Regulatory Compliance & Survey Readiness

Be prepared before surveyors walk through your doors.

• Identify high-risk compliance gaps
• Mock surveys & real-time assessments
• Plan of correction support
• Survey preparation strategy for leadership & staff

Clinical Systems & Quality Improvement

Strengthen the systems that drive care and compliance.

• Clinical process evaluation and restructuring
• Documentation and audit readiness
• Quality assurance and performance improvement (QAPI)
• Sustainable systems that reduce repeat citations

Leadership Support & Staff Development

Equip your team to lead with confidence and accountability.

• Director of Nursing & leadership coaching
• Staff education and training programs
• Accountability systems and performance guidance
• Support during transitions and high-risk periods

On-Site & Virtual Consulting

Flexible support designed to meet your facility where it is.

• On-site intensive support during survey windows
• Virtual consulting and follow-up
• Short-term interventions or long-term partnerships

• Emotional intelligence for navigating challenging situations

• Staff onboarding, retention, and education

• Competency assessments and scheduling strategies

• Organizational budgeting

"My name is Tonja Jackson. I have been a Registered Nurse for 20 years and worked in Long Term Care for 18 years, serving 15 years as a Director of Nursing (DON) and 1 year as a Regional Director of Clinical Operations (RDCO).

I have had the great fortune of working with Mrs. Brenda Shepperd in my role as the Regional Director of Clinical Operations (RDCO). From the beginning, of starting my new role as (RDCO) we had Department of Health in our facilities on a regular basis. 

Mrs. Brenda Shepperd, I will begin by saying is truly the most understanding and dynamic healthcare leader that I have worked with within my professional nursing career. Mrs. Shepperd has an excellent understanding of Skilled Nursing Facilities (SNF) regulations and systems theory. She worked with my facilities and I on regulations and applications.

Through her understanding, we were able to move one facility off of the Special Facility Focus Program and prevent another facility from being placed on Special Focus in less than 6 months. 

Brenda couples incredible experience and knowledge in Senior Living including (SNF) and Assisted Living with a passion for caring for patients and staff. She has a tremendous ability to identify root causes for the breakdown in systems and is very capable of developing and implementing plans to help improve the quality of care and regulatory compliance of senior living facilities.

She created clear goals for every department. Brenda assisted with developing strong interdisciplinary teams and helped move the organization forward, in a most rapid fashion.

With the assistance, of Brenda’s guidance and collaboration, our facilities were able to improve clinical processes, outcomes and pass many surveys including the immediate removal of an Immediate Jeopardy citing in a facility.

Brenda’s dedication and patience with us ultimately assisted the facilities with becoming regulatory-compliant.

Mrs. Brenda created the blueprint and transitioned our facilities from paper to electronic medical administration health records. This positively impacted several facilities in the multi-site region to include both Skilled and Assisted Living Facilities in many ways to include: decrease in penalties being paid, increased staff retention from staff training by increased support success through process and workflow, and higher reimbursement related to nursing documentation training. 

Mrs. Shepperd means business when it comes to taking care of residents, staff, and facilities. She is friendly and approachable. She has a unique ability to teach and someone others want to listen to and follow. I could go on and on about Brenda.

I highly recommend Core Systems Clinical Consulting for all your clinical training and consulting needs."

Tonja Jackson, BSN, RN Regional Director of Clinical Operations