# LTC SOM Regs vs Real Time Notifications

The clearest difference is price: Real Time Notifications at Free against LTC SOM Regs's $39.99. Real Time Notifications also leads on rating (5.0 vs 4.5) and in-app purchases (none vs 6). LTC SOM Regs's advantage is chart position (#157 vs unranked) and ratings volume (13 vs 3). On update cadence, ads, device support and iOS requirement there is nothing between them.

Real Time Notifications is free to download; LTC SOM Regs costs $39.99 up front. LTC SOM Regs sells 6 one-off in-app purchases. Real Time Notifications asks for nothing beyond the download.

Real Time Notifications holds the better App Store score, 5.0 against 4.5. Both are backed by a comparable volume of ratings — 13 and 3 respectively.

LTC SOM Regs ships an update every 2 months, Real Time Notifications every 4 months. The most recent releases landed on September 14, 2026 and June 4, 2026 respectively.

## The numbers

| Metric | LTC SOM Regs | Real Time Notifications |
| --- | --- | --- |
| Price | $39.99 | **Free** |
| Rating | [4.5 (13 ratings)](https://appshunter.io/ios/app/ltc-som-regs/id983064638/reviews) | **[5.0 (3 ratings)](https://appshunter.io/ios/app/real-time-notifications/id1511044461/reviews)** |
| Number of ratings | **13** | 3 |
| Positive reviews | 69.2% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 4 months |
| Monetization | Paid | **Free** |
| Best chart rank | **#157** | — |
| Size | 30 MB | 20 MB |
| Requires iOS | 15.1 | **14.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 4+ |
| Developer | [MarKail & Associates Limited](https://appshunter.io/developer/983064637) | [Real Time Medical Systems, LLC](https://appshunter.io/developer/1511044460) |

## What reviewers say

### LTC SOM Regs

[App page](https://appshunter.io/ios/app/ltc-som-regs/id983064638)

**Currently charting:** #157 Top Paid · Medical (US App Store)

Easily access and navigate federal long-term care nursing home regulations. This app organizes complex regulations by topic and offers a powerful search function for quick retrieval of information. It's designed for healthcare professionals and surveyors who need to understand federal guidelines.

**Highlights:** Access federal long-term care regulations, Organized regulations by topic, Easy-to-use search function, Offline access (airplane mode), Updated with new regulations, Searchable FTags

**Features:** macOS Compatibility

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| CMS Update 2020 | Free | one-time |
| March 2019 Appendix Q Updates | $1.99 | one-time |
| Emergency Prep | $4.99 | one-time |
| CMS Update Oct 24 2022 | $4.99 | one-time |
| CMS Update March 2025 | $4.99 | one-time |
| Appendix Q | $4.99 | one-time |


### Real Time Notifications

[App page](https://appshunter.io/ios/app/real-time-notifications/id1511044461)

Receive instant alerts and keyword notifications from your EMR data. Customize which clinical alerts you want to see and filter notifications by payer. This companion app ensures you stay informed about critical patient information.

**Highlights:** Real-time clinical alerts, EMR data keyword notifications, Customizable alert preferences, Payer-based filtering, Companion app for Real Time Portal

**In-app purchases:** none


## Frequently asked questions

### Is LTC SOM Regs free?

LTC SOM Regs costs $39.99, and also offers in-app purchases.

### Is Real Time Notifications free?

Real Time Notifications is free to download, with no in-app purchases.

### Which has better reviews, LTC SOM Regs or Real Time Notifications?

Real Time Notifications is rated higher. LTC SOM Regs averages 4.5 out of 5 from 13 ratings, while Real Time Notifications averages 5.0 from 3 ratings.

### Do LTC SOM Regs or Real Time Notifications have ads?

Neither LTC SOM Regs nor Real Time Notifications shows ads.

### Which is updated more often, LTC SOM Regs or Real Time Notifications?

LTC SOM Regs ships an update every 2 months, and Real Time Notifications every 4 months. Most recently, LTC SOM Regs was updated on September 14, 2026 and Real Time Notifications on June 4, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*