Haffenreffer Values and Core Competencies

  • Common Sense – Sustainable approaches that optimize resources
  • Communication – Understanding is empathy plus precision
  • Compassion – For residents, families, and the entire care team
  • Comprehension – Thorough, up to date understanding of regulatory requirements and standards of care – theory and practice
  • Commitment – To personal, professional and institutional learning
  • Community – Relationships within and around each facility
  • Consultation – Leading edge professional nurse consultation

A Comprehensive Analytical Tool

Haffenreffer’s 20 Person-Centered Standards (Click here)

Our People

Demetria (Demi) Haffenreffer, RN, MBA, has made Long-Term Care her profession since 1973, first as a Director of Nursing and for the last twenty-five years as a consultant. She is a past Director and Vice-President of the Oregon Health Care Association and has served as President of the Oregon Long-Term Nurses Association.  She has been serving as a member of the American Healthcare Association (AHCA) Quality Improvement Committee since 2003.  She has served as a Master Examiner on the Board of Examiners for the AHCA’s Quality Improvement Award, an award granted to the top performing facilities in the Nation. Demi is known as a dynamic and interesting presenter. Her thorough knowledge of the regulations combined with her extensive hands-on experience provide for practical, everyday solutions to the challenges facing the care giver and facility. She has taught workshops nationally and internationally on a variety of subjects pertinent to Long-Term and Community Based Care, has authored numerous policy and procedure manuals, and has published articles in Provider Magazine.  She has been a guest speaker for State and National healthcare organizations, and is a Trainer with the AHCA Leadership Excellence Program as well as one of the designers of that program; and the AHCA Train the Trainer program. Her depth of knowledge, breadth of experience and her communication skills have made her a sought after  resource and advocate for facilities facing regulatory disputes, as well as for expert review and testimony for attorneys facing litigation in the Pacific Northwest and nationwide.

Senior Consultant

Annie Andruszko, RN, WCC has made long-term care her profession since 1972, working her way up from CNA, to Charge Nurse and then for six years as a Director of Nursing. Annie has experience as a Resident Care Manager and also with infection control and staff development. She has been with Haffenreffer & Associates, Inc., since 1996 as consultant and instructor.  Her special interest is skin care especially prevention and treatment of pressure ulcers and is Wound Care Certified.