13th Annual Compliance Conference
Moving Forward Together: Leading Through Compliance, Risk, and Quality
The 13th Annual Compliance Conference brings together compliance, risk management, quality, and organizational leaders for two days of practical learning, meaningful discussion, and valuable networking designed to help you confidently navigate today’s challenges while preparing for tomorrow’s opportunities.
Conference Information
Join us October 5-7, 2026 at The Desmond Hotel Malvern | Malvern, PA
This year’s theme, Moving Forward Together: Leading Through Compliance, Risk, and Quality, reflects the importance of collaboration in building resilient organizations. Through expert-led sessions, real-world case studies, and interactive discussions, participants will gain actionable strategies to strengthen compliance programs, proactively manage risk, foster a culture of quality, and lead with confidence in an ever-changing regulatory landscape.
The conference begins on Monday, October 5, with a dedicated Infection Control Pre-Conference, offering focused education on current infection prevention practices, regulatory expectations, and practical approaches to protecting those you serve.
Whether you are a seasoned compliance professional or new to the field, you’ll leave with valuable insights, practical tools, and meaningful connections to help advance your organization and support excellence across compliance, risk, and quality.
Join colleagues this October in Malvern, Pennsylvania, as we learn, collaborate, and move forward together.
Schedule of Events
9:00am – 10:00am
Application of Human Factors Engineering in Infection Prevention and Control
Human factors and systems engineering (HFE) is a multidisciplinary science, situated at the intersection of psychology and engineering, that examines how people interact with the tools, technologies, tasks, and environments that shape their work. Rather than asking healthcare workers to change their behavior, HFE redesigns the systems within which they operate, a proactive strategy for preventing Healthcare-Associated Infections (HAIs) before they occur. This session introduces the foundations of HFE and demonstrates its application across core Infection Prevention and Control (IPC) challenges, including hand hygiene compliance, Personal Protective Equipment (PPE) use, Central line-Associated Bloodstream Infection (CLABSI) prevention, and environmental cleaning and disinfection. Drawing on published case studies and real-world redesign efforts, attendees will explore how work systems (people, tools and technologies, the physical environment, and organizational policies) interact to create the conditions for infection risk, and how targeted HFE interventions have measurably improved adherence and outcomes. An interactive case study invites participants to apply HFE thinking to a documented environmental cleaning challenge, working through the elements of the Systems Engineering Initiative for Patient Safety (SEIPS) model to identify practical interventions.
Presented by ECRI
10:00am – 11:00am
Implementing Enhanced Barrier Precautions
Multidrug-resistant organisms (MDROs) remain substantially under-detected in long-term care, with studies showing that documented MDRO burden captures only a fraction of true colonization rates. Enhanced Barrier Precautions (EBPs) offer a resident-centered strategy for reducing MDRO transmission during high-contact care activities, without the room restrictions associated with traditional Contact Precautions. This session provides a practical, case-based walkthrough of EBP: when they are indicated, how they differ from Standard and Contact Precautions, and which organisms and care activities they address. Using the CDC’s 4E’s framework (Engage, Educate, Execute, Evaluate), attendees will work through implementation essentials, including staff training, PPE and signage placement, alcohol-based hand rub access, and audit strategies, alongside knowledge-check scenarios that test real-world applications. The session closes with a review of core IPC best practices (hand hygiene, cleaning and disinfection, auditing, and interfacility communication) that reinforce successful EBP adoption.
Presented by ECRI
11:00am – 11:15am
Morning Break
11:15am – 12:15pm
Overview of Group A Streptococcus (GAS) in Long-term Care Facilities
Group A Streptococcus (Streptococcus pyogenes) range from mild, non-invasive illness (strep throat, impetigo, scarlet fever) to life-threatening invasive disease, including toxic shock syndrome and necrotizing fasciitis. Long-term care residents face disproportionate risk: compared to community-dwelling peers of the same age, they are 1.5 times more likely to die from an invasive GAS infection and three to eight times more likely to contract one. This session provides infection preventionists and long-term care staff with a clear, actionable overview of GAS in the LTC setting how it spreads, why residents are especially vulnerable, and the role of asymptomatic carriers in ongoing transmission. Attendees will review a structured, seven-part prevention framework spanning hand hygiene, standard and transmission-based precautions, aseptic wound care technique, staff illness policies, education, and early identification, along with guidance on the outbreak response and carrier decolonization process that follows a confirmed case.
Presented by ECRI
12:15pm – 1:15pm
Lunch
1:15pm – 2:15pm
Candida auris in Long-Term Care Facilities
First identified in 2009 and now spreading rapidly across U.S. healthcare settings, Candida auris presents a distinct set of infection prevention challenges: innate resistance to antifungal medications, frequent misidentification by routine laboratory methods, and the ability to persist on dry environmental surfaces and equipment for weeks. This session, developed for the Long-Term Care RISE ECHO series, walks attendees through the epidemiology, transmission dynamics, and clinical significance of C. auris colonization and infection in long-term care, with particular attention to regional case data and biofilm-related environmental persistence. The session translates this evidence base into concrete IPC guidance, including hand hygiene, appropriate use of Contact or Enhanced Barrier Precautions, resident placement and cohorting strategies, and selection of EPA List P (or List K) disinfectants effective against C. auris, and includes a facility-based case study and interactive discussion to reinforce decision-making around a suspected or confirmed case.
Presented by ECRI
2:15pm – 2:30pm
Afternoon Break
2:30pm – 3:30pm
Spores, Spread, and Solutions: A Practical Guide to C. diff Prevention in Long-Term Care
Clostridioides difficile is one of the most persistent and preventable threats in long-term care. C. diff infection (CDI) is estimated to cause almost half a million infections annually in the United States, and an estimated 1 in 50 residents aged 65 or older in a long-term care facility will be diagnosed with it. For these infected residents, 1 in 8 will die within a month. Despite that burden, gaps in prevention practice remain widespread. This session provides a practical overview of CDI in long-term care: how it spreads, why this population is especially vulnerable, and what effective prevention looks like at the facility level. Attendees will gain a working understanding of key transmission routes, including the underappreciated role of asymptomatic carriers, antibiotic exposure, and transmission dynamics from healthcare settings, and the evidence-based interventions that interrupt them. The session covers core prevention pillars including hand hygiene, antibiotic stewardship, appropriate use of Contact Precautions, and effective environmental cleaning. Structured discussion rounds invite attendees to share challenges, compare approaches, and ask questions, and attendees leave with a practical readiness framework and concrete steps for implementing and sustaining best practices with frontline staff.
Presented by ECRI
3:30pm – 4:30pm
QAPI for Infection Prevention in Aging Services
Quality Assurance and Performance Improvement (QAPI) provides the regulatory and operational framework that connects infection prevention and control (IPC) surveillance data to sustain facility-wide improvement. This session shows infection preventionists and long-term care leadership on how to move beyond reactive quality assurance toward proactive, data-driven performance improvement projects (PIPs) that engage staff across the organization. Attendees will examine the five elements of a QAPI program, how CMS regulations at 42 CFR Part 483 (§483.75 QAPI and §483.80 IPCP) link governance, surveillance, and infection control committees, and how surveillance data, from hand hygiene and PPE audits to infection rates and MDRO transmission, feeds performance improvement work. Two facility-based case studies, covering a respiratory protection program and an antibiotic stewardship initiative, walking through the practical mechanics of chartering a PIP, conducting root cause analysis, setting SMART goals, and applying Plan-Do-Study-Act (PDSA) cycles to test and sustain change.
Presented by ECRI
4:30pm – 4:45pm
Wrap-up and Evaluations
8:30am – 10:00am
General Session
A Practical Approach to the Post-Acute Risk Assessment
Speaker: Betsy Wade, President, Eitic Healthcare Compliance Solutions
This session will help attendees understand the regulatory requirements for the annual compliance risk assessment. Attendees will learn practical approaches for conducting the annual compliance risk assessment and understand new risk areas facing post-acute care.
10:30am – 11:30am
Compliance Program Effectiveness: A Practical Approach
Speaker: Betsy Wade, President, Eitic Healthcare Compliance Solutions
During this session, attendees will understand the regulatory framework for compliance program effectiveness reviews while learning about the government tools for assessing compliance programs based on the OIG and DOJ guidance.
10:30am – 11:30am
Enhancing Compliance Oversight: Financial and Operational Dashboards for Healthcare Leadership and Boards
Speaker: Lindsey Marchant & Stephanie Kessler, RKL
This session will show leadership teams and board members how to use concise, reliable dashboards to strengthen compliance oversight and organizational performance. We’ll highlight the financial and operational metrics that matter most, such as revenue cycle health, cost and productivity, quality and access, and risk indicators, and how to align them to regulatory and strategic priorities. Attendees will learn practical design tips including clear visuals, thresholds, trends, drill downs, governance practices, and meeting cadences that turn dashboards into action.
1:00pm – 2:00pm
But It Was Only An Accident: Strategies for Challenging Deficiencies
Speaker: Mark Mattioli, Post & Schell
This session will discuss strategies for challenging deficiencies, including the difference between the IDR and IIDR process and when one might be beneficial over another. It will also explore the appeal process to CMS and the Department of Health, and when an appeal may be warranted. The session will also explore the types of remedies that may be imposed by CMS or DOH. Finally, we will explore strategies and what makes an appeal successful.
1:00pm – 2:00pm
Increasing Regulatory Compliance Requirements
Speaker: Stephanie Kessler, RKL
This session addresses the increasing complexity of regulatory compliance at the federal and state levels, with a particular focus on expanding health and safety requirements and the growing importance of external audits. Participants will examine the factors driving regulatory changes, understand the critical role of surveys and external audits in verifying compliance, and learn strategies for maintaining organizational compliance amid ongoing regulatory developments.
2:15pm – 3:15pm
2026 Employment Law Update
Speaker: Angela Sanders, Post & Schell
This session will provide an overview of recent and upcoming developments in employment law, including practical tips and proactive strategies for compliance. Topics covered will include separation agreements, immigration enforcement in the workplace, HR policy updates, federal Centers for Faith, wage and hour developments, the changing landscape of discrimination and harassment, employee leave expansion, AI in the workplace, state law developments, and anticipated developments in 2027.
2:15pm – 3:15pm
One System, Three Lenses: Risk Management, Compliance, and Quality
Speaker: Jenny Sheckells, NHA, PCHA, CHC, CPASRM, Vice President of Risk Management, Resource Partners
Risk management, compliance, and quality are all part of a single system that protects residents, protects the organization, and improves outcomes. But who does what when an event occurs such as a fall with significant injury, missing resident, or failure to notify when there is a serious change in condition? This session explores the roles of each area – risk, compliance, quality – when there is an undesired outcome. Through case studies, we will discuss what the responsibilities are for your risk manager, compliance official, and quality champion as well as show how these functions interlock to reduce harm, reduce citations, and elevate resident experience.
3:30pm – 4:30pm
Difficult Conversations as a Compliance Official
Speaker: Shanda O’ Dennis, AQORD Consulting
Compliance professionals often face the difficult task of delivering uncomfortable truths to senior leaders, while executives must be prepared to receive feedback that may require change, investment, or course correction. This session equips attendees with practical strategies to deliver compliance findings with confidence and clarity. Whether you are a Compliance official or senior leader, you will be able to identify barriers that prevent productive compliance conversations and learn techniques to overcome them and effectively respond to feedback. Learn to foster a culture of compliance built on trust, accountability, and shared responsibility.
3:30pm – 4:30pm
Preparing Your Organization for AI, Cyber Risk, and Regulatory Scrutiny
Speaker: John DiMaggio, Blue Orange Compliance & Karla Dreisbach, AQORD Compliance Collaborative
Senior living organizations are heading into a period of real change. AI is starting to shape operations and decision-making, cyber threats continue to target healthcare and nonprofit entities, and regulators are raising expectations. You will leave with a better understanding of how AI is beginning to impact risk and accountability, where cybersecurity exposures are increasing across senior living, what’s changing in terms of regulatory and audit expectations, the key questions leaders should be asking today, and how to take a more structured, defensible approach to oversight.
4:30pm – 5:30pm
Networking Reception
Sponsored by Blue Orange Compliance
8:30am – 9:30am
General Session
2026 Federal Legal Update for Long-Term Care Providers
Speaker: Dave Marshall, Latsha Davis & Marshall, P.C.
There continue to be significant legal, statutory, and regulatory changes for the long-term care industry affecting providers. The government is expanding its oversight of the industry through the development of several new regulatory mandates. As a result, it is critical for providers to understand these changes and how they may impact the industry and their operations. This session will review current legal issues impacting long term care providers, the latest developments with respect to the federal Requirements for Participation and will address the impact of those regulations on both operations and the survey and enforcement process. A preview of issues and trends to come in 2027 will be covered so that attendees can monitor these developments over the coming year.
9:45am – 10:45am
How Broadmead is Redefining Nighttime Safety
Speaker: Ann Patterson, VP of Health Services & Stacey Young, Director of the Center of Excellence in Dementia Care
This session will highlight how Broadmead reimagined nighttime care by addressing one of senior living’s most persistent blind spots—resident safety after dark. Through the integration of AI-powered smart lighting, the organization established a proactive process that detects falls, delivers immediate response, and generates actionable insights to guide individualized care planning. Participants will learn how this innovative approach supports better outcomes, empower team members, and builds a safer, more responsive care environment.
9:45am – 10:45am
Taking Therapy Back: The In-House Therapy Playbook
Speaker: Diana Grover, Compliance Officer–LEC; Jack Dempsey, Director of Health Services– Pennswood Village; Tanvi Desai Parker, Director of Rehab; Angele Tran, Compliance Manager–AQORD Compliance Collaborative, Dave Lishinsky, Compliance Specialist, AQORD Compliance Collaborative
Are you considering bringing therapy services in-house or looking to maximize the value of your existing in-house therapy program? Join a panel of senior living leaders as they share firsthand experiences, challenges, and lessons learned from transitioning from contract therapy to an in-house model. This interactive discussion will explore operational, clinical, financial, and compliance considerations and provide practical insights on how to build strong therapy programs, align services with organizational goals, enhance resident outcomes, and create long-term value for your community. Attendees will leave with actionable strategies and real-world perspectives to help guide informed decision-making and successful program implementation.
11:00am – 12:00pm
Fair Housing for Senior Living
Speaker: Jason Lundy, Ice Miller
The Fair Housing Act and its prohibition against discrimination on the basis of disability applies to senior living providers. Providers must understand how disability discrimination can arise in senior living and be aware of ways to avoid it, including offering reasonable accommodations. But providers should not retain a resident who is a danger to the community, and CCRCs should not fundamentally alter the community as a continuum of care for residents with service needs. This session will educate attendees about important concepts around Fair Housing law, explain past situations that have led to government enforcement actions against senior living providers, and advice on important housing decisions providers must make on behalf of their communities.
11:00am – 12:00pm
How Can We Manage Cannabis in SNFs: Preparing the SNF for the Use of Medical Cannabis
Speaker: Ilene Warner-Maron, Assistant Professor, Department of Geriatrics and Palliative Medicine, Philadelphia College of Osteopathic Medicine
At the conclusion of the program, participants will be able to understand the differences between recreational and medicinal cannabis use. Identify three reasons why cannabis was considered a Schedule I drug. Reference an experience from Canada to identify how prescription, storage and accountability for cannabis can be used in the U.S. Attendees will also learn SNFs to safeguard residents and staff and be able to identify potential problems and pitfalls that SNFs may face if and when cannabis is changed from Schedule 1 to Schedule III or not scheduled at all.
1:15pm – 2:15pm
The Right Way to Handle Incident and Abuse Investigations
Speaker: Jason Lundy, Ice Miller
Every incident, accident and suspicion, or allegation of abuse/neglect at a licensed facility must be thoroughly investigated and reported. There are many facets to the investigation and reporting process that a facility must know and perform. This session will educate about the required steps, advise on how to conduct an investigation, and coach you on how to write a report that complies with regulations and emphasizes the good care implemented by your facility and staff.
1:15pm – 2:15pm
Quality Measures, Quality Programs, and Quality Monitoring
Speaker: Kerry Weaver, Compliance Specialist, AQORD
This session will provide an overview of the current Minimum Data Set (MDS) 3.0, Skilled Nursing Facility-Quality Reporting Program (SNF-QRP), and Skilled Nursing Facility-Value Based Purchasing (SNF-VBP) Quality Measures (QM). It will include how these QMs are used in several Centers for Medicare and Medicaid Services (CMS) programs including the Nursing Home 5-Star Rating system, SNF-QRP Annual Payment Update (APU), and SNF-VBP annual payment adjustment. Internet Quality and Improvement System (iQIES) reports will be reviewed for each CMS program to ensure communities have the data available to monitor their progress and apply as needed to an ongoing Quality Assurance and Performance Improvement (QAPI) Program.
2:30pm – 3:30pm
CMS Psychotropic Medication Standards in Skilled Nursing Facilities: Survey Risk and Practical Compliance
Speaker: Jennifer Urso, RPh, BCGP, FASCP
This session will provide a focused overview of CMS expectations for psychotropic medication use in skilled nursing facilities, with an emphasis on clinical implications. Participants will review how current CMS guidance frames psychotropic use and how related F-tags connect medication management with professional standards, person-centered care, and interdisciplinary team oversight. The session will translate regulatory language into practical applications interdisciplinary teams can use to support appropriate prescribing, resident-centered decision-making, survey readiness, and defensible documentation.
2:30pm – 3:30pm
The Things Nobody Told Me About Compliance: The Good, the Bad, and the Surprising
Speaker: Carla Cherry, VP of Compliance, Country Meadows Retirement Communities
What is it really like to serve as a Compliance Officer in long-term care and hospice? This candid session goes beyond regulations, audits, and policies to explore the real-world experience of transitioning from a compliance professional to a compliance leader in long-term care and hospice. Through honest reflections, attendees will hear about the good, the bad, and the surprising realities of the role. From earning credibility, building relationships and influencing culture, to navigating difficult investigations, operational resistance, competing priorities, and the weight of accountability that comes with being “the compliance person.” We’ll discuss lessons learned, mistakes made, unexpected wins, and the things that are incredibly exciting about being a compliance professional at this time. Whether you’re newly appointed, aspiring to a leadership role, or supporting a compliance function, this session offers practical insights, relatable experiences, and actionable takeaways for successfully leading compliance in highly regulated healthcare environments. Attendees will leave with a better understanding of what to expect, what really matters, and why compliance leadership is both more challenging and more rewarding than they may realize.
Continuing Education: Earn up to 16.5 NAB CEUs, including 6 CEUs* for the Infection Control Pre-Conference and 10.5 CEUs for the Annual Compliance Conference.
*This Nursing Continuing Professional Development activity was approved by Pennsylvania State Nurses Association Approver Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation for a maximum of 6 contact hours. Learners will receive 1 contact hour for each one-hour session attended.
Pre-Conference Speakers:
James Davis, MS, RN, CIC, FAPIC, CCRN-K Principal Infection Prevention Consultant, Infection Prevention & Control Solutions • ECRI
Hillary Hei, MPH, LSSGB, CIC, FAPIC Lead Infection Prevention Consultant, Infection Prevention & Control Solutions • ECRI
Jean Harpel, MSN, RN, GCNS, RISQ Operations Manager, Senior Care • ECRI