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Nationally known consultant, author and educator of long term care professionals. 


Demi Haffenreffer RN, MBA

Consultation and Education

to Long Term Care Professionals

Since 1979

Accuracy ⋅ Precision ⋅ Efficiency
Zero in on the relevant facts. Cite the relevant laws, regulations, standards and enforcement practices. Cut through the noise to assess the situation and the way forward. 
Expert Review & Testimony

Has worked with over 150 law firms reviewing discovery and providing risk assessment and testimony. In addition to her depth of knowledge and record of success, Demi is respected as a clear thinker, great communicator, a superb team member and a worthy adversary.


Quality Assurance and Performance Improvement

Demi helped write the book on QAPI, co-creating and co-authoring the manual on the ground breaking approach to quality in long term care that remains the national standard. Teaching QA classes and workshops nationally for over 20 years. Previous Master Examiner

For the American Health Care Association’s national Quality Award program.


Ongoing trainings include MDS, Nursing Management, Role of the Nurse in CBC’s, and ALF/RCF Administrator Training.

Click here for classes.


Post Survey Analysis, Plan of Correction, Action Plan and Informal Disputes

Guided over 400 facilities back into regulatory compliance. 

Remote Medical Record Review

Survey, reimbursement and public reporting issues. Based on MDS requirements and CASPER Reports. Point Click Care, Matrix, Eldermark, Yardi and Epic.

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