Skilled Nursing Facilities / Long Term Care Consultants: 9

Dr. Jeffrey Stone, DO, MPH, FCCWS specializes in Hyperbaric Medicine and Wound Care Medicine. He received his medical degree from the College of Osteopathic Medicine of the Pacific and received a Master of Public Health degree from Harvard University. Dr. Stone completed a residency in aerospace medicine at Brooks Air Force Base and a fellowship in hyperbaric medicine and wound care at the U.S. Air Force School of Aerospace Medicine. Dr. Stone is one of the first 60 physicians in the U.S.A. to receive his certification in Wound Care. He  served as Medical Director for the Hyperbaric Medicine Unit at the Institute for Exercise & Environmental Medicine from 1992-2016.

Dr. Stone offers Hyperbaric Consultanting Services to the health insurance industry, the Department of Veterans Affairs Medical Center in Dallas, Texas, the Poison Control Center of North Dallas, and the Department of Health and Human Services Office of General: Office of Evaluation and Inspections. From 1993 to 2011, Dr. stone served as a Senior Medical Examiner for the Federal Aviation Administration.

Dr. Stone has been widely published in many medical journals regarding his expertise in wound care and hyperbaric medicine. He has published articles on Hyperbaric Oxygenation, Decompression Sickness, the Diabetic Foot and other wound issues.

Consulting Services Include:

• Diabetic Wound Care
• Prevention Care
• Hyperbaric Medicical Issues
• Nursing Home Nutrition
• Nursing Home Wound Analysis
• Long Term Acute Care Facilities (LTAC)
• Skilled Nursing Facility Wound Care

View Expert Witness Profile.

Paul M. Adler, DO, FACEP, MBA, Medical Director for the Ventura County, California, Department of Corrections, has worked in Correctional / Jail / Prison Medicine & COVID-19 Preparation & Response. He has overseen the care of inmates in Jails in California and New York, as well as Prison inmates who have been transferred to county facilities to serve their terms for years in county jails in California. He has also overseen Correctional health car in locked units in Hospitals . 

Dr. Adler is the President-Elect of The American Correctional Health Services Association of California / Nevada, which represents all clinicians and administrators in Jails/Prisons in California and Nevada. He previously oversaw a County Hospital, County Nursing Home and ran a County Health Department and oversaw Correctional healthcare for the Westchester, New York Jail.

Litigation Support - Dr. Adler has defended Jails and Prisons in Southern California, Idaho, Texas, North Carolina, New York, Pennsylvania, etc. He is currently the expert consultant to the California Prison System for Covid litigation and the medical consultant to the judicial consent decree overseeing care in the Philadelphia Department of Prisons. He also served as the expert consultant to the ACLU for Covid in the Illinois Department of Corrections

Dr. Adler still works as a full-time practicing physician and has helped attorneys and insurance companies in Emergency Medicine, Nursing Home Medicine, Public Health and Hospital Administration since 1985. He has been involved in Plaintiff litigation in many states including against Rikers Island, NY and Cook County Jail and is available to review and consult on clinical Correctional/Jail/Prison cases for attorneys for both Plaintiff and Defense.

Services:

• COVID-19 Preparation & Response
• Medical Oversight of Federal Consent Decrees
• Screen Cases for Merit
• Review, Analyze and interpret Medical Records
• Provide Basic or Comprehensive Written Reports
• Interpret Standards of Care, Deviation and Adherences as they Relate to Correctional Health Care
• Develop Chronological Time Lines
• Policy and Procedure Development

• Hospitals, Clinics, and Offices - Consult and organize for the development and expansion of a new facilities or offices and related care patterns
• Personal - Consult with family members to organize health care history, needs, and medications and to help understand healthcare information and interpretation
• Teaching - Emergency Nurse Pediatric Course Instructor, Triage Class instructor, Charge Nurse class instructor

David Friedler, LMHC, MPH Is an expert in the regulatory standard of care in Nursing Facilities, Psychiatric, Alcohol/Substance Use Rehabilitation Facilities as well as Group Homes for the disabled. He has worked in clinical and administrative roles in these environments over four decades. He has extensive experience with survey compliance, Federal and State regulation, JCAHO and CARF accreditation, OSHA compliance and policy and procedure development.

Areas of Expertise:

• Long Term Care
• Nursing Homes
• Drug and Alcohol Rehabilitation
• Behavioral Health / Psychiatric Care in Drug Treatment Facilities
• Psychiatric care in Nursing Homes, Group Homes

Wayne H. Grant, PharmD, has been a registered Clinical Pharmacist, in good standing, in the State of Ohio, since 1990. Dr. Grant's current clinical practice targets disease state management in multiple areas, including but not limited to; cardiology, gastrointestinal, geriatrics, nephrology, oncology, psychiatry, and pulmonology. 

Consulting Services - Dr. Grant provides Comprehensive Medication Management services, including a complete review of prescriptions and over-the-counter medications. He is available for direct communication with patients and families. 

Experience - A detailed understanding of pain management is paramount to his current practice. Dosage routes from oral, intravenous, intrathecal, and others, in conjunction with strong opioids and adjuvants, garner much of Dr. Grant’s attention. He has delivered local, state, national and international speaking programs reflective of the fundamental practice of pharmacy. As a peer reviewer for the American Journal of Health-System Pharmacy, Dr. Grant has provided feedback on articles that will determine future drug therapies. A history of clinical practice, management, and education culminates present-day understanding of the pharmacy profession. 

View Dr. Grant's Profile.

With a diverse background in the financial markets, real estate, and health care, I discovered that my true passion and satisfaction is helping others to uncover and achieve financial dreams and build a legacy. I understand the financial markets and the importance of individualized risk management and portfolio planning.  

Cathy Ciolek, DPT, FAPTA, Cathy Ciolek, DPT, FAPTA, President of Living Well With Dementia, LLC, has over 30 years of experience as a Geriatric Physical Therapist. Dr. Ciolek is board certified as a Geriatric Clinical Specialist, a Certified Dementia Practitioner (CDP), and Certified Alzheimer’s Disease and Dementia Care Trainer (CADDCT) by the National Council of Certified Dementia Practitioners. 

Consulting Services: Consultation for individuals, care partners, and facilities to address challenging issues that impact well-being and quality of life for people with dementia.  Examples include:

• People with frequent Falls and developing Falls Assessment Process and Teams
• Behavioral Expressions of Unmet Needs
• Inappropriate Medications and Anti-psychotic Medication Reduction
• Unrecognized Pain
• Alarm Use Reduction
• Culture Change and Change Management

Background Experience: Dr. Ciolek previously served as Regional Director for the Pennsylvania Restraint Reduction Initiative (PARRI), providing education and consultation for issues related to well-being (falls, engagement, medication reduction) to nursing homes throughout the Commonwealth of Pennsylvania via a CMS grant. 

Prior to that, Dr. Ciolek served as assistant professor and director of clinical education for the University of Delaware, Department of Physical Therapy. She has practiced as a physical therapist in outpatient, SNF, home health and CCRC facilities over the course of her career.  She is a former Instructor/ Guest Lecturer/Lab Instructor at multiple universities including: Drexel University, Temple University, AT Still University/Arizona School of Health Sciences, Widener University, and Rocky Mountain University.

Dr. Ciolek speaks and delivers seminars throughout the nation on topics including dementia, exercise for aging adults, falls and fall risk mitigation, and Person-Centered Care. She is also a noted author on geriatric issues with books entitled, “Cognitive Issues in the Older Adult," “Restraint Assessment,” and “The Older Adult With Multiple Comorbidities.”

Geriatric Physical Therapy Thought Leader

• President, Academy of Geriatric Physical Therapy (APTA Geriatrics)
• Past President, Delaware Physical Therapy Association (APTA Delaware)
• American Physical Therapy Association
• APTA Geriatrics
• APTA Delaware 

Awards and Accolades

• Catherine Worthingham Fellow of the American Physical Therapy Association
• Marilyn Moffat Leadership Award (APTA)
• Joe Lucca Service Award (APTA Delaware)
• Lucy Blair Service Award (APTA)
• Joan Mills Award (APTA Geriatrics)
• Clinical Educators Award (APTA Geriatrics)

View Dr. Cathy Ciolek's Expert Witness Profile.

Georgia J. Persky RN, MBA, PhD, CLNC, is a seasoned nurse with over 40 years of broad Clinical Nursing experience and 25 years of Senior Leadership in Healthcare Organizations. She has expertise in the micro issues in direct patient care and the broad Management, Quality, State, Federal, and Joint Commission regulatory issues in hospitals and long term care facilities. Dr. Persky provides private consulting for hospitals that want to improve patient care quality and satisfaction. A national speaker and author, her services are in demand for engagements on healthcare issues. 

Litigation Consulting Support - As a Certified Legal Nurse Consultant and Quality Reviewer, Dr. Persky has investigated hundreds of Malpractice and Injury cases as a quality reviewer and can assist in legal case review with chronologies, timelines, and evidence based reports. Dr. Persky's services are available to attorneys for plaintiff and defense seeking an expert in nursing and patient care with a strong understanding of how hospitals and nursing homes work. 

Facility Consulting Services:

• Provide hospital and nursing leadership and support in turnaround or acute regulatory situations
• Assess, plan, implement and evaluate Patient Care Services structure, processes and patient satisfaction initiatives
• Mentor nursing leadership team or screen and recruit new leadership
• Recommend strategies and tactics to improve efficiency or effectiveness in nursing and hospital operations
• Assess Perioperative Services and improve volume and patient flow
• Provide focused plan and implementation to address regulatory and accreditation issues and prepare leaders and staff for regulatory visits
• Develop Nursing, Operational and Strategic plan for handoff to new leadership team

Background Experience - Dr. Persky has served as Vice-President of Nursing and Patient Care Services for 25 years and most recently, New York Presbyterian Hospital at Columbia University Medical Center. For nine years, she was responsible for Risk and Quality Management and Patient Satisfaction for a 750 bed academic hospital. She directed a $200 million budget with 33 patient services units and Care Management, Respiratory Therapy, Social Work and Admitting Departments with 9 direct reports and 2,000 patient care employees. 

View Dr. Persky's Expert Witness Profile.

Elliott M. Stein, MD is Board Certified by the American Board of Psychiatry and Neurology in General Psychiatry (October, 1979), and in Geriatric Psychiatry (April, 1991; Re-Certified, December, 2001, and in April, 2011). Caring for the elderly for over 40 years, Dr. Stein has received numerous honors and awards for his contribution to his field. Dr. Stein is a Clinical Professor in the Department of Psychiatry at the University of California, San Francisco, School of Medicine. He is a Distinguished Life Fellow of the American Psychiatric Association and a Distinguished Fellow of the American Association for Geriatric Psychiatry.

For 33 years, Dr. Stein was in the Private Practice of Geriatric Psychiatry in Miami and Miami Beach, Florida. His experience includes working with the elderly in various settings, including having been Medical Director for the Community Mental Health Center of Miami Beach, Medical Director of an Inpatient Geriatric Psychiatry program, and Medical Director of an Inpatient Mood Disorder program, as well as consulting at Nursing Homes, Assisted Living and other facilities. Dr. Stein was the Director of Psychiatry at the Jewish Home of San Francisco from 2010-2020, and the Medical Director of their Geriatric Psychiatry Hospital. He has treated older individuals, typically people who have complex combination of psychiatric and medical problems.

Dr. Stein has been a Member of the Task Force on Testamentary Capacity and Undue Influence, for the International PsychoGeriatric Association.  He is also the author/co-author of teaching and professional materials, including books and book chapters, and articles in the professional literature.

Consulting Specialties:

• Contested Wills and Trusts
• Testamentary Capacity, Undue Influence, Insane Delusions
• Geriatric Competence
• Dementia and Delirium, Alzheimer’s Disease
• Geriatric Psychiatry Evaluation and Treatment, Psychiatric Medication, Psychotherapeutic Issues
• Depression and Anxiety Disorders
• Relationship Problems between the Elderly and their Adult Children
• Aging and Mental Disorders
• Geriatric Psychiatry issues concerning Hospitals, Nursing Homes, Independent and Assisted Living Facilities
• Medicare Psychiatric Services Coding and Documentation

View Dr. Stein's Expert Witness Profile.