Senior Living Executive Strategy (formerly Gravity Healthcare Hacks)
Senior Living Executive Strategy is a podcast for leaders in senior living, skilled nursing, and home health who are responsible for solving complex operational, clinical, reimbursement, and growth challenges.
Hosted by Melissa Brown, COO of Gravity Consulting, each episode explores the real issues affecting providers today — from therapy performance and PDPM strategy to home health operations, reimbursement pressure, staffing realities, regulatory change, and the decisions that shape long-term sustainability.
This podcast is not about theory. It is about how senior care organizations can apply strategy in practical ways that improve care, strengthen operations, protect margins, and create better outcomes.
Because in senior living, it’s not what you know — it’s how you apply it that makes all the difference.
Episodes
70 episodes
What Nursing Home Lawsuits Reveal About Staffing, Documentation, and Risk
In this episode of Senior Living Executive Strategy, Melissa Brown welcomes Rob Schenk of Schenk Nursing Home Abuse Law for a candid conversation about what senior living and skilled nursing leaders need to understand about legal risk.Ro...
CMS Paused New Home Health Agencies — What Happens Next?
CMS has paused new home health and hospice Medicare applications nationwide — and if your senior living organization was planning to start, acquire, or expand a home health agency, this could change your timeline fast.In this episode of ...
SNF Proposed Rule 2027: The Real Impact on Reimbursement, PDPM, and Case Mix
The FY 2027 SNF Proposed Rule may only be 40 pages long… but the implications for skilled nursing operators are massive.In this episode of Gravity Healthcare Hacks, Melissa Brown breaks down the biggest takeaways from the propos...
Contract Rehab Is Failing—Here’s What Smart Operators Are Doing Instead
Contract rehab used to make sense.Today… it’s quietly holding a lot of buildings back.In this episode of Gravity Healthcare Hacks, Melissa Brown and Carly Chronister break down what’s actually changed—and why more organizati...
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Is Your Rehab Program Really Working? The Questions Every Leader Should Be Asking
Is your rehab program truly performing — or just getting by?In this episode of Gravity Healthcare Hacks, Melissa Brown and Lead Therapy Consultant Carly Chronister unpack what’s really happening inside today’s therapy department...
Why Everything Is Changing in Therapy — and You Should Too
Why Everything Is Changing in Therapy — and You Should TooGravity Healthcare Hacks | Episode 64The therapy landscape is shifting—again—and many senior living and skilled nursing operators are still relying on rehab...
The 2026 Home Health Final Rule: Fraud, Compliance, and What Agencies Must Fix Now
As home health agencies prepare for 2026, CMS is turning up the heat on fraud, compliance, and enforcement—and the consequences are more serious than ever.In this episode of Gravity Healthcare Hacks, host Melissa Brown, C...
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Navigating the 2026 Final Rule: Strategies That Actually Work
The 2026 Home Health Final Rule is late—but the impact is already here. In this episode, Melissa Brown (COO) sits down with Devin Kassi, Gravity’s VP of Home Health Operations, to break down what agencies should be doing right now to p...
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Beyond Therapy: How Specialty Physicians Can Drive PDPM Medicaid Success
As more states transition to PDPM for Medicaid, therapy is no longer the primary driver of case mix index (CMI). So where do providers turn next?In this episode, Melissa Brown, COO of Gravity Healthcare Consulting, sits dow...
Bridging Generations in Senior Living with Chiriga Ofori
What happens when you bring together seniors and young adults with special needs under one roof? In this episode, Melissa Brown sits down with Chiriga Ofori, CEO of Kinbridge at Oviedo, to explore her groundbreaking intergenerational ass...
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PDPM Medicaid Uncovered: What Facilities Miss (and How to Get Ahead)
In this second half of our deep dive, Melissa Brown, COO of Gravity Consulting, continues her conversation with Melissa Keiter on the critical challenges—and opportunities—of PDPM Medicaid.This episode unpacks real-world strategies for f...
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Will PDPM Medicaid Sink Your Facility? What You Need to Know Before You Fall Behind the Curve
The clock is ticking. With the mandatory transition to PDPM Medicaid coming October 1st, many providers are still unprepared—and it’s already impacting their margins.In this episode, Melissa Brown is joined by Melissa Keiter, MDS expert ...
Real-World AI in Senior Living: Insights from Dr. Carol McKinley
In this episode, Melissa Brown sits down with Dr. Carol McKinley, President and CEO of Simpson Senior Services, for a powerful conversation about how senior living providers can use AI to revolutionize care delivery.Dr. McKinley shares h...
Will AI Replace Humans in Healthcare? A Candid Discussion with Jeff Robinson
Episode 56: Will AI Replace Humans in Healthcare? A Candid Discussion with Jeff RobinsonIn this episode, Melissa Brown, COO of Gravity Consulting, sits down with Jeff Robinson, founder of Senior Wellness Solutions, to tackle one o...
Telehealth Forever—Why It’s Time to Make It Permanent
In this episode of Gravity Healthcare Hacks, host Melissa Brown, COO of Gravity Healthcare Consulting, tackles the ongoing debate around telehealth—and why it's time for Congress to stop extending it six months at a time and make it pe...
AI—Advantage or Danger in Healthcare?
Episode 54: AI—Advantage or Danger in Healthcare?In this episode of Gravity Healthcare Hacks, host Melissa Brown (COO of Gravity Healthcare Consulting) welcomes Richard “RJ” Kedziora, co-founder and CEO of Estenda Solutio...
Why You Could Be Missing Out Because of LinkedIn (with Guest Sheikh Ali)
In this episode of Gravity Healthcare Hacks, host Melissa Brown (COO of Gravity Healthcare Consulting) sits down with Sheikh Ali, founder and owner of SC Medical Media, to explore the power of LinkedIn for healthcare executives and pro...
Not Your Grandma's Assisted Living
In this episode of Gravity Healthcare Hacks, host Melissa Brown, COO of Gravity Healthcare Consulting, challenges the status quo of assisted living activities. Inspired by a chilling tale of an abandoned assisted living facility, Melis...
Beyond the Walls: How Ancillary Services Are Redefining Senior Living
In this episode of Gravity Healthcare Hacks, Melissa Brown welcomes Devin Kassi, VP of Home Health Operations at Gravity Healthcare Consulting, to discuss the game-changing potential of ancillary services for senior living provid...
Resulting, Not Consulting
Episode 50: Resulting, Not ConsultingIn this milestone 50th episode of Gravity Healthcare Hacks, Melissa is joined by Devin Kassi, VP of Home Health Operations at Gravity Healthcare Consulting. Together, the...
Why Home Care is Essential for the Future of Senior Living
In this episode, Melissa Brown is joined by Thomas McCauley, Business Performance Manager at Healthcare Advocacy Network, to discuss the vital role of home care in senior living and the broader healthcare landscape. Thomas shares his personal j...
Can the Staffing Mandate Really Be A Good Thing?
In this episode, Melissa Brown, is joined by Kasey Devine, Vice President of Strategic Grown with ProCare HR. Melissa and Kasey dive into challenges, trends, and successes when it comes to staffing.
Be A Light
In this episode, Melissa Brown, is joined by Adria Thompson the fearless leader at Be Light Care Consulting and dementia expert trainer. Adria shares more about her journey to Be Light Care Consulting and the services they offer.