Skilled Nursing Expert Witnesses

Gilbert, Arizona

Long Term Care, Urgent Care Medicine - Post Acute Care, Skilled Nursing, Long Term Care, Virtual Health, Urgent Care, Workers Compensation, DOT Physicals

Family Nurse Practitioner I am a board-certified family nurse practitioner with over 13 years of experience in the field with experience in post acute care, primary care, and urgent care medicine. I am available to evaluate medical records to identify deviations as well as speak comfortably and confidently on the national standard of care for Advanced Practice Registered Nurses (APRN) and Registered Nurses (RN). I have experience working as an Area Medical Leader overseeing nearly 60 APRNs/PAs/MDs evaluating their care and ensuring practice guidelines are met. I am currently licensed in Arizona.

Orlando, Florida

Geriatrics, Physical Therapy - Aging, Dementia, Alzheimer's Disease and Related Dementias, Falls, Exercise, Functional Assessment and Evaluation, Plan of Care Development, Geriatric Rehabilitation, Memory Care, Nursing Home, Skilled Nursing, Home Health, Outpatient, Cognition, Geriatrics, Geriatric Physical Therapy, Physical Therapy, Assisted Living

Nicole Dawson, PT, PhD, FNAP (Board Certified Geriatric Clinical Specialist, Emeritus) is an Associate Professor in the Division of Physical Therapy of the College of Health Professions and Sciences at the University of Central Florida and Director of the ALIVE (Aging & Longevity Initiatives for Vitality & Enrichment) Lab at UCF. Dr. Dawson is a Board Certified Geriatric Physical Therapist Emeritus with over 20 years of clinical experience along with a PhD in Adult Development & Aging Psychology from Cleveland State University. She has been recognized for excellence in her field by the National Academies of Practice as a Distinguished Scholar Fellow, the Academy of Geriatric Physical Therapy through receipt of the Distinguished Educator Award, the American Physical Therapy Association being awarded the Margaret L. Moore Outstanding New Academic Faculty Award, and the University of Central Florida with the Teaching Incentive Program Award. Her current area of research includes deve...

Honolulu, Hawaii

Nursing Home Administration, Nursing Administration - Nursing home abuse, QAPI, Nursing home neglect, LTC, Wrongful death LTC, Staffing, Post Acute Care, Pressure ulcer litigation, Skilled Nursing, Elopement and wandering, Pressure ulcers, CMS regulatory violations, Wound Care, Infection Contol, Falls, Care Plans, Elopement, Resident Rights, CMS Violations, regulatory compliance

DR. DEMETRIUS KIRK: THE BEDSIDE-TO-BOARDROOM AUTHORITY WHY COUNSEL RETAINS DR. KIRK Most experts understand either the clinical chart or the business ledger. Dr. Kirk is the rare expert who masters both. With a 15-year progression from CNA to LPN to RN to Executive Director, he possesses an "un-stumpable" knowledge of nursing home operations. He doesn't just read about standards of care; he has lived them at every level of the hierarchy. UNMATCHED DUAL-LENS ANALYSIS Dr. Kirk provides a "Dual-Lens" evaluation for every case: THE BEDSIDE LENS: Was the nursing care (Wound Care, Falls, Sepsis, Elopement) consistent with professional standards? THE BOARDROOM LENS: Did the facility’s leadership, staffing models, and QAPI systems set the staff up for success or for a predictable failure? ACTIVE REGULATORY & SYSTEMIC EXPERTISE Unlike "career witnesses" who haven't stepped foot in a facility for years, Dr. Kirk is active in the field every week. -- FOUNDER OF SMK MEDICAL: A national fir...

Las Vegas, Nevada

Financial, Real Estate - Mortgage, Skilled Nursing, Assisted Living, HUD FHA, Multifamily, Commercial Real Estate, Seniors Housing, Partnerships, Suitability, Valuation, GSA, EB5, LIHTC, UCC

Expert on issues related to commercial mortgage banking, real estate partnerships and investment suitability, Valuation of closely held businesses and partnerships. Seniors Housing including Independent Living, Assisted Living, Skilled Nursing Facilities, Continuing Care Retirement Communities, HUD FHA Multifamily, Healthcare, Public and Section 8 Housing, EB5 Investments, residential Cooperatives, UCC sales. Expert Witness experience includes financial and document analysis, report preparation, deposition, assistance in deposition and cross examination of opposing witnesses, and Federal and State Supreme Court testimony . Mr. Vaughn served as Director of the Office of Residential Care Facilities, part of the Office of Healthcare Programs in the Office of Housing in the Department of Housing and Urban Development. Mr. Vaughn was directly responsible for origination and asset management activities related to the $20 billion portfolio of Section 232 Insured Mortgages on Skilled Nurs...

Maplewood, New Jersey

Speech-Language Pathology, Nursing Homes - swallowing, swallowing disorder, dysphagia, aspiration, pneumonia, choking, asphyxiation, medically complex, frail, elderly, geriatric, physical medicine, rehabilitation, skilled nursing, slp, medical complexity, oral, pharyngeal, esophageal, choke

For attorneys, navigating clinical files and medical jargon is a bottleneck. George Barnes, MS, CCC-SLP, BCS-S, serves as the expert guide, translating this medical complexity into clear, objective testimony. As a Board-Certified Specialist in Swallowing and Swallowing Disorders (BCS-S)—a credential held by only 0.2% of speech pathologists—George provides the decisive clinical authority legal teams need to evaluate the standard of care and establish the facts. Unlike academic witnesses whose expertise is disconnected from modern practice, George maintains an active, hands-on clinical presence, dedicating over 50% of his time to direct patient care. He regularly navigates medical complexity and performs high-level instrumental swallowing evaluations. This continuous clinical immersion ensures that his evaluations of aspiration pneumonia and choking incidents are always grounded in the contemporary standard of care, rather than outdated theories. To ensure his testimony is always al...

Portland, Oregon

Physical Medicine & Rehab - Musculoskeletal Medicine, Traumatic Brain Injury, Motor Vehicle Accident, Workers Compensation, Disability, Stroke, Spinal Cord Injury, Skilled Nursing, Sports Medicine, Injuries, Concussion, Pain Medicine, Whiplash, myofascial pain, spinal stenosis, Complex Regional Pain Syndrome, Chronic Pain, Insurance, Accident, IME

Board-certified Physical Medicine & Rehabilitation Specialist, practicing since 2007, trained at Schwab Rehabilitation Hospital/University of Chicago. I am licensed in Oregon and Washington. I have extensive experience in Inpatient/Outpatient Rehabilitation, Subacute Rehabilitation (Skilled Nursing), Worker's Compensation, Disability Review, Independent Medical Examinations (including Worker Requested IMEs), and Medicolegal work. I am the former Medical Director of an outpatient Brain Injury Day Rehabilitation Program in Portland, OR. My current clinical work involves managing the care of injured workers as a Specialist at Concentra, as well as the care for patients in 2 different Subacute/Skilled nursing settings, as a Staff Physician for Medrina. I frequently present to Case Managers/Adjustors regarding diagnoses/injuries/outcomes, as well as perform "mock IMEs" through my contracting with several IME/Medicolegal Companies. In the Medicolegal arena, I have experience with re...

Sioux Falls, South Dakota

Nursing Home Administration, Assisted Living - Assisted Living, Skilled Nursing, Senior Housing, Home and Community Based Services, Continuing Care Retirement Community, Post Acute Care, Nursing Homes, Goverance, CMS State Operations Manual, Federal and State Nursing Home Regulations, Policies, Regulatory Agency Disputes, Corporate Office Operations

I have worked in the field of long-term care over 42 years and been licensed as an Administrator since 1983. In 2017 I was the second person in the nation to become a designated Qualified Health Services Executive, (HSE) through the National Association of Boards of Long Term Care Administrators (NAB) in Washington , DC which currently qualifies a speedy path of licensure in 20 states through adoption of the HSE designation by those State Boards, the highest designation nationally. My career has had depth from being a local Administrator of Skilled Facilities, 18 years of serving as a Regional Director with operational oversight to 17 locations in seven states and since 2012 serving in two locations as the CEO of two nonprofit free standing Continuing Care Retirement Communities responsible for both the day-to-day operations of Senior Housing with Services, Skilled Nursing, Assisted Living, In Home Services, Home Health Care, HUD Housing and the corporate responsibilities of Gover...

Montgomery, Texas

Medical Billing, Fraud - 60-Day Rule, Hospice, Corrective Action Plan, Cost Report, Coding, Statistical Sampling, Overpayment, Skilled Nursing, Home Health, FCA, Medicare, Hospital, Physician, False Claim, Physician Contract, Compliance Training, Anti-Kickback, Laboratory Billing, Medical Necessity, Clinical Documentation

Mr. Loria has 53 years of healthcare (HC) regulatory compliance, M&A, Medicare reimbursement and appeals, hospital pricing, managed care contracting and litigation support. Extensive expert witness experience before the Provider Reimbursement Review Board, ALJ proceedings, civil and criminal litigation, and mediation and arbitration proceedings. Mr. Loria has represented hospitals, nursing facilities, home health, hospice, reference laboratory, physician groups, and other providers in Medicare appeals and controversies. During his career he has managed more than 2,000 Medicare disputes and other investigations. He was a Partner in the SW Regional HC practice of PwC. Prior to joining PwC as a Partner, he was the National Director of the Regulatory practice at EY for 10 years. He founded Loria Associates in 2002 and serves as CEO and Managing Director. He has consistently served HC clients on a nation-wide basis and delivered excellent results based on his unique qualifications a...

Heath, Texas

Internal Medicine, Geriatrics - CMS F-tag, Memory care, Elopement / wandering, Frailty / sarcopenia, MDS 3.0, Hospice & palliative care, Failure to thrive, dehydration, Long-term care, Nursing home falls, Malnutrition, Skilled nursing , Pressure injuries, Polypharmacy, Assisted living, Dementia, Standard of care, Geriatric Medicine, wound care, elopement

Steven R. Bray, MD is a board-certified Internal Medicine physician with more than 25 years of clinical experience, over 13 of them devoted exclusively to post-acute, long-term care, skilled nursing, assisted living, memory care, and hospice medicine. He earned his MD from The University of Texas Southwestern Medical Center at Dallas and completed his Internal Medicine residency at Vanderbilt University Medical Center. He is a licensed physician in the State of Texas. Dr. Bray is an active clinician, not a retired or office-based expert. He currently provides direct care to more than 300 patients across skilled nursing, memory care, assisted living, and long-term care settings in the Dallas–Fort Worth area, and serves in multiple medical director and chief medical officer roles across skilled nursing facilities and hospice programs. This contemporaneous, front-line experience gives him current, real-world knowledge of the staffing models, regulatory environment, and clinical realit...

Washington

Physical Medicine & Rehab - Musculoskeletal Medicine, Traumatic Brain Injury, Motor Vehicle Accident, Workers Compensation, Disability, Stroke, Spinal Cord Injury, Skilled Nursing, Sports Medicine, Injuries, Concussion, Pain Medicine, Whiplash, myofascial pain, spinal stenosis, Complex Regional Pain Syndrome, Chronic Pain, Insurance, Accident, IME

Board-certified Physical Medicine & Rehabilitation Specialist, practicing since 2007, trained at Schwab Rehabilitation Hospital/University of Chicago. I am licensed in Oregon and Washington. I have extensive experience in Inpatient/Outpatient Rehabilitation, Subacute Rehabilitation (Skilled Nursing), Worker's Compensation, Disability Review, Independent Medical Examinations (including Worker Requested IMEs), and Medicolegal work. I am the former Medical Director of an outpatient Brain Injury Day Rehabilitation Program in Portland, OR. My current clinical work involves managing the care of injured workers as a Specialist at Concentra, as well as the care for patients in 2 different Subacute/Skilled nursing settings, as a Staff Physician for Medrina. I frequently present to Case Managers/Adjustors regarding diagnoses/injuries/outcomes, as well as perform "mock IMEs" through my contracting with several IME/Medicolegal Companies. In the Medicolegal arena, I have experience with re...