Ltc Expert Witnesses

Long Term Care, Nursing Home Administration - Long Term Care, Nursing Home Administrator, Personal Care, Assisted Living, NHA, Nursing Home Abuse, Nursing Home Neglect, Regulatory Compliance, Skilled Nursing Facility, Nursing Home Operations, Standard of Care, Wound Care, Restraints, Nursing Home Falls, Adult Day, Physician Orders, Pressure Ulcers, COVID 19, Abuse

As an expert witness and long-term care consultant, I apply my 18 years of experience operating nursing homes. For the last 9 years, I have provided detailed evaluations and expert testimony for legal cases within the long-term care industry. Drawing on extensive operational knowledge, I assist counsel in interpreting clinical records and delivering insights grounded in foundational facts and helping to determine if the standard of care was met. I also apply the federal regulations to determine compliance. I have been retained for 45 cases. 65% defense, 35% plaintiff. Types of cases I have worked on: Falls and fall-related injuries Pressure injuries (pressure ulcers) Elopement and wandering incidents Medication errors and adverse drug events Failure to monitor / failure to supervise Infection control and sepsis-related cases Failure to follow physician orders Care planning deficiencies Staffing and negligence claims Documentation and regulatory compliance issues Areas of Expert...

Physician Assistant, Long Term Care - Nursing Home Neglect, neglect, pressure ulcers, fall with injury, standard of care, skilled nursing facility, capacity disputes, medication errors, polypharmacy, sepsis recognition, failure to monitor, failure to escalate care, unsafe discharge, discharge plainning, failure to diagnose, long term care

I am a board-certified Physician Assistant with over 25 years of clinical experience specializing in geriatrics, home care, skilled nursing, and post-acute rehabilitation. I actively practice in multiple skilled nursing facilities, where I manage medically complex, high-risk patients and work directly with interdisciplinary teams responsible for day-to-day patient care. My expertise centers on evaluating standard of care in cases involving non medical and skilled home health, nursing homes, pressure injuries, falls with injury, failure to monitor or escalate care, medication mismanagement, sepsis, and unsafe discharge practices. I have particular insight into how breakdowns in communication, staffing, and clinical decision-making contribute to adverse outcomes in the long-term care setting. Unlike many physician experts who are removed from the daily operations of skilled nursing facilities, I provide real-time, practical insight into how care is actually delivered at the bedside....

Sacramento, California

Pharmacology- Clinical, Geriatric Psychiatry - Forensics, Polypharmacy, Fall Risk Review, Toxicology, Drug Interaction Analysis, Medication Variance Analysis, Product Liability, Opioid Prescribing Standards, Pharmacy Negligence, Medication Error Analysis, Benzodiazepine Management, Chemotherapy Dosing, Adverse Drug Event Causation, Controlled Substance Prescribing, LTC

Clinical Pharmacist with 10+ years of experience across psychiatric, geriatric, oncology, ambulatory, and community pharmacy settings. Board-Certified Geriatric Pharmacist (BCGP) and Advanced Practice Pharmacist (APh) with demonstrated expertise in medication safety, polypharmacy evaluation, drug interactions, adverse drug event analysis, and high-risk medication management. SEAK-trained expert witness providing evidence-based analysis grounded in clinical standards, regulatory expectations, and professional best practices. CLINICAL EXPERIENCE Current position as Clinical Inpatient Pharmacist at Adventist Health (San Luis Obispo, CA) involves verifying and dispensing medication orders in compliance with Joint Commission and hospital regulatory standards, monitoring patient medication regimens for appropriate indication, dosing, route, interactions, and allergies, and collaborating with multidisciplinary teams on formulary compliance, procurement, and quality assurance. Prior to thi...

Honolulu, Hawaii

Nursing Home Administration, Nursing Administration - Nursing home abuse, QAPI, Nursing home neglect, LTC, Wrongful death LTC, Staffing, Post Acute Care, Pressure ulcer litigation, Skilled Nursing, Elopement and wandering, Pressure ulcers, CMS regulatory violations, Wound Care, Infection Contol, Falls, Care Plans, Elopement, Resident Rights, CMS Violations, regulatory compliance

DR. DEMETRIUS KIRK: THE BEDSIDE-TO-BOARDROOM AUTHORITY WHY COUNSEL RETAINS DR. KIRK Most experts understand either the clinical chart or the business ledger. Dr. Kirk is the rare expert who masters both. With a 15-year progression from CNA to LPN to RN to Executive Director, he possesses an "un-stumpable" knowledge of nursing home operations. He doesn't just read about standards of care; he has lived them at every level of the hierarchy. UNMATCHED DUAL-LENS ANALYSIS Dr. Kirk provides a "Dual-Lens" evaluation for every case: THE BEDSIDE LENS: Was the nursing care (Wound Care, Falls, Sepsis, Elopement) consistent with professional standards? THE BOARDROOM LENS: Did the facility’s leadership, staffing models, and QAPI systems set the staff up for success or for a predictable failure? ACTIVE REGULATORY & SYSTEMIC EXPERTISE Unlike "career witnesses" who haven't stepped foot in a facility for years, Dr. Kirk is active in the field every week. -- FOUNDER OF SMK MEDICAL: A national fir...

New Jersey

Long Term Care, Nursing Home Administration - Nursing Home Expert, LTC Expert Witness, SNF Expert, Nursing Home Negligence, Abuse Neglect, Pressure Ulcers, Staffing & PBJ, CMS 42 CFR 483, Regulatory Compliance, Risk management, Post-Acute Care, Standards of Care, Corporate Liability, Wrongful Death, Elopement & Falls, Infection Control, QAPI, Survey Deficiencies, Corp. Liability

Steven C. Smyth, LNHA, CNHA, HSE, BCPA, CIFHA, CMDCP, is a Licensed Nursing Home Administrator with over 25 years of experience in long-term care and post-acute care and holds active licensure in New York, New Jersey, Pennsylvania, and North Carolina. His expertise focuses on administrative, operational, and regulatory standards governing nursing homes and post-acute care facilities. He has been retained in over 35 cases involving both plaintiff and defense representation and has provided expert opinions in matters across multiple jurisdictions, including deposition testimony. His work includes case review, report preparation, and consultation with counsel, with deposition experience. Mr. Smyth’s experience includes senior administrative leadership in skilled nursing facilities, as well as prior roles in hospital and outpatient settings, including Assisted Living and Residential Care (RC/AL), Home and Community-Based Services (HCBS), Adult Daycare, Hospice, Emergency Department Ad...

Albertson, New York

Long Term Care, Nursing Home Administration - Nursing Home Expert, LTC Expert Witness, SNF Expert, Nursing Home Negligence, Abuse Neglect, Pressure Ulcers, Staffing & PBJ, CMS 42 CFR 483, Regulatory Compliance, Risk management, Post-Acute Care, Standards of Care, Corporate Liability, Wrongful Death, Elopement & Falls, Infection Control, QAPI, Survey Deficiencies, Corp. Liability

Steven C. Smyth, LNHA, CNHA, HSE, BCPA, CIFHA, CMDCP, is a Licensed Nursing Home Administrator with over 25 years of experience in long-term care and post-acute care and holds active licensure in New York, New Jersey, Pennsylvania, and North Carolina. His expertise focuses on administrative, operational, and regulatory standards governing nursing homes and post-acute care facilities. He has been retained in over 35 cases involving both plaintiff and defense representation and has provided expert opinions in matters across multiple jurisdictions, including deposition testimony. His work includes case review, report preparation, and consultation with counsel, with deposition experience. Mr. Smyth’s experience includes senior administrative leadership in skilled nursing facilities, as well as prior roles in hospital and outpatient settings, including Assisted Living and Residential Care (RC/AL), Home and Community-Based Services (HCBS), Adult Daycare, Hospice, Emergency Department Ad...