Who We Are
Defining Quality in Healthcare
CMS Compliance Group, Inc. — known throughout the industry as CMSCG — is an interdisciplinary regulatory compliance and quality improvement consulting firm with extensive experience serving post-acute and long-term care providers. Founded on the principle that quality and compliance are inseparable, CMSCG has built a reputation for doing the hard work that matters most: finding what others miss, fixing what others can't, and building the systems that keep organizations operating at the highest standards — not just on survey day, but every day.
CMSCG has an established reputation for rapidly addressing and successfully resolving the most serious compliance issues that arise in post-acute and long-term care — from Immediate Jeopardies and directed Plans of Correction to comprehensive compliance program overhauls and ongoing quality monitoring across every department and discipline.
A note on our name: CMS Compliance Group, Inc. has no affiliation with the Centers for Medicare & Medicaid Services. Our name reflects our deep expertise in the regulatory standards that govern post-acute and long-term care — the same standards our clients are held to every day.
Who We Serve
Post-Acute & Long-Term Care Across the Continuum
CMSCG's interdisciplinary team brings the same depth of regulatory expertise and hands-on consulting approach to every provider type we serve — from skilled nursing facilities and assisted living communities to veterans care settings, home health agencies, and specialty providers.
Skilled Nursing Facilities
Assisted Living
Home Health Agencies
State Veterans Homes
VA Community Living Centers
Private Equity Operators
Adult Day Programs
Hospice Providers
The CMSCG Difference
What Makes CMSCG Different
There is no shortage of compliance consultants in post-acute care. What is rare is a firm that combines the breadth to cover every department, the depth to go beyond surface-level recommendations, and the hands-on approach that actually moves organizations from identified problems to sustained solutions. That is what CMSCG has built — and what distinguishes our work from the rest of the field.
We find what others miss
CMSCG's consultants approach every engagement the way a surveyor does — not the way a checklist does. We walk buildings, conduct interviews, review records, observe care, and assess every department with the same rigor and the same eye that state and federal surveyors bring. The result is a complete picture of compliance risk, not a partial one. When our clients ask us what a surveyor would find, we tell them — because we already looked.
We fix the system, not just the symptom
A finding without a fix is just a list of problems. CMSCG works directly with administration and staff to develop and implement corrective actions that address the root cause of identified issues — not just the surface presentation. We build the systems, the protocols, and the accountability structures that prevent problems from recurring. Our objective is not to help organizations pass their next survey. It's to help them not need us for the one after that.
We cover every department with dedicated expertise
Most consulting firms send one person to cover everything. CMSCG provides dedicated, discipline-specific consultants in every area — clinical nursing, dietary and food service, environmental and life safety, social services, behavioral health, operations, and more. Each consultant brings deep expertise in their specific discipline, which means findings are grounded in genuine knowledge of what surveyors look for in each department — not generalist observations stretched across an entire building.
We are active practitioners, not retired ones
CMSCG's consultants are working with post-acute and long-term care providers every week of the year. That continuous, active engagement with the regulatory environment — current survey trends, emerging citation patterns, new guidance from CMS — means our clients benefit from knowledge that is current, not historical. The post-acute regulatory landscape changes constantly. Our consultants change with it.
We work exclusively on behalf of providers
CMSCG works exclusively on the provider's side — in compliance consulting, in quality improvement, and in legal engagements. We do not work for plaintiffs. We do not work for regulatory agencies. Every engagement, every recommendation, and every finding is developed in the interest of the provider organization and the residents and patients they serve. That clarity of purpose shapes everything we do.
Quality is not an outcome for us — it is the approach
In post-acute and long-term care, quality is not a metric to be managed or a score to be improved. It is the standard by which care is delivered to the people who depend on these organizations most. CMSCG was founded on the belief that genuine, sustained compliance is only achievable through a genuine, sustained commitment to quality — and that the two are not separate goals. That belief is reflected in every engagement we take on and every recommendation we make.
On Quality
In this industry, quality is not a buzzword. It is the measure by which a nursing home is judged, the standard by which a surveyor evaluates care, and the outcome that determines whether a resident is safe, comfortable, and treated with dignity. CMSCG was built around quality — not as a marketing position, but as a professional standard. It is in our name, in our tagline, and in the way we approach every engagement. Defining Quality in Healthcare is not a slogan. It is a commitment.
That commitment is why organizations trust CMSCG with their most difficult compliance challenges — and why so many of them have been with us for years.
Reach out today and let’s get started
Whether your organization needs another set of hands to assist with quality initiatives or an unbiased outside perspective to assess where a potential problem exists — CMSCG has a solution.
Urgent compliance concern? Call us directly: (631) 692-4422
Our Team of Experts
Linda Elizaitis, RN, BS, RAC-CT, CDS
Brandie Elizaitis, MS, LNHA, CDP, QCP
Mary Quinn, RN, BSN, MA
Harlan Ragay, RN, MSN
Dorette Smith, RN, MHA
Lindy Jalbuena, RN, BSN
James Houle
David W. Ericsson
Danielle Nichtern, MA, RD, CDN
Kelly Hellberg MS, RD, CDN
Denise Howard, RN, MS
Debra Labella, RN, BS
President
Linda Elizaitis, RN, BS, RAC-CT, CDS
Linda Elizaitis, RN, BS, RAC-CT, CDS, is President of CMS Compliance Group, the regulatory compliance consulting firm that she founded to work owners and operators of post-acute, long term care, assisted living, home health, adult day and other providers. Linda oversees survey-related compliance issues for clients, including systems correction/enhancement related to immediate jeopardy citations, Directed plans of correction, Directed InService, Informal Dispute resolution (IDR) preparation and Independent Informal Dispute resolution (IIDR) preparation. She assists with plan of correction development and implementation, conducts regulatory compliance reviews, and works with clients to develop new programs or enhance existing ones.
Linda’s extensive hands-on experience includes the opening and relocation of post-acute facilities, medical record reviews for litigation, adult day program compliance, risk management program development, pressure ulcer prevention, and compliance reviews for assisted living, adult day care and home health care programs. Linda speaks regularly on key compliance issues including survey preparation, including for Long Term Living and McKnight’s “Super Tuesdays.” She is a repeat educator for New York State Health Facilities Association Foundation for Quality Care Nurse and has spoken for key industry organizations including LeadingAge, the Pennsylvania Healthcare Association (PHCA), Healthcare Association of New Jersey (HCANJ), and the American Association of Legal Nurse Consultants. Linda has been published in Provider, HCPro PPS Alert, ADVANCE for Long Term Care Management, About.com Assisted Living and Wayfair.
Prior to forming CMS Compliance Group, Linda was Vice President of Associated Geriatric Information Network, Inc. (AGIN, Inc.). Linda’s nursing background includes serving as a long-term care Director of Nursing, and prior to that as a surgical ICU Head Nurse. Linda is a Distinguished Graduate of St. Joseph’s College, where she received her Bachelor of Science in Health Administration, and is a graduate of the Sewickley Valley Hospital of Nursing.
Director of Operations
Brandie Elizaitis, MS, LNHA, CDP, QCP
Brandie Elizaitis, MS, LNHA, CDP, CMDCP, QCP is Director of Operations and a Consultant for CMS Compliance Group, Inc. For nearly 15 years, Brandie has been responsible for overseeing CMSCG’s data-driven research, developing education and training content on compliance and quality improvement, and managing the firm’s day-to-day operations. In her role as a consultant, Brandie works with CMSCG clients on special projects including initiatives related to Behavioral Health, Dementia Care, and Quality Assurance, and participates in CMSCG Mock Surveys across multiple disciplines.
Brandie brings a perspective to post-acute compliance that few consultants in this space can offer. Prior to joining CMSCG, she served as Director of Marketing at Gravitas, a technology and risk management firm serving hedge funds and institutional investors that was subsequently acquired by Linedata. During her tenure at CMSCG, Brandie was engaged by Convergence, Inc. — a data analytics and advisory platform serving the alternative investment industry, founded by executives from Apollo Global Management, JPMorgan, and KPMG — to assist with the firm’s startup operations, drawing on the relationships and expertise she had built during her time at Gravitas. That breadth of experience across alternative investments, institutional risk management, and post-acute compliance gives Brandie a distinctive lens on the challenges facing private equity operators in the SNF space, where regulatory exposure carries direct consequences for portfolio value and investor returns.
Brandie is a Licensed Nursing Home Administrator in New York, a Certified Dementia Practitioner (CDP) by the National Council of Certified Dementia Practitioners, a Certified Montessori Dementia Care Professional (CMDCP) by the International Council of Certified Dementia Practitioners, and an AAPACN QAPI Certified Professional (QCP). Brandie earned a Master of Science in Dementia & Aging Studies from Texas State University with a concentration in Long-Term Care Administration, and holds a Bachelor of Science in Forensic Psychology with a concentration in Law from John Jay College of Criminal Justice.
Consultant
Mary Quinn, RN, BSN, MA
Mary Quinn RN, BSN, MA, brings over thirty years of healthcare experience to CMSCG, in the areas of quality improvement, clinical program development and staff education. She works with CMS Compliance Group clients on Quality Measure improvement strategies including those related to infection control, pain management, pressure ulcer prevention & treatment, and falls prevention.
Prior to joining CMS Compliance Group, Mary worked as an Assistant Director of Nursing, Quality Assurance Coordinator, Staff Development Director and Infection Control Coordinator in long term and post-acute rehabilitative settings. Mary holds a Master of Arts in Community Health Education from Adelphi University and graduated Cum Laude with a Bachelor of Science from Hunter College-Bellevue School of Nursing.
Consultant
Harlan Ragay, RN, MSN
Harlan Ragay RN, MSN, has nearly 20 years of extensive sub-acute and long-term care experience. He works with CMSCG’s clients on staff clinical competence reviews, Quality Assurance and Performance Improvement (QAPI) for pressure ulcers, falls, and incidents/accidents. He conducts electronic health record reviews, clinical reviews, and ensures clients are in compliance with federal and State regulations.
Prior to joining CMS Compliance Group, Harlan was the Director of Nursing at Amsterdam Nursing Home in New York City. Also, Harlan was the Associate Director of Nursing for Quality Management and Director of Transitional Care in long-term care facilities in Manhattan. His previous experience includes sub-acute rehabilitation, nursing rehabilitation, and Electronic Medical Record (EMR) implementation. He pioneered the implementation of SmartED at Amsterdam Nursing Home—a program that reduces hospital readmissions. This innovation was recognized by Leading Age New York as the 2014 Innovation of the Year. A member of the National Association Directors of Nursing Administration/Long Term Care (NADONALTC), Harlan completed his graduate studies in Nursing Administration at New York University.
Consultant
Dorette Smith, RN, MHA
Dorette Smith, RN, MHA is a Clinical Consultant with CMS Compliance Group, Inc. As a consultant at CMSCG, Dorette is responsible for various quality assurance initiatives, including auditing, training and education of clinical staff. She participates in CMSCG Mock Surveys and works with clients to implement corrective actions for identified issues to improve quality. Dorette has over two decades of nursing experience, including as a skilled nursing facility Assistant Director of Nursing and Interim Director of Nursing. Dorette also received an AMDA Foundation Quality Improvement and Health Care Award in 2014 for, “Skilled Nursing Facility: The New Med-Surg: An Integrated Approach in Reducing Hospitalization through Value Based Health Care.” She has a Master of Science in Healthcare Administration from Colorado State University.
Consultant
Lindy Jalbuena, RN, BSN
Lindy Jalbuena, RN, BSN is a Clinical Consultant with CMS Compliance Group, Inc. She works with CMSCG’s nursing home clients to assist them with quality monitoring and improvement and survey readiness. She conducts clinical reviews and helps ensure clients are in compliance with State and federal regulatory requirements. Lindy was previously a Director of Nursing at a skilled nursing facility and has also served as ADON, and Quality Assurance Coordinator. She received her Bachelor of Science in Nursing from Sacred Heart College and is a Registered Professional Nurse in New York and California.
Consultant
James Houle
James Houle is a Life Safety Consultant for CMS Compliance Group. He brings nearly 20 years of Life Safety consulting experience to CMSCG, and specializes in Life Safety and health code inspections for skilled nursing facilities, assisted living and adult day programs. James also works with clients regarding fire safety, including training and conducting drills and assists with records and logs implementation and review. He has assisted in the development of Policy & Procedure Manuals for individual providers. He has experience as Deputy Fire Marshal in Southbury, CT and was a member of the Southbury Police for 29 years. James attended the University of New Haven.
Consultant
David W. Ericsson
David Ericsson is a Maintenance Engineering/ Fire Safety consultant for CMS Compliance Group. He specializes in Standards of Construction and facility inspections to ensure compliance with all current Codes, rules and regulations. In addition to these areas, David performs records and logs reviews for CMSCG clients, and provides consulting services related to preventative maintenance program development, electrical safety and fire safety. David has been a Fire Safety Consultant to skilled nursing facilities, assisted living facilities and adult day programs. He has experience working as an electrician, HVAC technician and Deputy Fire Marshal. David is a United States Marine, where he served at Camp David as part of President Nixon’s security detail and earned the rank of Sergeant.
Consultant
Danielle Nichtern, MA, RD, CDN
Danielle Nichtern MA, RD, CDN is a Dietary Consultant with CMS Compliance Group. She works with CMSCG to perform mock surveys and audits for regulatory compliance of all dietary operations and clinical dietetic documentation. She assists clients with staff training, care planning, development of auditing tools, menu building or revisions, kitchen audits, and clinical nutrition compliance.
Danielle holds a Bachelor of Science in Nutritional Sciences from Pennsylvania State University and a Master of Arts in Nutrition education from Immaculata University. She has a decade of experience in the nutritional field as a Registered Dietitian. Her earlier managerial roles such as Lead Clinical Dietitian and Food Service Director in nursing homes and STR facilities have led to a specific focus on Geriatric Nutrition with expertise in quality assurance monitoring and staff training.
Consultant
Kelly Hellberg MS, RD, CDN
Kelly Hellberg, MS, RD, CDN, is a Dietary Consultant with CMS Compliance Group, working with the firm’s nursing facility clients. Kelly assists facilities with preparation for and assistance during recertification surveys and performs Quality Assurance auditing of dietary and kitchen policies and procedures and clinical care/documentation. She provides directional guidance to facility staff for QA monitoring and develops audit tools for use by facilities for self-monitoring to ensure practices are consistent with acceptable standards of practice. Her post-acute and long term care experience includes working as Director of Food and Nutrition and Chief Clinical Dietitian at nursing facilities. Kelly holds a Master of Science in Nutrition and Exercise and a Bachelor of Arts, Food, Nutrition and Exercise from City University of New York, Queens College. She is a member of the American Dietetic Association, LIDA and Phi Epsilon Omicron.
Consultant
Denise Howard, RN, MS
Denise Howard, RN, MS is a clinical consultant for CMS Compliance Group, working with the firm’s long term care and assisted living clients and is also a Legal Nurse Consultant. She has more than 30 years of health care experience, with a core focus on long-term care, sub-acute care, short-term rehab and assisted living. Previously she was Vice President of Clinical Services for a premier network manager of SNFs, specializing in providing sub-acute/short term care in New York and California.
Consultant
Debra Labella, RN, BS
Debra Labella, RN, BS, assists CMSCG clients with education and monitoring related to corporate compliance agreements and conducts ongoing quality-improvement activities, including survey preparedness in post-acute/ long-term care facilities. She conducts clinical monitoring and provides education for CMS Compliance Group clients, develops and implements policies, procedures and protocols, and has significant experience working with ventilator/respiratory specialty units.
Debra has spoken for the New York State Health Facilities Association (NYSHFA) and regularly provides education and training to Nurses and CNAs. Before joining CMS Compliance Group, Debra was a Senior Consultant at AGIN Inc. She has more than 35 years of experience in nursing leadership, having worked as a nurse and nursing supervisor in multiple healthcare settings. She has worked as Director of Nursing, Assistant Director of Nursing, and Director of Staff Development, MDS Coordinator and Nurse Aide Trainer in long-term care and sub-acute settings and as a staff and charge nurse in a hospital. Debra holds a Bachelor of Science in Nursing from Fairleigh Dickinson University.