Fastcare maintains a hierarchy of users to protect patient data. A Fastcare Administrator establishes corporate positions such as the Corporate Clinician who can monitor activity across multiple nursing homes, the Group Clinicians who can monitor multiple facilities, but not all facilities, and Level I personnel who are responsible for individual facilities. Level I personnel may be a DON or Facility Administrator, and is responsible for establishing and maintaining the other personnel files in that facility. Level I access can edit or delete personnel, and change passwords.

As of April 3, 2016, Corporate and Group Clinicians have the same rights and capabilities as Level I personnel.

Level I administrators can create and delete Level II nurses and other local personnel.