagement, and participation patterns over time.
Improve therapy participation, reduce treatment related anxiety, support attention, and help manage agitation related behaviors.
Physiological response data helps therapists interpret immediate response and recurring patterns across sessions.
Simple setup and focused insight support use within existing therapy routines.
Supports measurable intervention outcomes, documentation, and care plan refinement.
Rubato is built primarily for skilled nursing and rehabilitation operators that need clinically meaningful intervention, measurable documentation, and reimbursable value.
Rubato’s model includes a one-time setup fee and monthly membership fee, tailored to deployment scope, workflow needs, and implementation pathway.
Rubato is deployed with clinical organizations and supported by technology and workflow partners that help bring measurable music-based intervention into real-world care delivery.
PointClickCare (PCC)
Garmin Health
Rhino Mobility
HexnodeConnects Rubato to PointClickCare EHR workflow and documentation processes in SNF settings.
Supports physiological and activity signal collection for personalized care delivery and response insight.
Supports durable tablet and device deployment for real-world clinical environments.
Supports mobile device management for secure, scalable device deployment across clinical environments.
Video and field feedback show that Rubato is designed to be intuitive for therapists, measurable for clinical teams, and operationally meaningful for facility administrators.
Rubato’s customized music has provided our residents with observable concentration and calmness during therapeutic activities.S. Balderas Registered Occupational Therapist
The technology is designed to be user friendly, making it simple for therapists to incorporate into their practice and schedule.Why therapists love us Therapist feedback
Rubato’s intervention provides tools to follow patients’ progress and achievements through objective clinical markers.Measurable and trackable Clinical workflow benefit
Administrators can benefit from reimbursement through a variety of applicable CPT codes for long term patients.Reimbursement support Administrator benefit
With effective therapy applied to patients in need, facilities can maintain a peaceful and calm environment.Keeps facility calm Facility benefit
By improving care and outcomes, facilities can experience lower staff burnout.Lowers team burnout Care team benefit
Rubato’s clinical advisory board supports the company’s evidence driven approach to personalized, measurable music-based intervention in regulated healthcare environments.
Co-Founder & CEO
Co-Founder & Software Architect
VP Sales & Clinical Success, PT, DPT, OCS
Rubato is delighted to collaborate with researchers interested in studying the effects of music on neurodegenerative diseases, behavioral symptoms, physiology, and patient engagement.
We aim to be a supportive and collaborative partner for research that advances meaningful science, aligns with our clinical verticals, and contributes to better non pharmacologic care for patients and care teams.
We welcome conversations around studies involving dementia, MCI, agitation, anxiety, depression, engagement, rehabilitation participation, and related clinical outcomes.
Rubato is interested in research exploring physiological response to music, HR/HRV signals, recurring agitation patterns, and biometrically personalized intervention design.
Our platform is designed for practical use in skilled nursing, rehabilitation, and care team workflows, creating opportunities for pragmatic and implementation focused studies.
Rubato is building a new clinical category around biometrically personalized music-based interventions, beginning with clinically active skilled nursing deployment.
Rubato is building a platform at the intersection of biometrics, music, and responsive support, beginning in cognitive and dementia care and expanding into adjacent clinical verticals with overlapping agitation, behavioral, and participation challenges.
From this clinical beachhead, Rubato plans to expand into additional clinical verticals with overlapping agitation, behavioral, and participation challenges, including cancer care, PTSD, and ABA/autism.
A large and growing population with high unmet clinical and behavioral care needs.
Dementia and agitation create major clinical, operational, and financial pressure across senior care settings.
Rubato’s first vertical is commercially active in skilled nursing, with an initial focus on dementia related distress, therapy participation, and personalized music-based intervention.
Future verticals may include cancer, PTSD, and ABA/autism, where behavioral regulation, physiological response, and engagement are clinically relevant.
Rubato aims to define a measurable, regulated category for personalized music-based digital therapeutics.
Rubato is building a platform for biometrically personalized music-based intervention in regulated clinical care. We are looking for people who want to work at the intersection of music, physiology, machine learning, clinical validation, and real-world healthcare delivery.
If you are excited by a clinically validated, innovative platform that can help change the way dementia care is delivered, we would love to hear from you. We are especially interested in people who bring curiosity, execution, clinical empathy, and a belief that music can become a serious therapeutic tool.
Send us a short note with your background, area of interest, and why Rubato’s mission resonates with you.
Contact us about careersRubato works with skilled nursing facilities, rehabilitation providers, clinical partners, and strategic investors to scale measurable, non pharmacologic intervention.
Tell us about your facility, organization, or partnership interest. We will route your request to the right person.