Skilled Nursing Facilities / Long Term Care Expert Witnesses: 13

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

View Consulting Profile.

Elliott M. Stein, MD is a Geriatric Psychiatrist with over 45 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 Geriatric Psychiatry (April, 1991; Re-Certified, December, 2001, April, 2011, December 2022). He is licensed in California and Florida. 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.

Dr. Stein is a Clinical Professor (Voluntary) 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 and a Life Member of 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
• Financial Elder Abuse
• Geriatric Competence/Capacity
• 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 in Hospitals, Nursing Homes, Memory Care, Independent and Assisted Living Facilities
• Medicare Psychiatric Services Coding and Documentation

View Dr. Stein's Consulting Profile.

Research & Planning Consultants, LP (RPC) has been assisting clients with expert services for over 45 years, including consulting and expert witness testimony for personal injury, healthcare litigation, commercial litigation and Certificate of Need matters. RPC also offers a wide selection of health data. They have served clients across the U.S, from Alaska to Florida and from New England to California. 

A Complete Team of Damages Experts for Personal Injury Litigation

Research & Planning Consultants, LP provides the following services: 

• PERSONAL INJURY - RPC provides comprehensive damages analysis in personal injury litigation. Their expert team has life care planners, vocational evaluators, board-certified physicians, economists and neuropsychologists. 

Areas of Expertise include: Life Care Plans, Loss of Earning Capacity or Support, Present Value of Damages, Medical Bill Analysis, Chargemaster Analysis, Neuropsychological Testing & Traumatic Brain Injury, Vocational Evaluations, IMEs, Section 18.001, Prestanding ED Chargemaster Analysis

• COMMERCIAL LITIGATION- RPC has provided expert analysis on commercial litigation concerning many industries: chemicals, refining, forestry, waste management, pipelines, water resources, oil and gas EDP, fisheries, agriculture, electrical generating plants, transmission lines, telecommunications, and real estate development. Our special expertise in the healthcare industry has proven valuable to business litigators unfamiliar with this complex industry.

Areas of Expertise: Breach of Contract / Commercial Economic Damages, Construction Disputes, Litigation over Non-Competitive Agreements, Environmental Torts and Toxic Torts, Commercial Disparagement, Wrongful Termination

• HEALTHCARE LITIGATION - RPC offers economic, statistical, data and clinical analysis in a wide range of healthcare litigation. They have experience with payment disputes, qui tam litigation, physician-hospital disputes, practice valuations and construction litigation. 

Areas of Expertise: Qui Tam Healthcare Litigation, Medical Staff Disputes, Professional Liability, Payment Disputes, Health Facility Construction Disputes, Freestanding ED Chargemester Analysis

• CERTIFICATE OF NEED - RPC provides Certificate of Need (CON) planning services nationwide. We have over 35 years of experience developing regulatory strategy, preparing applications and testifying in public and administrative hearings.

Areas of Expertise: Satellite Hospitals, New Hospitals, Relocation and Transfer of Beds, Observation Beds, Geriatric Psychiatric Units, Children’s Hospitals, Comprehensive Inpatient Rehabilitation Units, Neonatal Intensive Care Units, Open Heart Surgery Services, Long Term Acute Care Units, Projects that exceed CON Capital Threshold Limits, Projects for Specifically Listed Services, Programs Requiring CON, Hospices, Senior Living Facilities

Ronald T. Luke, JD, PhD, is a principal consultant and President of RPC, LP. Ron joined RPC in 1976 and became its president and principal owner in 1979. He has consulted on projects for health care providers, managed care plans and public agencies in more than 25 states. He also serves as an expert witness in trials, administrative proceedings and legislative hearings.

Active in the Health Policy Arena, Dr. Luke has been accepted as an expert in Economics, Socioeconomic Impact Analysis, and Policy Analysis by state and federal courts, and state administrative agencies. The types of cases in which he has provided expert testimony include personal injury, contractual disputes, health care payment disputes, construction defects, utility construction permitting, and certificate of need. He has testified on health care matters including market structure, billing fraud and abuse, reasonableness of charges, medical staff credentialing, workers’ compensation fee guidelines, utilization review, physician contracts, and managed care contracts.

Kacy L. Turner, MS, CRC, CVE, CLCP, is a Certified Life Care Planner and Vocational Consultant with RPC. She has over 20 years of experience in Rehabilitation. Ms. Turner has experience writing life care plans for both plaintiff and defense clients. She has experience as a rehabilitation consultant in three states and has been qualified as a testifying expert in state and federal court.  

Ms. Turner has worked on cases in several states as well as the country of Trinidad. To determine the pre-injury and post-injury employability in personal injury cases, she provides vocational testing, transferable skills analysis, job requirements analysis, rehabilitation plans, and definition of reasonable accommodations under the American with Disabilities Act. She is a member of the International Association of Rehabilitation Professionals, the Texas Association of Rehabilitation Professionals and Providers of Services, and Vocational Evaluation and Career Assessment Professionals.

Brian Piper, PhD,  is an Economist with RPC specializing in Quantitative Analysis and Modelling. He works on a variety of cases including personal injury and certificate of need. He is experienced in data extraction, management, simulation, and analysis using STATA, SQL, ARC GIS and a variety of other programs. Dr. Piper has taught graduate classes in statistics and econometrics in both MBA and Ph.D. programs.

Dr. Piper is an experienced expert, providing testimony, reports, and affidavits on the issues of economic damages in personal injury litigation, healthcare litigation, False Claims Act litigation, and other commercial litigation. He has testified on behalf of plaintiffs and defendants. 

Dr. Piper specializes in the economics of healthcare. He has been retained by healthcare providers and insurers in payment disputes. He has analyzed the reasonableness of charges and expected payment for past and future medical services for providers, insurers, plaintiffs, and defendants. Besides work in litigation, Dr. Piper has provided analysis of Certificate of Need applications and the economic impacts of proposed legislation.

Neal C. Buddensiek, MD, DNBPAS, HMDC, CMD, WCC has over 17 years of experience practicing Internal Medicine, and over 11 years of experience practicing as an attending physician in Post Acute Care. 

Dr. Buddensiek is medical consultant for one of the largest Catholic Long-Term Care / Senior Living companies in the United States (26 skilled nursing facilities comprising 2,100+ beds, 28 assisted living facilities comprising 2,100+ units, 5 Midwestern states). He holds active medical licenses in multiple Midwestern states. For 5 years, Dr. Buddensiek has taught Internal Medicine residents and nurse practitioners about nursing home and residential care.

Dr. Buddensiek is an Expert in:

• Long Term Medical Care and Administrative Oversight (8 skilled nursing facility medical directorships; 1000+ resident chart reviews for safety and quality control).
• Assisted Living Medical Care and Administrative Oversight (5 assisted living facility medical directorships; 500+ resident chart reviews for safety and quality control). 
•  Hospice Medical Care and Administrative Oversight (2 hospice agency medical directorships; average daily census 400+ hospice patients, 3 Midwestern states). 

Areas of Expertise:

Skilled Nursing Facility Regulations Assisted Living Regulations Hospice Eligibility Geriatrics Dysphagia/Choking Suicide Motorized Mobility Scooter Collisions

Medical Malpractice Wrongful Death Falls Pressure Injury /Ulcer Covid-19 Elopement

Dr. Nicholas Ladikos is a Clinical Pharmacist and Drug Regimen Error expert. He is a subject matter expert and serve as expert witness in determining the standard of care and breaches of that standard on matters such as medical chart reviews, medication preparation and prescribing, drug side effect management, and errors in drug dispensing, dosing, and administration. 

Dr. Ladikos also serves as a Professor at both Texas Tech University and Arizona College of Nursing. He co-authored numerous papers in the areas of infectious diseases and antimicrobial stewardship, pharmacoeconomics, pharmacogenomics, geriatrics, and therapies in the lung transplant population. He conducts physician training and clinical staff education regarding medication trends and utilization, identification and mitigation for potential medication fraud, waste and abuse, and collaborates in disease management and population health programs.

Litigation Support - Dr. Ladikos is a subject matter expert in several pharmacy-related areas and serves as an expert witness on a number of Pharmaceutical litigation matters. Numerous hospitals have used his skillset and expertise in medical chart reviews to identify errors in medication preparation and prescribing, drug side effect management, standard of care compliance, continuing education delivery, and personnel assessments.

Areas of Expertise:

Drug Dispensing Errors Drug Interactions and Drug Contraindications Drug Dose Calculations and Verification Drug Monitoring and Levels (e.g. Gentamicin, Vancomycin) Drug Preparation Drug Infusions and Intravenous Medications Total Parenteral Nutrition (TPN) Compounding Anticoagulation (e.g. Heparin, Lovenox, Coumadin)  Acid Reflux / (GERD) Anti-Psychotics Dietary Supplements Drug-induced Lung Disease Drug Labeling and Warnings Drug Safety Geriatrics

Medicare / Medicaid Fraud & Abuse Over The Counter Medications (OTC) Pain Management Prescriptions Psychotropic Pharmaceuticals Pulmonary Medicine Respiratory Therapy Retail Pharmacy Medical Accounting and Valuation Future Medical Costs Insurance Claims Analysis Claim Reviews Health Insurance Life / Health Claims Medical Cost Validation / Negotiation Professional Liability Medical Insurance

Dr. Ladikos currently develops and leads clinical programs that help stakeholders use and advance medication management tools (e.g., formularies, pharmacy, therapeutics committees and medication therapy management), quality metrics, research methodologies, and health information technology. He has experience in medication utilization statistical analyses to demonstrate adherence to evidence-based practice guidelines and inform health program policies.

Dr. Ladikos examines pharmacoeconomic trends to ensure that a cost-effective pharmacy benefit is administered to members, and consults with care management team to provide guidance regarding member goals. 

Megan M. Hamilton, MS, CCC-SLP earned her Master of Science degree from Marquette University and holds a lean six sigma green belt from Purdue University as well as a Certificate of Clinical Competence from the American Speech Language and Hearing Association (ASHA).  Megan serves as a forensic medical SLP throughout the United States.  Megan has held positions as direct care provider, site manager, regional vice president, and division manager of clinical education for national rehabilitation providers in long term care, sub-acute, and pediatric care.   She brings over 40 years of experience to her clients.  

Litigation Support - No healthcare provider can prevent aspiration and/or choking for all patients at all times, but all can be expected to practice within accepted standards of care.  Megan's exhaustive review of case materials can determine whether diagnosis, evaluation, recommendations and discharge determination were based upon sound clinical reasoning to mitigate adverse outcomes and facilitate improvement or if they were substandard.  Megan provides evidence-based opinions whether care contributed to negative outcomes including suspected choking event, aspiration, dehydration, health decline or death or if it did not.  

Areas of Expertise:

Speech Therapy Speech Language Pathology Swallowing Oral Dysphagia Pharyngeal Dysphagia Esophageal Dysphagia TBI Expressive Language Receptive Language Parkinsons Choking Cognition Dehydration COVIDs impact on communication, dehydration and swallowing

Dementia Diet Texture Liquid Viscosity Aphasia Apraxia Dysarthria Developmental Disabilities Stroke CVA Proximal Cause of Death Aspiration Pneumonia End of Life Nutrition Executive Skills Standards of Care

The Lios Manhe (pronounced LIZ munee) mission is to be a trusted partner to plaintiff or defense by providing thorough analysis and independent opinions supported by science and based upon evidence collected.  
   

Mr. Keane is an engineer and internationally recognized authority on the control, mitigation, and forensic investigation of Legionella in building and industrial water systems. He has more than 40 years of experience spanning engineering, construction, facility operations, water treatment, and Legionella risk management, including more than 25 years leading outbreak investigations, root cause determinations, and remediation efforts.

Mr. Keane is retained in complex Legionnaires’ disease litigation involving alleged failures in engineering design, system operation, and water management programs. His forensic work includes field investigation, system and operational analysis, interpretation of water quality and microbiological data, review of engineering schematics, and reconstruction of system operating history.

His experience includes:

• Building engineering, construction, and facility operations/management (1977–1987)
 • Water treatment industry leadership and technical operations (1987–2000)
 • Legionella consulting, outbreak response, and water management program development (2000–present)

Mr. Keane has led or played key roles in major public health outbreak investigations, including:

• Rapid City, South Dakota (2005): Contracted by state of South Dakota to lead community wide outbreak investigation
 • Flint, Michigan (2016): Participated in the state-led evaluation of Legionella risk in residential water systems
 • Quincy Veterans’ Home, Illinois (2015–2018): Contracted by state of Illinois for engineering investigation to resolve the multi-year Legionnaires’ disease outbreak

He has direct field experience investigating and remediating Legionella in hospitals, long-term care facilities, hotels, residential buildings, industrial and municipal water systems, casinos, and other large-scale facilities.

Mr. Keane was an original voting member in development of ASHRAE Standard 188 and the revision of ASHRAE Guideline 12 through publication of the 2018 standard and 2020 guideline. He has also contributed to other industry guidance documents including AWWA, ASHE, ASPE and IAPMO.  He has coauthored five peer-reviewed papers, including collaborations with the CDC and multiple academic institutions.

Mr. Keane has presented to the National Academies of Sciences, Engineering, and Medicine and has trained public health officials and industry professionals nationwide on Legionella risk management and water system safety.

He is frequently engaged to:

• Perform outbreak root cause analysis
 • Evaluate standard of care and regulatory compliance
 • Assess engineering design and operational deficiencies
 • Provide expert testimony and litigation support

Wayne H. Grant, PharmD, is a Clinical Pharmacist with over 30 years of pharmacy experience working in or within various practice settings—retail, long-term care, home infusion, sterile products, corrections, hospice, specialty, and hospitals.  

Dr. Grant has prepared and delivered educational programs to physicians, nurses, and other healthcare professionals based on his extensive experience in multiple disease states. Programs include topics such as Pain Management, COPD, and Motor Neuron Diseases.

Serving as an integral member of multiple pharmacy and therapeutics committees, he has promoted evidence-based interventions while driving quality initiatives and building a highly collaborative consortium among healthcare professionals.  

Earning his Doctor of Pharmacy from the University of Florida, his Master of Business Administration for Kent State University, and his Bachelor of Science from Ohio Northern University highlights Dr. Grant's drive for education, understanding, and application of pharmacy services.  

Dr. Wayne Grant on Consulting with Attorneys

Litigation Support - Dr. Grant is an expert in pharmacy practice. His expertise in long-term, institutional, infusion, and retail practice allow for an extensive understanding of the various pharmacy sectors. He is responsible for pharmacotherapeutic management, medication safety and efficacy and drug information all which follow federal, state, and local laws. He has provided a variety of expert witness services on behalf of legal professionals, including attorney consultation, case review, case opinion, and written case opinion. 

Areas of Medication Expertise:

Adverse Drug Reactions Chronic Pain Drugs and Narcotics Geriatrics Hospice / Palliative Care Hospital Pharmacy Infusion Pharmacy

Long Term Care Medical-Legal Issues Nursing Homes Overdosages Pain Management Pharmaceutical Care Pharmacology Acute Rehab Hospital

View Dr. Grant'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

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.

Douglas W. Bowerman, MD, FACP, SFHM, FABQAURP, FAIHQ is certified by the American Board of Internal Medicine. In his capacity as a Hospitalist, he provides full-time clinical care to hospitalized patients. Certifications and Associations - Dr. Bowerman is also Certified in Health Care Quality & Management and Fundamentals of Critical Care. He is a Fellow of the American College of Physicians, a Fellow of American Institute of Healthcare Quality, and a Senior Fellow of Hospital Medicine. Litigation Support - In addition to providing care for hospitalized patients, Dr. Bowerman operates a private consulting business that evaluates potential Medical Malpractice cases involving the clinical care provided by Hospitalists. Based on assessment of the case, he advises counsel on its merits, and when needed, writes formal reports, gives deposition testimony, and provides expert testimony in court. Dr. Bowerman supports both plaintiff and defense cases. In the twenty years he has offered litigation support services, he has reviewed over 900 cases, given 40+ depositions, and testified in court 10+ times. Areas of Expertise:

Hospital Medicine Hospitalist Internal Medicine Medical Malpractice

Medical Record Review Medical-Legal Issues Quality Assurance Hospital / Medical Standard of Care

Presentations and Publications - Dr. Bowerman has authored several publications and delivered numerous presentations on such topics as Assigning Duty to Hospitalists, Eradicating Errors and Restoring Credibility, the Determination of Brain Death, and Hospitalists as Respected Attending Physicians.

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

Steven Wilder has over 40 years of experience and have served as a retained expert witness in approximately 25 to 30 cases for both plaintiff and defense matters. His work has involved Hospital and Long-Term Care Security, Slip-and-Fall Hazard Analysis, Resident Elopement, Security Use-of-Force, and Workplace Violence, including trial testimony, depositions, and consulting.  He is a seasoned professional who has actually run these programs, not just studied them.