For Attorneys & Risk Management Organizations
Long-term care clinical record review and litigation support
Medical record review, chronologies, written nursing opinions, and consultation for skilled nursing and long-term care matters. Experience supporting plaintiff and defense attorneys, including depositions as a retained nursing expert.
Clinical record analysis
Review of nursing home records, care documentation, timelines, staffing context, policy/practice issues, and clinical-system factors where appropriate under the engagement scope.
Standard-of-care support
Experience-informed nursing and long-term care perspective for questions involving resident care, documentation, clinical operations, and regulatory expectations.
Expert deposition experience
Jennifer Ledom has given depositions as a retained nursing expert. Expert support is considered individually based on qualifications, conflicts review, engagement terms, and the needs of the matter.
What matters can I help with?
I assist attorneys with matters involving skilled nursing and long-term care facilities. My background combines litigation-related record review with firsthand experience in nursing leadership, facility administration, regulatory compliance, and risk management.
Relevant clinical experience includes falls, skin integrity, weight loss, pain management, psychotropic medication use, care planning, and facility oversight. I have supported both plaintiff and defense attorneys.
What will you receive?
Depending on the assignment, deliverables may include:
- Medical record review and a chronology of care.
- Written findings and professional nursing opinions.
- Consultation explaining clinical documentation and nursing facility operations.
- Review of care, policies, and regulatory issues relevant to the matter.
- For risk management organizations, facility assessments and recommendations informed by records, quality assurance materials, and onsite observations.
Experience behind the review
I understand nursing facility records in the context of how facilities actually operate. My background includes serving as a Director of Nursing, a skilled nursing facility Administrator, a Corporate Quality Assurance Nurse supporting 10 facilities, and a Risk Management Consultant.
In my prior risk management role, I was directly involved with approximately 105 nursing homes representing more than 9,500 beds. That work included litigation-related chart review, investigation, opinions for attorneys, and facility risk assessments for insurance companies.
About Jennifer Ledom
Jennifer Ledom is the owner of The Nurse Consultant LLC, specializing in skilled nursing and long-term care consulting. Her background spans nursing leadership, facility administration, corporate quality assurance, and risk management. She has supported plaintiff and defense attorneys through medical record review, chronologies, written reports, and consultation, and has given depositions as a retained nursing expert. Her prior work also includes evaluating nursing facility risk for insurance companies and helping facilities address survey findings and strengthen clinical systems. Jennifer brings practical knowledge of resident care, documentation, and facility operations to each engagement.
Appropriate inquiry types
- General request for long-term care clinical record review.
- Standard-of-care review inquiry.
- Facility documentation or timeline review support.
- Litigation-support inquiry from an attorney or authorized professional representative.
Service limitations
The Nurse Consultant does not provide legal advice and does not guarantee litigation outcomes, survey outcomes, regulatory decisions, or clinical outcomes. Legal teams and facilities remain responsible for legal strategy, filings, regulatory submissions, and case-specific decisions.