Tammy Starion
Expert Witness | Skilled Nursing & Healthcare Administration
Professional Overview
Tammy Starion is a dual-credentialed Registered Nurse (RN) and Licensed Nursing Home Administrator (LNHA) with over a decade of executive leadership and clinical experience. Specializing in CMS Five-Star rated Skilled Nursing Facilities (SNFs), she possesses a rare, comprehensive understanding of both the administrative and bedside elements of long-term care. Her background bridges acute clinical knowledge with rigorous facility management, making her an authoritative voice on the standard of care and regulatory compliance in senior care settings.
Areas of Expertise
Nursing Home Administration: SNF operations, policy implementation, and facility management.
Regulatory Compliance: CMS guidelines, state/federal surveys, and standard of care adherence.
Clinical Leadership: Quality improvement initiatives, staff training, and clinical oversight.
Crisis Management & Infection Control: Deep operational experience navigating the COVID-19 pandemic, implementing strict infection control protocols, and ensuring resident/staff safety.
High-Acuity Care: Foundational clinical background in Acute Care and Intensive Care Unit (ICU) environments.
Litigation Support Services
Ms. Starion’s comprehensive vantage point—from the ICU to the administrator's office—uniquely positions her to evaluate complex medical-legal cases. She provides case reviews, consulting, and expert witness testimony for matters involving nursing home administration, clinical negligence, regulatory compliance, crisis management, and quality of care in the senior care sector.
- Elder Abuse
- Legal Nurse Consultant
- Long Term Care
- Managed Care & HMOs
- Medical Billing
- Medical Fraud
- Medical Records
- Nursing
- Nursing Homes
- Wound Care/Pressure Sores
- Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
- A: Degrees:
- M.S. of Nursing, Endicott College (Salem, MA), 2017.
- B.S. Nursing, Salem State College (Salem, MA).
Licenses & Certifications:
- Registered Nurse (RN).Licensed Nursing Home Administrator, Massachusetts.
- Wound Certified Nurse Specialist / Certified Wound Care RN.
- Current Basic Life Support (BLS) Certifications. - Q: On how many occasions have you been retained as an expert?
- A: 10+
- Q: For what area(s) of expertise have you been retained as an expert?
- A: - Wound Care Clinical Standards: Providing specialized clinical insights as a Certified Wound Care RN / Wound Certified Nurse Specialist.
- Skilled Nursing Facility (SNF) Operations & Administration: Evaluating the standard of care and managing 24/7 clinical operations within CMS Five-Star facilities.
- Regulatory Compliance & Standard of Care: Assessing adherence to Department of Public Health (DPH) standards , OSHA regulations , CARF certifications , and Joint Commission Accreditation requirements.
- Infection Control & Pandemic Response: Reviewing facility protocols, specifically regarding direct leadership and infection control practices during the COVID-19 pandemic in large-scale settings.
- Facility Surveys & Deficiencies: Consulting on state DPH survey management, compliance standards, and the processes behind achieving deficiency-free surveys.
- Policy & Procedure Development: Analyzing the adequacy of facility policies and procedures, particularly how they are written, evaluated, and adapted under changing DPH/CARF guidelines.
- Nursing Leadership & Staffing: Evaluating the management, scheduling, hiring, and training of large nursing and ancillary teams (e.g., staffs of up to 150 employees).
- Q: In what percentage of your cases were you retained by the plaintiff?
- A: 50%
- Q: In what percentage of your cases were you retained by the defendant?
- A: 50%
- Q: On how many occasions have you had your deposition taken?
- A: 5
- Q: When was the last time you had your deposition taken?
- A: 2025
- Q: On how many occasions have you been qualified by a court to give expert testimony?
- A: 2+
- Q: For how many years have you worked with the legal industry as an expert?
- A: 5
- Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
- A: - Expert Testimony
- Expert Witness
- Expert Consulting
- Certification & Affidavit of Merit Reviews - Q: What is your hourly rate to consult with an attorney?
- A: Please contact for fee schedule.
- Q: What is your hourly rate to review documents?
- A: Please contact for fee schedule.
- Q: What is your hourly rate to provide deposition testimony?
- A: Please contact for fee schedule.
- Q: What is your hourly rate to provide testimony at trial?
- A: Please contact for fee schedule.
- Q: Please list any fees other than those stated above (E.g.: travel expenses, copy fees, etc.)
- A: Please contact for fee schedule.
Available Upon Request