David Groch-Tochman

• Conduct RCFE professional development seminars, specializing in dementia care training.
• Also conduct community education and community outreach presentations for Alzheimer’s Association.
• Consult with multidisciplinary subject matter experts and curriculum developers to update and refresh course content.

Instructor/ Trainer provided training and education for Assisted Living employees and for Administrator Licensure

• 60 Bed Post Acute /ECU, reviewed systems for regulatory compliance; developed action plans to reconstruct Skilled Nursing processes and system working to compliance process.
• Re-establish QAPI program and process.
• Reduced agency usage for CNA.’s to zero with a 20 percent reduction of Licensed Nursing usage.
• Re-established RNA and Resident Activity plan.

• Operations and oversight of 142 bed skilled nursing facility.

• 99 BED SNF, manage daily operations along with mitigation of designated COVID-19 facility.
• Took facility to Go Green Plan to close COVID Unit.
• Assumed an mitigated POC for infection control due to COVID; completed to satisfaction of Local Department of Health.

• Promoted, Review and negotiate business contracts, Oversight of project to re-establish Transitional Care Unit at Acute hospital.
• Review, and develop policies and procedures for merged management of TCU/TCC.
• Survey Management for recertification for State and CMS credentialing.
• Reopened unit with ZERO deficiencies / CMS approved as provider.

• Promoted to Regional Director of Business Development, responsible for building and maintaining established relationships with physicians, HMOs, community providers, oversight of marketing plans for 10 facilities, managed markets, along with coaching and developing strategies with admissions staff.
• Developed business strategies to expand market presence in regional healthcare sectors.
• Led cross-functional teams to enhance collaboration and streamline operations across departments.

• 58-bed SNF, managed daily operations, review systems and updated, stabilized the staffing and census for the facility.

• 99-bed SNF. Managed daily operations, quality of care, resident satisfaction program, corporate finance, accounts receivable, and other key functions.
• Oversaw annual quality and staffing reviews sent to CMS (Centers for Medicare and Medicaid Services).
• Administered high-volume HMO contracts with Kaiser Permanente.
• Improved quality of life at facility, from interior décor to activity and exercise programs available to residents.
• Upgraded staff safety training.

• 128-bed SNF and Rehabilitation Center. Managed operations, staffing, staff training, marketing, quality assurance, regulatory compliance, finance, vendor relations, and other key functions.
• Assisted owner with troubleshooting operations of another newly acquired and underperforming facility.
• Supported internal teamwork and external relations with local community, physicians, and DHS.
• Introduced pet therapy program and pet park.

• 120-bed SNF. Managed daily operations. Maintained excellent survey results while stabilizing staffing and reducing overtime costs.
• Reorganized safety program. Developed systems to improve communication with patients’ families, reducing incidents and issues.

• 99-bed SNF, including a 24-bed Medi-Cal certified subacute facility. Worked to optimize patient census, stabilize staffing, and increase profitability.
• Developed marketing plans to increase patient census, and cultivate new referral sources for long-term subacute patients.

• Led 98-bed SNF to 93% occupancy, including 12% Skilled Services patients.
• Improved reimbursement for skilled services by accurately analyzing MDS and ADL scores for RUG (Resource Utilization Group) classification.
• Maintained the quality of patient care and the patient census for four months with no Director of Nursing in place.
• Led facility to complete 2 surveys with no deficiencies rated above D.
• Reduced average collections to fewer than 30 days.

• Led an 81-bed skilled nursing facility through JCAHO accreditation, remodeling, and improvements to systems and census.
• Developed an employee recognition program that has been adopted by other facilities and used for over 10 years.

• Oversaw regulatory compliance and quality assurance at two nursing facilities.
• AAHSA Convention speaker/presenter on HIV and long-term care.

• Set the State of California record for injury-free days (950).
• Led the entire corporation to achieve the lowest 5-year turnover rate (less than 10%).
• Created a new profit center for the facility by establishing a Medicare-certified service program.