1974, Northeastern University, College of Nursing
1983, Graduate of Framingham State College
Registered Nurse (Florida & Massachusetts)
Licensed Nursing Home Administrator (Florida & Massachusetts)
Licensed Health Care Risk Manager (Florida)
November 2002 – Present, Founder and CEO, A Consulting, Inc.
Expert witness for defense law firms representing long term care providers, Expert witness for plaintiff law firms in cases opposing long term care providers, Screen cases for merit, conduct medical record reviews with clinical interpretation, create affidavits, and provide testimony at depositions and trials.
Provide crisis management, risk management and performance improvement consultation to long term care providers, Create comprehensive clinical programs including Skin Management, Infection Control, Bowel & Bladder Management, Behavioral Management, Nutritional Management, Fall-Risk/Restraints.
July 1997- October 2003, Senior Partner, Roush & Associates, Inc., Wakefield, MA
Led crisis management teams related to deficient practices of long term care providers following federal and state survey processes, Provided consultation to skilled nursing facilities, Transitional Care Units, hospitals, mental health clinics, home health agencies, and assisted living facilities in MA, RI, CT, NH, NJ & FL regarding certification and licensure program requirements, Assessed Medicare and Medicaid maximization, staffing requirements, management training, reorganization and provided PPS training, Assisted clients with facility openings, closures, licensure transfers and physical plant requirements for new and renovated buildings. Functioned as an “interim” Administrator for clients while assessing the clinical and financial feasibility of facility in addition to assisting in the search for permanent Administrative staff. Served as the liaison between clients and the State and Federal agencies during compliance efforts. Conducted “Quality Performance” and “Risk Management” audits for “not-for profit” and “for profit” skilled nursing and assisted living facilities. Assisted law firms and insurance companies with clinical record reviews, affidavit preparation and testimony.
December 1991 - June 1997, Director of Clinical Services, A·D·S Consulting, Inc., Newton, MA
Functioned as a court appointed civil financial receiver for several nursing facilities, Specialized in crisis management as it related to the federal and state survey processes and enforcement requirements. Provided consultation to nursing facilities, Transitional Care Units, hospitals, and mental health clinics in MA, RI, CT, NH, NJ regarding certification and licensure program requirements, Medicare and Medicaid maximization, staffing, and management training, reorganization and guidance. Assisted clients with long term care facility openings, closures, and licensure transfers. Functioned as liaison between clients and the State and Federal agencies during compliance efforts
October 1987 - December 1991, Vice President for Quality Assurance, Oakwood Living Centers, Newport, RI
Responsible for quality performance, regulatory compliance, budgetary, management and operational consultation to the administrative staff of ten long term care facilities
October 1982 - October 1987, Compliance Specialist, Mass Dept. of Public Health, Boston, MA
Served as the liaison between the Federal government and the State survey agency in dealings with hospitals and nursing facilities in regulatory crisis. Instrumental in the closure of repeat long term care “poor performers” and several chronic hospitals. Conducted Federal and licensure surveys, complaint investigations, and facility monitoring, Investigated complex resident abuse, mistreatment and neglect complaints
July 1978 - October 1982, Nurse Consultant, Idak Patient Care Receivership, Newton, MA
Provided guidance, education and oversight for the nursing staffs of fourteen long-term care facilities under a Court-appointed Patient Care Receiver (Facilities were brought into compliance within a year and remained so until their sale in 1982 to the Hillhaven Corporation).
August 1977 - June 1978, Nursing Supervisor, Wrentham State School, Wrentham, MA
Oversaw the clinical nursing and direct care provisions for 100 mentally challenged clients residing in the Infirmary Units.
August 1976 - July 1977, Director of Nursing Services, Star of David Nsg. Center, West Roxbury, MA
Responsible for all nursing functions and nursing budget for facility with capacity of 144 beds and staff of approximately 100 employees.
June 1974 - July 1976, Nurse Manager, Medfield State Hospital, Medfield, MA
Responsible for the provisions of care for forty geri-psyche residents and oversaw a staff of twenty.
American Association of Legal Nurse Consultants
American College of Health Care Administrators
American Health Care Association
Florida Health Care Association
Massachusetts Extended Care Federation
Available Upon Request
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