Former QIO advisor. Nurse consultant. Your compliance partner.
Stop Reacting.Start Leading
For nursing homes and care teams. Turn complex medical and regulatory challenges into confident decisions.
PRACTICAL COMPLIANCE
Turn complex challenges into confident decisions.
Why Choose Us?
One partner for every side of care.
All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee
01Nursing Homes & ALC's
- Pass your next survey.
- Fix systemic gaps.
- Avoid Costly Citations
- Help with SOD’s, POC’s
- Help with just in time education for staff.
02Law Firms & Paralegals
- Review Medical Records
- Analyze Standard of care
- Prepare deposition questions
- Train your team
03Insurance & MCO's
- Medical Record Review
- Causality Analysis
- Elder care claims
- Utilization Review
RN
QIO Advisor
About Constance
I Spent Years Inside Quality Improvement Organizations.
Now I help facilities, attorneys, and insurers understand what surveyors and regulators are really looking for.
As a Quality Improvement Advisor for both the state and federal QIO, and contracts, I didn’t survey facilities. I coached them. I analyzed their data, identified systemic gaps, and helped them fix problems before surveyors arrived.
Both CMS and Office of Inspector General, DHS and DQA all has a clear 2025 – 2026 target list for facilities and quality of care. We help you stay ahead of it. *All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee*
Constance Tetrev, RN
Founder · Nurse Consultant
Services & Pricing
Facilities — Care Audits
All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee
$3000
10 day turnaroundLearn MoreComprehensive review of opioid & controlled substance practices, including storage, access logs, signatures, gaps and diversion controls.
Medication Safety & Compliance Audit
$3000
10 day turnaroundComprehensive review of opioid & controlled substance practices, including storage, access logs, signatures, gaps and diversion controls.
No more dusty binders & outdated policy
Policy System
Consider Using Our LIVING Document Policy System:
A cloud-based policy management system built with free tools that turns static binders into a trackable reviewable auditable system. Every policy has a version history and next review date. Managed and kept up to date by us.
Automated email reminders when a policy is due for review with highlights on changes. Staff acknowledgement forms, and designed education for any changes for you to present at the next staff meeting. Central, searchable, accessible from anywhere.
NO MORE DUSTY BINDERS & OUTDATED POLICY
Plus custom education ready to deliver and learn. Learn more today!
Law Offices
Legal Nurse Consulting for Law Offices
I am a Registered Nurse with State and Federal QIO experience. I help plaintiff and defense attorneys understand the medicine behind the case. My goal isn’t to make you dependent on me. It’s to show you the red flags before you invest hours in a case.
01Medical chart review and chronology
$125/hour or Flat Rate Fee
02Standard of care analysis
$1500 – $3000
03Expert witness coordination claim review
$500 – $1000
Attorney Education & Case Triage Training
Teaching your team how to spot medical red flags before you invest hours in a case.
$1500 – $5000 depending on the format.
Mostly flat fee. Confidential. Fast Turnaround.
Stop guessing · Get a nurse’s perspective ·
Insurance
Insurance Claims Consulting
Claims adjusters: Stop guessing. Get a nurse’s perspective.
01Elder care facility claim review
$1500 – $3000
02Independent medical record analysis
$1500 – $3000
03Medical record review for claims
$125/hour
04MCO, Insurance, Other Cases
$125/hour
Flat Fee's and Hourly Rates. Turnaround: 5-10 business days after receipt of records.
All Turnaround times are business days and begin when we receive all requested documents. Rush service is available for 25% fee