Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Karen Reed-Gallegos

Grand Junction

Summary

Accoplished Nursing Facilities Complaints Supervisor at the Colorado Department of Public Health & Environment, skilled in training new surveyors and enhancing customer satisfaction. Proven ability to solve complex problems and improve team productivity through effective leadership and quality assurance initiatives, ensuring compliance with federal regulations and timely responses to complaints.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Nursing Facilities Complaints Supervisor

Colorado Department of Public Health & Environment
01.2021 - Current

Oversaw daily operations of the long term care complaints department, ensuring smooth workflow and timely completion of tasks.


Applied strong leadership and problem-solving skills to maintain long term care team efficiency by scheduling recertification surveys as often as possible to be completed in tandem with the complaint investigations to organize the workflow.


Created a system to improve customer satisfaction with timely response to complaint findings that addressed the complainant's concerns and opened dialogue to explain long term care regulations and processes.


Increased team productivity by implementing quality assurance reviews of completed complaint investigations to ensure the complaint findings and ASPEN Complaints and Incident Tracking were thorough and entered timely.


Enhanced communication within the Nursing Facilities long term care team by participating in weekly scheduling meetings with recertification survey scheduling staff to coordinate efficiency between complaint and recertification surveys.



Nurse Compliance Inspector

Colorado Department of Public Health & Environment
10.2012 - 01.2021

Conducted inspections in nursing homes to ensure regulatory compliance with recertification surveys, complaint investigations and onsite revisits.


Became a certified surveyor trainer and provided education and mentoring for new nursing and generalist surveyors related to the long term care survey process.


Utilized strong leadership skills as a team coordinator on surveys that included remaining calm during high-stress situations, communicating with other team members to ensure thorough completion of tasks, and completing the survey timely.


Communicated clearly and directly with facility staff, residents, family members, physicians, and others pertinent to the investigations.


Performed infection control inspections in long term care facilities during the COVID-19 pandemic and became proficient with the Centers for Disease Control and Prevention's standards of practice.


Implemented a formal education process for nurse surveyors to perform the medication administration observation and medication storage tasks during recertification surveys. New nurse surveyors continue to complete the education prior to performing the tasks on surveys.


Utilized strong clinical judgment as the registered nurse on survey teams, and maintained up-to-date knowledge on emerging trends in nursing practice and wound care. This included using first-hand knowledge and clinical expertise with medical issues, medications and prescribed treatments.




Disease Intervention Specialist

Colorado Department of Public Health & Environment
04.2007 - 10.2012

As a disease intervention specialist, investigated new sexually transmitted disease infections and conducted contact tracing of those individuals in order to identify potentially exposed partners and offer them testing. The infections included HIV, gonorrhea, syphilis and chlamydia.


Facilitated linking positive partners to clinical care for initial and ongoing medical treatment to ensure timely treatment.


Improved community health by identifying and investigating cases of communicable diseases and implementing appropriate interventions.


Ensured accurate documentation of case information in compliance with state and federal guidelines, maintaining confidentiality at all times.


Conducted contract monitoring visits to clinical providers and the Western Colorado AIDS Project, who were recipients of Ryan White funding. The funding allowed people to receive medical care for free or a discounted rate, in order to ensure their medical compliance and remained in care.





Education

Bachelor of Science - Registered Nurse

Mesa State College
Grand Junction, CO
05-1991

Skills

  • Training and mentoring new surveyors on the Long Term Care Survey Process (LTCSP) software, ASPEN Complaints/Incidents Tracking (ACTS) and ASPEN Central Office (ACO)
  • Goal oriented and work better with a deadline Highly skilled at task organization and triaging priorities to meet federally mandated timelines for compliant priorities
  • Staff management and currently supervise two complaint intake coordinators, two complaints surveyors and one FRI intake coordinator
  • Complex problem-solving working with survey teams to determine if immediate jeopardy exists in facilities This includes paying close attention to detail as to how the deficient practice relates to federal regulations, and then collaborating on the approval of the removal plan
  • Customer service with complainants to follow up timely with them to address their questions and concerns It is very important for people to feel like they are being heard, even if their concern is not something under our regulatory purview
  • Proficient in the procedures for navigating the Centers for Medicare & Medicaid Services QIES database and obtain facility information required for surveys and scheduling

Accomplishments

    In June 2024, I was deposed in a hearing before an administrative law judge related to a case filed by a facility who disagreed with our immediate jeopardy findings. The case involved a resident death when his wishes to have cardiopulmonary resuscitation performed, but the facility did not honor his request. The CMS attorneys requested I sit with them after my testimony and throughout the entirety of the hearing as a subject matter expert. The results of the hearing are still pending.

Certification

HFEMSD QIS T3 Training Surveyor, 8/22/14


Surveyor Minimum Qualifications Test (SMQT), 4/9/13


Registered nurse, RN.0096768, 1991


Timeline

Nursing Facilities Complaints Supervisor

Colorado Department of Public Health & Environment
01.2021 - Current

Nurse Compliance Inspector

Colorado Department of Public Health & Environment
10.2012 - 01.2021

Disease Intervention Specialist

Colorado Department of Public Health & Environment
04.2007 - 10.2012

Bachelor of Science - Registered Nurse

Mesa State College
Karen Reed-Gallegos