Danielle Gamble

• Developed individualized care plans for residents to ensure tailored support and improved resident outcomes.
• Led and managed the restorative nursing program to maintain and improve residents’ functional abilities in alignment with individualized Plans of Care and interdisciplinary goals. • Serves as a clinical and regulatory lead during state surveys conducted by the Illinois Department of Public Health (IDPH), including active participation in survey preparation, onsite survey support, and post-survey follow-up. • Monitored and implemented Plans of Correction (POCs) in response to IDPH survey findings, ensuring timely completion and sustained compliance with regulatory standards. • Demonstrated working knowledge of Illinois survey tags, including F-Tags and G-Tags, and applied corrective strategies to address identified deficiencies through staff re-education, policy updates, and performance monitoring. • Interpreted and applied regulatory guidance from the Centers for Medicare & Medicaid Services (CMS) to support facility compliance and quality improvement initiatives. • Utilized the CMS RAI Manual to ensure accurate implementation of assessment requirements and regulatory expectations for restorative nursing services. • Collaborated closely with MDS, therapy, nursing leadership, and interdisciplinary team members to ensure restorative programs were appropriately reflected in care plans and regulatory documentation. • Identified fall trends and implemented corrective actions to improve facility quality assurance and reduce incident rates.

• Led restorative nursing programs for post-acute and long‑term care residents, improving mobility, ADL independence, and fall prevention program.
• Conducted gait, balance, and transfer evaluations; trained residents on safe ambulation with assistive devices (walkers, canes, wheelchairs) to decrease near-fall incidents.
• Collaborated with PT/OT/speech and interdisciplinary teams to align restorative goals, achieving progression of residents from contact guard to supervision/independent levels.
• Developed and delivered staff education on safe patient handling, Hoyer/sit‑to‑stand lift use, and non-skid footwear compliance, increasing adherence to fall-prevention policies.
• Utilized evidence-based interventions (low beds, floor mats, environmental modifications, lighting optimization) tailored to cognitive status and behaviors.
• Monitored orthostatic vitals and medication profiles (sedatives, antihypertensives) to reduce dizziness and polypharmacy-related fall risks; escalated to providers for deprescribing when indicated.
• Documented restorative sessions and fall-prevention measures in EHR (e.g., PointClickCare), ensuring accurate care plans, progress notes, and compliance with CMS F‑tags.
• Analyzed incident reports and trended fall data; facilitated post-fall huddles and root cause analyses to identify gaps and implement preventive measures.
• Reinforced hip-protector and protective equipment use for high-risk residents.
• Coordinated family/caregiver education on home safety, transfer techniques, and hazard reduction to support safe discharge and reduce readmissions.
• Achieved 6 consecutive months without an injury from fall on the Dementia unit ; recognized by leadership for patient safety outcomes.
• Maintained competency in de-escalation, dementia-informed care, and delirium screening to reduce agitation-related falls.
• Ensured timely completion of MDS sections related to restorative nursing and falls, supporting accurate reimbursement and quality reporting.

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• Assisted the Director of Nursing in overseeing daily clinical operations for a long-term care facility, ensuring compliance with federal, state, and facility regulations.
• Supported infection prevention and control initiatives, including surveillance, staff education, outbreak response, and regulatory compliance during the COVID-19 public health emergency.
• Monitored quality measures and clinical outcomes, ensuring regulatory compliance through routine audits, corrective action plans, and interdisciplinary collaboration.
• Participated in Case Mix Index (CMI) meetings to optimize reimbursement through accurate clinical documentation and resident assessments.
• Collaborated with the interdisciplinary team to develop and monitor restorative nursing programs, supporting resident function while maximizing reimbursement opportunities.
• Supervised and mentored nursing staff, enhancing quality resident care and supporting regulatory compliance and professional development.
• Collaborated with physicians, therapy, pharmacy, and interdisciplinary team members to improve resident outcomes and maintain person-centered care.

• Managed care for members recovering from acute illnesses and hospitalizations by coordinating post-discharge services and supporting safe transitions across the continuum of care, promoting recovery and reducing readmissions.
• Coordinated comprehensive case management services, including medication reconciliation, specialty referrals, physician appointments, diagnostic testing, and surgical scheduling, ensuring seamless continuity of care.
• Monitored members' clinical progress, treatment adherence, and healthcare utilization, identifying barriers to care and facilitating targeted interventions to enhance health outcomes.
• Collaborated with physicians, interdisciplinary care teams, and community providers to develop and implement individualized, evidence-based care plans that improved member health outcomes.
• Educated members, families, and caregivers on diagnoses, treatment plans, medications, potential side effects, and available community resources to promote informed decision-making and self-management.
• Maintained accurate, timely documentation and collaborated with internal and external stakeholders to ensure compliance with regulatory requirements, quality standards, and organizational care management goals.