Teaching
Peggy Williams
Healthcare Quality Improvement
Madison,SD
Summary
Results-oriented Surveyor with expertise in long-term care surveys. Knowledgeable about applicable state and federal regulations. Excellent communication, investigation, problem-solving, and planning skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Provided analysis and education to achieve and sustain quality outcomes. Detail-oriented team player with strong organizational skills. Operated effectively in independent and team-centered roles.
Overview
39
39
years of professional experience
Work History
Health Facilities Surveyor
South Dakota Department of Health, Licensure and Certification
08.2021 - 05.2024
- Followed state and national guidelines for surveys at nursing homes and assisted living centers.
- Collected and analyzed information from observations, interviews, and documentation associated with investigation areas.
- Conducted thorough face-to-face interviews with residents, families, and employees.
- Carefully documented observations, interview statements, and evidentiary materials related to areas of regulatory noncompliance.
- Optimized resource allocation, effectively managing survey teams, delegating tasks based on individual strengths, and streamlining workflow for increased efficiency and effective communication and collaboration among team members.
- Trained and mentored new team members and leaders on survey processes and techniques, fostering a supportive work environment for continued growth.
Licensed Nursing Home Administrator
Nursing Homes
08.2014 - 09.2020
- Oversaw risk management activities by developing safety protocols and promoting a culture centered around resident well-being to minimize potential liability concerns.
- Implemented administrative oversight and direction of facility operations and finances to create a strong culture supporting a resident- and staff-centered community
- Directed and coordinated policies, programs, projects, and quality assurance and performance improvement (QAPI) activities.
- Optimized staffing models for efficient personnel scheduling that balanced employee needs with facility requirements.
- Ensured seamless transitions between shifts by effectively communicating pertinent information during daily handoff meetings among department heads.
- Served as an advocate for resident rights, addressing any concerns or grievances promptly and ensuring fair resolution.
- Facilitated ongoing staff development through comprehensive training programs, mentorship opportunities, and performance evaluations.
- Developed strong relationships with local healthcare providers, increasing referral rates and strengthening the facility''s reputation within the community.
- Ensured regulatory compliance by conducting internal audits, addressing deficiencies promptly, and maintaining up-to-date knowledge of industry standards and regulations.
- Maintained accurate documentation of all relevant information, including licensure renewals, annual surveys, and corrective action plans, to ensure ongoing compliance with state regulations.
- Handled employee write-up documentation and incident reports to actualize corrective action plans and deliver solutions.
Division Director of Cultural Enhancement
Sava Senior Care
10.2010 - 09.2011
- Worked closely with organizational leadership to guide operational strategy related to the Artifacts of Culture Change Assessment and Quality of Life Domain for Colorado's Pay for Performance (P4P) application.
- Facilitated knowledge sharing within the division by organizing and implementing an educational strategy for incorporating the abaqis tools into a continuous quality improvement program.
Health Insurance Specialist
Centers for Medicare and Medicaid Services (CMS)
04.2009 - 09.2010
- Ensured compliance with federal regulations regarding long term care services and survey procedures, diligently monitoring and recommending revisions to regulations and procedures.
- Educated state agency clients on policies and procedures.
Senior Professional Research Assistant/Subject Matter Expert
Centers For Medicare & Medicaid Services Contracts
08.2005 - 04.2015
- Collaborated with interdisciplinary teams to design innovative evaluation methodologies and techniques for the Quality Indicator Survey (QIS) process, instructional materials, and surveyor performance (compliance assessment tool and Desk Audit Reports).
- Mentored and evaluated state surveyor performance, fostering a collaborative work environment, that promoted skill development, knowledge sharing, surveyor compliance, and refinements to the surveyor training materials.
- Identified areas for improvement in existing educational materials, through critical assessment of current practices, leading to corrections in federal course materials and script/video treatments, and increased efficiencies.
- Generated reports detailing findings and recommendations.
- Improved survey process productivity and efficiency through state surveyor training and support.
Senior Health Facility Surveyor, Public Health Advisor, RAI/State Training Coordinator
South Dakota Department of Health, Licensure and Certification
05.1990 - 07.2005
- Ensured legal compliance through implementation of federal OBRA '87 regulations and national surveying guidelines for nursing homes and assisted living centers.
- Promoted a culture of continuous learning among team members by organizing training workshops and professional development opportunities and training new team members on surveying techniques.
- Maintained up-to-date knowledge of state and federal regulations, attending professional conferences and participating in continuing education courses, and serving as subject matter expert for CMS projects.
- Developed strong relationships with key stakeholders, fostering collaboration towards shared goals in improving community health outcomes.
Social Service Director
Bella Vista Nursing Center and Wesleyan Health Care
10.1985 - 01.1990
- Led a multidisciplinary team of professionals in the design and delivery of client-centered services.
- Implemented data-driven decision-making tools to track progress towards program goals and outcomes.
- Championed client-centered approach throughout organization, leading to increased satisfaction rates amongst service recipients.
Education
MS in Administrative Studies - Health Services
University of South Dakota
BA in Social Work/Sociology - undefined
Augustana College
Sioux Falls, SDSocial Worker - undefined
Nursing Home Administrator - undefined
Centers for Medicare and Medicaid Services (CMS) Basic Long Term Care (LTC) Course Faculty - undefined
Quality Indicator Survey (QIS) Master Trainer - undefined
Health Facility Surveyor - SMQT (CMS) - undefined
Skills
Active Listening
Continuous Quality Improvement
Data collection techniques (observation, interview, and document review)
Information Analysis and Decision-Making
Long Term Care regulations knowledge
Organizational Skills and Time Management
Professional Demeanor
Public Presentations
Team Collaboration and Leadership
Training and mentoring
Verbal/written communication
Continuing Education
Over 30 hours every two years since 05/1986
Interests
Music
Reading
Crafts: puzzles, art, sewing
Timeline
Health Facilities Surveyor
South Dakota Department of Health, Licensure and Certification
08.2021 - 05.2024
Licensed Nursing Home Administrator
Nursing Homes
08.2014 - 09.2020
Division Director of Cultural Enhancement
Sava Senior Care
10.2010 - 09.2011
Health Insurance Specialist
Centers for Medicare and Medicaid Services (CMS)
04.2009 - 09.2010
Senior Professional Research Assistant/Subject Matter Expert
Centers For Medicare & Medicaid Services Contracts
08.2005 - 04.2015
Senior Health Facility Surveyor, Public Health Advisor, RAI/State Training Coordinator
South Dakota Department of Health, Licensure and Certification
05.1990 - 07.2005
Social Service Director
Bella Vista Nursing Center and Wesleyan Health Care
10.1985 - 01.1990
MS in Administrative Studies - Health Services
University of South Dakota
BA in Social Work/Sociology - undefined
Augustana College