Skilled Nursing Facilities / Long Term Care Expert Witnesses: 18

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 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 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 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.

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.

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 16 years of experience practicing Internal Medicine, and over 10 years of experience practicing as an attending physician in Post Acute Care. 

Dr. Buddensiek is Chief Medical Officer 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:

Dr. Michelle Wolpov is an Orthopedic and Sports Physical Therapy Expert with over 35 years of experience in her field.  Dr. Wolpov is a licensed Physical Therapist, with a Bachelor of Science Degree in Physical Therapy from Ithaca College (Ithaca, NY 1987), a Doctorate Degree in Physical Therapy (DPT) from EIM Institute of Health Professions (2011), and a master’s degree in business (MBA). She has treated patients in her own outpatient orthopedic and sports physical therapy practice founded in 2002 and located in Manalapan, NJ.

Litigation Support - Dr. Wolpov has worked as an Expert Witness in the field of Physical Therapy for both plaintiff and defense attorneys in over 26 states, and has handled over 200 cases since 2005. Offerings include: litigation consulting, standards of care, research and investigative activities, affidavits of merit, opinion reports, expert witness testimony and depositions, and court appearances.

Areas of Expertise:

Dr. Wolpov has worked in various types of clinical settings including hospitals, home care, assisted living, and sub-acute care, with the majority of time spent in outpatient facilities. More specifically, she has worked with patients of all ages, having orthopedic and sports injuries, to those suffering from neurological conditions, or who have had a work or motor vehicle related injury. 

Dr. Wolpov has written many policies and procedures on the safe handling of post-op patients, and has reviewed best practices for rehabilitation of patients following orthopedic surgery. In addition, she has been closely affiliated with the Hospital for Special Surgery as part of their Rehab Network.

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:

View Dr. Persky's Consulting Profile.

Tristan Dacunha, MD, is an Emergency Room Physician with over 15 years of evaluating cases for some of the largest firms in New York. Certified as an Expert in 2007, he is available to attorneys for plaintiff and defendant.

Medical Malpractice Experts in the Fields of:

• Emergency Room Malpractice
• Medical Malpractice
• Nursing Home Malpractice
• Podiatry and Foot Surgery Malpractice
• Ulcers

Available for:

• Case Reviews
• Certificates of Merit
• Case Analysis
• Medical Expert In Court Testimony
• General Consultations

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. 

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 delivers speaks and delivers seminars throughout the nation on topics including dementia, exercise for aging adults, falls and fall risk mitigation, and Person-Centered Care.

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
• Catherine Worthingham Fellow of the American Physical Therapy Association Award

Litigation Support - Dr. Ciolek is available as an expert witness for attorneys representing plaintiff and defendant. Her services include medical record review, thorough reporting, depositions, and trial testimony as needed.

Areas of Expertise:

View Dr. Cathy Ciolek's Consulting Profile.

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 currently provides consultation to hospital speech language pathology and 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 30 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 SLPs 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.  If standards of care were met, Megan provides evidence-based opinions of such.  When care failed to meet accepted standards, Megan can illustrate how the SLP provider deviated from standards.  She can assist in determining if substandard care contributed to negative outcomes including suspected choking event, aspiration, dehydration, health decline or death.  

Areas of Expertise:

Megan has been an instructor in the areas of cognition, dysphagia / swallowing, end of life nutrition, and Medicare regulatory compliance. She has presented at conferences for the American Occupational Therapy Association and local Speech Language Hearing Associations as an employee of national Rehab companies.

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.  
   

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,  ASHRAE Guideline 12 titled: Managing the Risk of Legionellosis Associated with 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.

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:

View Dr. Grant's Consulting Profile.

Michael B. Vaughn, through his company, Golden Age Advisory, provides analysis and testimony as an Expert Witness with extensive experience in Finance and Valuation of Real Estate and Mortgages, especially in Senior Housing.

Mr. Vaughn's background as Director of HUD’s 232 FHA insurance program, and years in senior positions in mortgage banking and government, give him unique credibility and expertise. Until January 2018, he was senior vice president, and originator of FHA and bridge loans for assisted living, skilled nursing, and other healthcare facilities for Walker & Dunlop, one of the largest commercial mortgage banking firms.

Mr. Vaughn originated or obtained portfolio approvals for over $1 billion in HUD, Fannie Mae, Freddie Mac, and proprietary bridge loans on Seniors, Healthcare and Multifamily loans in his career. He represented W&D and sourced new business relationships at numerous industry functions and successfully publicized W&D through quotes and articles in the Wall Street Journal, and senior housing industry publications.

Litigation Support - Mr. Vaughn is able to provide convincing analysis and testimony related to complicated financial cases in a way that is understandable to an average non-professional. Mr. Vaughn's experience testifying in both Federal and State Supreme Court trials.

Areas of Expertise:

• Financial and Document Analysis
• Report Preparation
• Deposition
• Assistance in Deposition and Cross-examination of Opposing Witnesses
• Federal and State Court Testimony
• Mediation

View Golden Age Advisory's Business Consulting Profile.

Alan R. Smith, MD, RPh, FAAFP, is Board Certified as a Family Medicine Physician (American Board of Family Medicine) plus Board Certified by the American Board of Physicians and Surgeons. Along with a full-time, full-spectrum Family Medicine Practice, Dr. Smith is the Medical Director of Millard Care and Rehabilitation, a position he has held for over 30 years. 

Dr. Smith also serves the State of Utah as Chairman of the Utah Physician Licensing Board (2018 - Currently), and is a Fellow of the Federation of State Medical Boards. 

Litigation Support - Dr. Smith is retained as an Expert Witness with a focus on Family Medicine and Nursing Home Medical Malpractice. He has over 20 years of expert witness experience with approximately 100 cases reviewed, 25 depositions, and 10 court / arbitration testimonies. 

"I feel a responsibility to hold my fellow physicians, as well as myself, to the standard of care. I likewise feel a responsibility to stand and defend the truth when care of a physician is in question." - Alan R. Smith, MD

Areas of Expertise:

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