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Nursing Home Litigation Strategies: Leveraging Documentation and Deposition Tactics for Both Plaintiffs and Defense

Comprehensive strategies for nursing home litigation, covering critical documentation analysis, effective deposition tactics, and expert witness utilization.

2025-09-04 13:00:00

Program Details

2025-09-04 13:00:00

Program Details

2025-09-04 13:00:00

Over 1,000+ webinars

2025-09-04 13:00:00

Course Overview

Mastering Nursing Home Litigation Documentation Strategies

2025-09-04 13:00:00

Participants will learn to leverage MDS assessments, state surveys, and facility policies to build compelling nursing home cases. These skills strengthen deposition preparation and expert witness coordination for both plaintiff and defense attorneys.

Format

CLE Credit

2h CLE Credits

Level

Intermediate

Length

2

Key topics that will be covered

01
Core Documentation
Documentation establishes standards, reveals facility operations, and determines case success or failure.
02
OBRA Regulations
Federal legislation transformed nursing homes to outcome-oriented care focused on resident rights.
03
MDS Assessments
Standardized assessment tools form the basis for individualized care plans and reimbursement.
04
Survey Findings
State inspections evaluate compliance with federal standards using scope and severity ratings.
05
Deposition Strategies
Plaintiff and defense attorneys use different approaches when deposing nursing staff and directors.
06
Expert Witnesses
Experts interpret clinical records and translate complex documentation into jury-ready insights.

Program schedule

clock 1:00 pm - 1:30 pm EST

Core Documentation Types in Nursing Home Litigation

This session explores the critical external and internal documentation that forms the foundation of nursing home cases. Participants will learn about OBRA 1987 regulations, MDS assessments, state survey findings, and facility policies that establish standards of care and accountability.

Steven C. SmythSteven C. Smyth
Julie A. HerzlichJulie A. Herzlich
Kelly MoteiroKelly Moteiro
clock 1:30 pm - 2:00 pm EST

Deposition Strategies and Effective Witness Preparation Techniques

Attorneys will gain practical strategies for deposing nursing staff, directors of nursing, and corporate representatives from both plaintiff and defense perspectives. The session covers how to leverage documentation gaps, prepare witnesses for cross-examination, and craft effective questions that advance case theory.

Steven C. SmythSteven C. Smyth
Julie A. HerzlichJulie A. Herzlich
Kelly MoteiroKelly Moteiro
clock 2:00 pm - 2:10 pm EST

Scheduled Break for Attendees

A brief intermission allowing participants to refresh before the remaining sessions. Use this time to review notes and prepare questions for upcoming discussions.

Steven C. SmythSteven C. Smyth
Julie A. HerzlichJulie A. Herzlich
Kelly MoteiroKelly Moteiro
clock 2:10 pm - 2:40 pm EST

Using Documentation to Advance Litigation Strategy

This session demonstrates how to combine MDS assessments, survey findings, and facility policies to build compelling negligence cases or mount effective defenses. Participants will learn to identify red flags in documentation and apply practical strategies through real-world case examples.

Steven C. SmythSteven C. Smyth
Julie A. HerzlichJulie A. Herzlich
Kelly MoteiroKelly Moteiro
clock 2:40 pm - 3:10 pm EST

Expert Witnesses: Interpreting Clinical and Regulatory Records

Expert witnesses play a crucial role in translating complex clinical and regulatory documentation for juries. This session covers how experts establish or refute standard of care violations, corroborate systemic issues, and anchor testimony in facility policies and OBRA requirements.

Steven C. SmythSteven C. Smyth
Julie A. HerzlichJulie A. Herzlich
Kelly MoteiroKelly Moteiro
Steven C. Smyth

Steven C. Smyth

SCS Healthcare Consulting

Julie A. Herzlich

Julie A. Herzlich

Cohen & Blostein, P.A

Kelly Moteiro

Kelly Moteiro

Centers Healthcare

Steven C. Smyth

Steven C. Smyth

SCS Healthcare Consulting

Distinguished Licensed and Certified Nursing Home Administrator with over three decades of experience in long-term care and healthcare administration. Founder of SCS Healthcare Consulting, providing expert administrative oversight, crisis mitigation, strategic planning, and regulatory compliance support to skilled nursing facilities nationally.

Education & Credentials

Master of Arts in Health Administration from Hofstra University (1992); Bachelor of Arts in Psychology from Adelphi University (1990). Certifications include Certified Internal Forensic Healthcare Auditor (CIFHA), Certified Montessori Dementia Care Professional (CMDCP), Board-Certified Patient Advocate (BCPA), and Health Services Executive (HSE). Fellow of the American College of Health Care Administrators (FACHCA) and Fellow of the American College of Healthcare Executives (FACHE).

Recognition & Leadership

Four-time recipient of the prestigious Eli Pick Facility Leadership Award (2013, 2014, 2016, 2021). AV-rated credentials through professional achievements.

Professional Involvement

Served on the LeadingAge NY Board of Directors (2018–2024) and chaired key committees for the American College of Health Care Administrators.

Experience

Currently Administrator at East Haven Nursing and Rehabilitation Center in Bronx, NY, overseeing operations of a 200-bed skilled nursing facility. Previously held leadership roles at Saint's Joachim and Anne Nursing and Rehabilitation Center in Brooklyn where he maintained a 5-star quality measure rating and achieved excellent Department of Health survey outcome in April 2023. Also served at San Simeon by the Sound Center for Nursing and Rehabilitation in Greenport, NY. Since 2021, through Steven Smyth Expert Consulting, serves as an expert witness in nursing home litigation.
Julie A. Herzlich

Julie A. Herzlich

Cohen & Blostein, P.A

Trial attorney with over a decade of experience in complex civil litigation, focusing primarily on medical malpractice and nursing home negligence. Known for strategic preparation and ability to connect with both clients and juries.

Recognition & Leadership

AV-rated by Martindale-Hubbell® with special recognition for Judiciary. Part of the National Trial Lawyers Association.

Professional Involvement

Member of the National Trial Lawyers Association.

Experience

Over a decade of experience in complex civil litigation. Has appeared in courts throughout nearly half of Florida's counties and tried cases to verdict in several of them. Admitted to practice in Florida, Massachusetts, and Connecticut, as well as in the U.S. District Courts for the Southern and Middle Districts of Florida.
Kelly Moteiro

Kelly Moteiro

Centers Healthcare

Highly accomplished registered nurse with expertise in nursing leadership. Her implementation of patient centered care modules in skilled nursing facilities has improved patient outcomes while providing exceptional resident care.

Education & Credentials

Master's degree in nursing leadership from Stony Brook University.

Experience

For the past 19 years has held the position of Director of Nursing. Expert in government regulations, mentoring, and trained in best practices and trends in healthcare. Currently employed for Centers Healthcare in Bronx, NY as Regional Director of Clinical Services.
Steven C. Smyth

Steven C. Smyth

SCS Healthcare Consulting

Distinguished Licensed and Certified Nursing Home Administrator with over three decades of experience in long-term care and healthcare administration. Founder of SCS Healthcare Consulting, providing expert administrative oversight, crisis mitigation, strategic planning, and regulatory compliance support to skilled nursing facilities nationally.

Education & Credentials

Master of Arts in Health Administration from Hofstra University (1992); Bachelor of Arts in Psychology from Adelphi University (1990). Certifications include Certified Internal Forensic Healthcare Auditor (CIFHA), Certified Montessori Dementia Care Professional (CMDCP), Board-Certified Patient Advocate (BCPA), and Health Services Executive (HSE). Fellow of the American College of Health Care Administrators (FACHCA) and Fellow of the American College of Healthcare Executives (FACHE).

Recognition & Leadership

Four-time recipient of the prestigious Eli Pick Facility Leadership Award (2013, 2014, 2016, 2021). AV-rated credentials through professional achievements.

Professional Involvement

Served on the LeadingAge NY Board of Directors (2018–2024) and chaired key committees for the American College of Health Care Administrators.

Experience

Currently Administrator at East Haven Nursing and Rehabilitation Center in Bronx, NY, overseeing operations of a 200-bed skilled nursing facility. Previously held leadership roles at Saint's Joachim and Anne Nursing and Rehabilitation Center in Brooklyn where he maintained a 5-star quality measure rating and achieved excellent Department of Health survey outcome in April 2023. Also served at San Simeon by the Sound Center for Nursing and Rehabilitation in Greenport, NY. Since 2021, through Steven Smyth Expert Consulting, serves as an expert witness in nursing home litigation.
Julie A. Herzlich

Julie A. Herzlich

Cohen & Blostein, P.A

Trial attorney with over a decade of experience in complex civil litigation, focusing primarily on medical malpractice and nursing home negligence. Known for strategic preparation and ability to connect with both clients and juries.

Recognition & Leadership

AV-rated by Martindale-Hubbell® with special recognition for Judiciary. Part of the National Trial Lawyers Association.

Professional Involvement

Member of the National Trial Lawyers Association.

Experience

Over a decade of experience in complex civil litigation. Has appeared in courts throughout nearly half of Florida's counties and tried cases to verdict in several of them. Admitted to practice in Florida, Massachusetts, and Connecticut, as well as in the U.S. District Courts for the Southern and Middle Districts of Florida.
Kelly Moteiro

Kelly Moteiro

Centers Healthcare

Highly accomplished registered nurse with expertise in nursing leadership. Her implementation of patient centered care modules in skilled nursing facilities has improved patient outcomes while providing exceptional resident care.

Education & Credentials

Master's degree in nursing leadership from Stony Brook University.

Experience

For the past 19 years has held the position of Director of Nursing. Expert in government regulations, mentoring, and trained in best practices and trends in healthcare. Currently employed for Centers Healthcare in Bronx, NY as Regional Director of Clinical Services.

Credits by state

AK2.0
AL2.0
AR2.0
AZ2.0
CA2.0
CO2.0
CT2.0
DC2.0
DE2.0
FL2.5
GA2.0
HI2.0
IA2.0
ID2.0
IL2.0
IN2.0
KS2.0
KY2.0
LA2.0
MA2.0
MD2.0
ME2.0
MI2.0
MN2.0
MO2.4
MS2.0
MT2.0
NC2.0
ND2.0
NE2.0
NH120.0
NJ2.0
NM2.0
NV2.0
NY2.0
OH2.0
OK2.5
OR2.0
PA2.0
RI2.5
SC2.0
SD2.0
TN2.0
TX2.0
UT2.0
VA2.0
VT2.0
WA2.0
WI2.0
WV2.4
WY2.0

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Trusted by Legal Professionals

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Live stream programs

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10,000+

Trusted by Legal Professionals

1000+

Live stream programs

24/7

Access to live webinars & recordings

70,000+

Trusted by Legal Professionals

MCLE Credits

Alabama
Pending
Alaska
Approved
Arizona
Approved
Arkansas
Approved
California
Approved
Colorado
Pending
Connecticut
Approved
Delaware
Pending
District of Columbia
No Required
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Approved
Georgia
Approved
Hawaii
Approved
Idaho
Pending
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Indiana
Approved
Iowa
Pending
Kansas
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Kentucky
Pending
Louisiana
Pending
Maine
Pending
Maryland
No Required
Massachusetts
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Michigan
No Required
Minnesota
Approved
Mississippi
Pending
Missouri
Approved
Montana
Pending
Nebraska
Pending
Nevada
Approved
New Hampshire
Approved
New Jersey
Approved
New Mexico
Approved
New York
Approved
North Carolina
Pending
North Dakota
Approved
Ohio
Approved
Oklahoma
Approved
Oregon
Pending
Pennsylvania
Approved
Rhode Island
Pending
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Pending
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No Required
Tennessee
Approved
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Approved
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Pending
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Approved
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Not Eligible
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Approved
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Pending
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Approved
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Pending

Alabama

Requirements

The Alabama State Bar MCLE Commission requires attorneys to complete 12 credits, including 1 ethics, by December 31 of each year. All credits must be reported by February 15 of the following year. A maximum of 12 credits, including 1 ethics credit, may be carried over for 1 year only.  

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  • Attorneys are limited to 6 credits per compliance period of “online” programs through MyLAwCLE On-Demand programs