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37 years of hands-on skilled nursing facility experience.
Leveraging 37 years of Long-Term Care nursing infrastructure to eliminate the frantic signature chase, secure total compliance, and protect clinical integrity—without burning out your team.
Using her proprietary 6-Step MDS Auditing Method, Maria Messina evaluates facility-wide clinical systems to identify critical compliance gaps, documentation leakage, and structural vulnerabilities. By bridging the gap between bedside charting and accurate MDS coding, Maria helps nursing home leadership eliminate operational drift, minimize ADR risks, and build the sustainable, stress-free workflows clinical teams need to maintain total compliance integrity.
I work with skilled nursing facilities, MDS coordinators, directors of nursing, assistant DONs, administrators, and regional leaders who want stronger systems, fewer surprises on survey, and less stress around reimbursement.
The Efficient MDS Resource Guide is a practical starting point for teams who want more structure and support around their MDS process. It brings together tools and training that you can start using right away.
Ready for more support with your MDS work
**Stay Informed!**
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