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Senior Living Executive Strategy
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.
Senior Living Executive Strategy
Contract Rehab Is Failing—Here’s What Smart Operators Are Doing Instead
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
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 organizations are moving to an in-house, hybrid therapy model.
This isn’t theory.
It’s what’s happening right now inside real communities.
You’ll hear:
- Why PDPM and PDPM Medicaid changed the economics of therapy (for good)
- What contract therapy companies are no longer delivering—and why it matters
- How the hybrid model works (and what support actually looks like after startup)
- The real “gut check” numbers for therapy utilization in LTC, AL, and IL
- What happens to margins, outcomes, and staff morale when you make the switch
- What the transition process actually looks like (and why it’s easier than most expect)
If you’ve ever wondered whether your therapy program could be doing more—for your residents and your building—this episode will give you a clear answer.
Because at the end of the day, this isn’t just about therapy.
It’s about control, visibility, and outcomes.
If this hits home for you, visit www.gravityconsulting.com and schedule a call. We’ll show you exactly what’s working, what’s not, and what to do next.
