Defined by the needs of our clients

The story of Carmelina opens the mind and the heart, empowering those who read it to influence quality outcomes with solid clinical systems and person centered care.  System checklists are included with each case study as Carmelina lives her life in a nursing home.

We care for the Greatest Generation...  Be honored, be grateful, be proud.

Someday, we too, may be a Carmelina.

Carmelina: Essential Nursing Systems for Long Term Care

Quality outcomes is our focus. Through our workshops and audits, we can help you maximize your organization's performance on the following topics:


Clinical Outcomes & Solid Systems

Medicare Compliance Audits/Training

ICD10 Coding for LTC and PAC


CoP Reform: The Mega Rule

Restorative Nursing Program Training

Presentations For Your Event


Dedicated to quality, compliance, and revenue in post acute care.


Welcome to the future...  Bundled payments, ACOs, and new QMs.  We knew these industry game changers were on their way.  Whether you want to identify opportunities or your vulnerabilities, we look forward to sharing our knowledge and experience with you.


With your help, we want to be the best at providing our clients with exceptional services so that they can become a preferred provider.

Powered by knowledge and experience

We are an interdisciplinary network of experienced post acute care professionals.  Our values are consistent with improving quality outcomes and we believe that leadership and relationships matter.

Depending on your needs, you may receive audit services, training, or guidance from one of our nurses, therapists, educators, or operational team members.