In today’s post-acute environment, risk is rarely the result of a single event—it is the outcome of patterns in leadership decision-making over time. This session provides a focused overview of how clinical, regulatory, and legal risk actually develops within skilled nursing facilities, and the critical role the Director of Nursing (DON) plays in stabilizing it.
Through the lens of a real-life claim, participants will examine how breakdowns in early recognition, consistency of response, and follow-through contribute to adverse outcomes, citations, and liability exposure. The session will also highlight how surveyors, insurance carriers, and plaintiff attorneys evaluate leadership actions as patterns—not isolated incidents.
Designed for practical application, this presentation equips attendees with tactical strategies and actionable next steps they can immediately implement in their communities to improve consistency, strengthen clinical decision-making, and create more defensible systems of care.
Speakers:
Mitch Gordon, HSE, Associate Risk Manager
Pat LeMire, CIC, Director of Senior Living & Social Services Practice, Partner
Pat LeMire is a partner at M3 Insurance and Director of its Senior Living & Social Services Practice, where he specializes in property and casualty insurance and risk management. He works closely with clients to develop tailored strategies and provides industry insight, supported by his experience as an assisted living facility owner. He joined M3 in 2006 and holds a Certified Insurance Counselor (CIC) designation.
Mitch Gordon is an Associate Risk Manager at M3 Insurance, specializing in senior living and social services. With a background in senior living operations, including leadership roles in assisted living and skilled nursing, he brings a practical perspective to helping clients manage risk, navigate regulations, and improve quality of care. He holds multiple industry licenses and a degree in Health Care Administration from the University of Wisconsin–Eau Claire.