Skilled Nursing Facilities / Long Term Care Expert Witnesses

Dr. Jeffrey Stone, DO, MPH, FCCWS, specializing in Wound Care and Hyperbaric Medicine, served as Medical and Fellowship Director for the Hyperbaric Medicine Unit at the Institute for Exercise & Environmental Medicine at Texas Health Dallas from 1992- May 2016. Dr. Stone received his medical degree from Western States University 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 started visiting nursing facilities in the Dallas Metroplex  in the early 1990's teaching, educating and caring for individuals with chronic wounds. He is one of the first 60 physicians in the U.S. to receive his certification in Wound Care. Dr. Stone currently provides care to patients in acute care, LTAC, long term care facilities SNF and Nursing Home) and outpatient care.

Dr. Stone has been widely published in many medical journals regarding his expertise in Wound Care and Hyperbaric Medicine. He serves as an Expert Witness for Peer Reviews, Legal Reviews, and Medical Malpractice Cases.

Areas of Expertise: Wound Care and Hyperbaric Oxygen-

• Pressure Sores
• Arterial Ulcers
• Diabetic Foot Wounds
• Acute Traumatic Ischemias
• Decubitus Ulcers
• Non-Healing Wounds, Venous or Arterial or Pressure Related

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Paul M. Adler, DO, FACEP, MBA, Medical Director for the Ventura County, California, Department of Corrections, has worked in Correctional / Jail/ Prison Medicine since 1995. 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 has been involved in Plaintiff litigation in many states including against Rikers Island, NY and Cook County Jail.

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. Dr. Adler is available to review and consult on clinical Correctional/Jail/Prison cases for attorneys for both Plaintiff and Defense.

Services:

• 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

Michael Blumenkrantz, MD, FACP, FACN, CNSP, dFASN has over 40 years of experience specializing in Internal Medicine and Nephrology. Dr. Blumenkrantz is an internationally recognized expert in Internal Medicine, Dialysis, Kidney Disease, Total Parenteral Nutrition, and Nutrition. Achieving the rank of Associate Professor of Medicine (in residence) at UCLA, he has been in private practice for the past 30 years. Dr. Blumenkrantz is a Distinguished Fellow of the American Society of Nephrology.

Litigation Support - Dr. Blumenkrantz has been offering litigation support services to counsel representing both Plaintiff and Defense for 15 years. Approximately 40% of his cases involve renal issues and the remainder are in the field of internal medicine. Dr. Blumenkrantz has been involved in 350 cases in the past 15 years and has been deposed approximately 120 times. He has testified at 30 trials and arbitrations.

Areas of Expertise:

Internal Medicine Dialysis Hemodialysis Peritoneal CAPD Kidney Disease Obesity Nutrition Support

Total Parenteral Nutrition (TPN) Critical Care Hypertension Long Term Geriatric Care Medical / Legal Quality Assurance Personal Injury Medical Malpractice

View Dr. Blumenkrantz's Consulting Profile.

Yolanda Anderson, RN, BSN, CEN, CLNC is a Registered Nurse and has been working in the Emergency Department for more than 25 years. A Certified Legal Nurse Consultant with a detail-oriented approach, Ms. Anderson is knowledgeable about all aspects of Hospital Care and Standards of Care for Physicians, Nurses and Ancillary Personnel.

Ms. Anderson's background experience includes work in the Emergency Department of Los Angeles County, USC Medical Center, a level I Trauma Center and in the Emergency Department at Saint Anthony Hospital Central in Denver, Colorado, a level I Trauma Center where she helped initiate the Hyperbaric Medicine program. For 15 years, she worked as a staff RN, Charge RN and Assistant Nurse Manager in the Emergency Department at Littleton Adventist Hospital - Littleton, Colorado, a level II Trauma Center. There, she helped with the expansion and reconstruction of the current Emergency Department facility.

Ms. Anderson has been retained as an Expert 27 times. Her litigation support services include chart review for merit, chronologies, medical care research, Independent Medical Assessments, and more. Ms. Anderson's services are available to attorneys for both Plaintiff and Defense.

Areas of Expertise:

Emergency Department Care Inpatient Hospital Care Trauma, Cardiac, Neurological Emergency Adult, Pediatric, and Infant Care

Triage & Documentation Nursing Home Care Electronic Medical Records Worker's Compensation

View Yolanda Anderson's Consulting Profile.

Constance J. Paine CCRN, LNC, is a Legal Nurse Consultant with over 40 years of nursing experience. Ms. Paine offers comprehensive services to the legal community in cases involving Critical Care, Interventional Radiology, Medical Surgical, and Discharge Planning. She is currently the Principal at CP LegalMed Consulting and a Staff Nurse in ICU at UC San Diego Health System.

Ms. Paine has been retained as a nursing expert over 70 times for actions involving Medical Malpractice, Personal Injury, and Product Liability. She provides non-biased opinions for attorneys representing both Plaintiff and Defense. Ms. Paine is available to identify causation and damages issues and attend IME's. Her services also include assessment, review, analysis, and research of medical cases, and education of nursing standard of care issues.

Areas of Specialization:

Hospital Policy & Procedure Open Heart Surgery Patients Pacemaker / Implantable Defibrillator Management Intra-aortic Balloon Pumps Continuous Dialysis Advanced Cardiac Life Support Ventilated Patients - acute and chronic

Stroke Care Conscious Sedation Intravenous Therapy Epidural Catheters Skull Base Surgery Wound Care Fall Risk Management

View Constance Paine's Consulting Profile.

David Friedler, MS, MPH, CNHA, LMHC, Is an expert in wrongful injury, abuse and neglect in health care. His experience is in the regulatory standard of care in Nursing Facilities, Psychiatric and Substance Use Rehabilitation as well as Adult Foster Care. He holds MPH and MS degrees and has worked clinical and administrative roles for four decades. He has extensive experience with survey compliance, Federal and State regulation, JCAHO and CARF accreditation, OSHA compliance and policy and procedure adherence. 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

Dawn Cook Consulting is based out of Las Vegas, Nevada but provides services nation wide. Services include life care plans, life care plan rebuttals, past medical bill reviews and future medical cost projections for plaintiff and defense attorneys. Life care plans are developed for individuals with injuries or chronic conditions requiring complex long-term healthcare intervention and management. The report provides an organized, concise plan that estimates the reasonable and necessary current and future healthcare needs with the associated costs.

Dawn Cook is licensed Registered Nurse (RN) who has worked with serious and catastrophic illness and injury for over 30 years including clinical settings and home care. Dawn is an experienced life care planner who holds the certified life care planner (CLCP) and certified nurse life care planner (CNLCP) designations.

Dawn has completed over 600 medical damage reports in 28 states in life care planning and has testified as an expert witness at deposition or trial over 70 times since 2012. Dawn has testified at Federal Court in Illinois and New Mexico and at State Court in California, Nevada and New Mexico as an expert in life care planning. Dawn has also testified in Nevada State Court as an expert in past medical bill reviews.

Dawn enjoys working both plaintiff and defense cases; from complex birth or brain injuries to trucking and motor vehicle accidents, each case requires attention to detail and consistent methodology.

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Mary B. Gloeckner, RN, MS, APN, is a Medical-Surgical Clinical Nurse Specialist who specializes in Wound Care and Ostomy Nursing. She has been a nursing consultant at Trinity Medical Center in Rock Island, Illinois, a 500 Bed hospital, for over 35 years. Ms. Gloeckner started the Wound & Ostomy Clinic (WOC) program at Trinity when she began there in 1983. She currently sits on 2 National Boards, the WOC Certification Board, and the Friends of Ostomates Worldwide. Ms. Gloeckner was also elected to sit on the International Board(ISTAP) on Skin Tears. She was honored with receiving the 2011 Iowa Affiliate Wound, Ostomy and Continence Nurses Society's (WOCN) Nurse of the Year Award and the 2016 USA WOC Nurse of the Year Award. Ms. Gloeckner provides litigation support service to attorneys for Plaintiff and Defense. Her cases include issues related to Wound Care and Colon and Rectal Surgery. Ms. Gloeckner is available to review medical records for standard of care and causation. Areas of Expertise and Consultation:

Wound Care Decubitus Ulcers Colostomy Ileostomy Urostomy

Pressure Ulcers Venous ulcers Vascular ulcers Fistulas Diabetes

John H. Fullerton, MD, MRO, CMD, CFP, FACP, AGSF, FAAHPM, FASAM is Board Certified in Internal Medicine, Geriatric Medicine, Addiction Medicine and Hospice & Palliative Medicine.

Dr. Fullerton maintains active medical licenses in both California and Florida and holds additional national certificates of added qualifications as a Certified Medical Director (CMD) at multiple levels of care locally and in Home Care (AAHCP).

Dr. Fullerton is a certified Clinical Forensics Expert, who has participated in nationally recognized Elder Abuse Cases, including the cases of "lay caregivers" misguidedly criminally charged with homicide or manslaughter after caring for a loved one at home with advanced dementias. He has been vetted by the Department of Homeland Security, the Department of Justice, the Office of The Inspector General, and the FBI to perform the duties of a government expert in cases of Criminal Healthcare Fraud. He has served as a key expert witness in the continuing efforts of 'Operation HEAT' and been on the winning side of three criminal convictions.

Over roughly the past 14 years, Dr. Fullerton has provided independent medical expert testimony and clinical forensic medical testimony in more than 200 cases and reviewed over 1,500 files (including Medicare Audits for the Government). He has focused his medical expertise in mostly Personal Injury, Medical Malpractice, Determinations of Medicare Medical Necessity matters, and Civil & Criminal cases alleging Elder Abuse (including homicide) at either discovery, deposition or at trial testifying for both plaintiff and defense cases, respectively.

Areas of Expertise:

Adult Hospital Medicine Ambulatory Care - Internal Medicine & Geriatrics Geriatric Approaches to Gero-Psychiatry Immuno-Compromised Host 1 Treatment Long Term Care - SNF Sub-Acute Rehabilitation Assisted Living - Secured Dementia Units

LTC / Hospice Medical Directorships Hospice & Palliative Care Units Home Care Elder Abuse Defense Cases Preventable Falls Pressure Wounds / Pain Management Addiction Medicine - Forensic Toxicology / DUI Defense Cases

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Elliott M. Stein, MD is a Geriatric Psychiatrist with over 40 years of experience caring for the elderly. Dr. Stein 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). He is licensed to practice in California and Florida.

Dr. Stein is currently the Director of Psychiatry at the Jewish Home of San Francisco, and the Medical Director of their Geriatric Psychiatry Hospital. He treats older individuals from all over the San Francisco Bay area, typically people who have complex combination of psychiatric and medical problems.

Dr. Stein is a Member of the Task Force on Testamentary Capacity and Undue Influence, for the International PsychoGeriatric Association. He is available to serve as an Expert Witness, do legal and forensic consultation, record review, and assessments concerning Psychiatric issues in older individuals. Dr. Stein offers his services to attorneys for both Plaintiff or Defense.

Areas of Expertise:

• 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 Consulting Profile.

Lynn M. Shaffer, RN, CLNC®, is Registered Nurse with certification in Legal Nurse Consulting and the founder and managing member of Legal Nurse Consultants of CNY, LLC. Ms. Shaffer's 20 years of nursing experience includes clinical practice in hospitals, outpatient clinics and physician offices, and supervisory roles. She has specialized in Long Term Care / Rehabilitation for most of her nursing career.

Litigation Support - Ms. Shaffer provides consulting and expert witness services for attorneys’ cases including criminal, disability, personal liability, toxic tort, and medical malpractice (specializing in long term care). As a Certified Legal Nurse Consultant, she assists insurance companies and attorneys with screening cases for merit, locating medical and nursing experts, and analyzing and interpreting medical records for both plaintiff and defense.

Ms. Shaffer's CLNC® services also include: development of reports, timelines and chronologies to highlight the significant medical events, identify adherences to and deviations from applicable standards of care, and assess injuries and identify causation issues and pre-existing contributing factors. She also attends and reports on Independent Medical Exams in the Central New York areas.

Areas of Expertise:

Geriatrics Independent Medical Examinations Long Term Care / Rehabilitation Managed Care Medical Malpractice Medical Records Review Nursing Home Malpractice Nursing Home Medical Malpractice Nursing Home Safety

Nursing Home Staffing / Training Nursing Homes Standards of Care Nursing Malpractice Nursing Policy & Procedures Personal Injury Disability Wrongful Death

Tim Keane is recognized nationally and internationally as a Leading Expert on methods to Control, Mitigate and Assess the Risk for Legionella in building and industrial water systems. He has published articles and books on the subject and has co-written regulatory documents including the 2018 and the 2015 ASHRAE Standard titled: Legionellosis: Risk Management for Building Water Systems,  2005 Guidelines for Ornamental Fountains and the 2000 ASHE Advisory. Mr Keane has over 25 years experience in water system consulting and over 10 years experience in facility design, construction and operation. Legionella Risk Management, Inc. provides consulting services for Effective Engineering Solutions to Engineering System Pathogens including; outbreak investigation, root cause analysis, control and remediation of legionella from water systems in commercial buildings, healthcare and industrial facilities.   We provide Litigation Support in this area.

Kirsten Turkington, DNP, MSN, APRN, FNP-C, CEN, CNLCP, AFN-BC is a highly experienced, board certified Family Nurse Practitioner, licensed to practice since 1998. Dr. Turkington received a Doctor of Nursing Practice (DNP) degree in 2014, a Master of Science in Nursing (MSN) in 1998, and dual Bachelor degrees (BS -- Psychology & BSN -- Nursing) in 1994. She is the owner, operator of North Scottsdale Health, PLLC. Dr. Turkington is a Board Certified Family Nurse Practitioner and Forensic Medical Expert. She has over 20 years of active clinical experiences as a Registered Professional Nurse and Advanced Practice Registered Nurse and is one of less than 75 board certified Advanced Forensic Nurses internationally. Dr. Turkington's clinical background encompasses adult, adolescent, pediatric, and geriatric cases across Family Medicine, Emergency Medicine, Critical Care and Neurosurgery. 

Medical Record Review Standards of Care / Negligence Life Care Planning (Certified) Healthcare Cost Estimates Client and Staff Education Federal Written Reports

Record Tampering and Inconsistencies Medical Literature Research Medical Events Chronology

View Dr. Turkington's Consulting Profile.

Georgia J. Persky RN, MBA, PhD, CLNC, CNOR is a Columbia University trained nurse researcher with over 40 years of broad Clinical Nursing experience and 25 years of senior leadership in Hospitals, Nursing Homes and Home Health organizations. She also has 20 years of Surgical Nursing and Operating Room experience. Dr. Persky has expertise in the micro issues in nursing for adult patient care and the broad management, quality, and regulatory issues in hospitals. 

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

Litigation 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. She has testifying experience in malpractice and personal injury cases, as well as, with human resource and employee discrimination with an ability to attest to standards of care in clinical litigation. Dr. Persky's services are available to attorneys for the plaintiff and defense seeking an expert in nursing and patient care with a strong understanding of how heath care organizations work.

Areas of Expertise:

Nursing/Hospital Standards of Care Nursing Home and Skilled Nursing Surgical and Perioperative Nursing Quality and Risk Management Fall and Pressure Ulcer Prevention

Hospital Policy and Procedure Medication Safety Medical Device Safety Hospital Administration State, Federal, Joint Commission Regulatory Compliance

View Dr. Persky's Consulting Profile.

Cynthia (Cyndy) Minnery RN, BSN has over 30 years of experience caring for the elderly within Acute Care, Skilled Nursing, and Assisted Living Facilities. Ms. Minnery has worked as a Director of Quality Compliance in Skilled Nursing and Home Health Care. She now owns Residential Care Facilities and is familiar with the Standards of Care expected of caregivers in these settings.

Ms. Minnery has years of experience and training in care of the elderly and common disorders like Alzheimer’s Dementia, Parkinson’s Disease, and other Geriatric Syndromes. She currently serves on the San Diego Dementia Consortium board of directors and Clinical advisory committee.

Cyndy Minnery has been an expert witness for elder abuse cases within Residential Care Facilities for the Elderly (RCFE) since 2012. Her reputation for providing exceptional care as an RCFE owner/administrator is well known within San Diego county, caring for residents with the highest level of compassion. Ms. Minnery provides medical record review and other services to attorneys for Plaintiff and Defense.

Areas of Expertise:

Residential Care for Elderly Assisted Living Nursing Homes Title 22 Regulatory Compliance Standards of Care

Elder Abuse Bedsores Wound Care Falls Medication Management

View Cyndy Minnery's Consulting Profile.