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"Keeping your feet firmly on the ground!"


about Gravity Healthcare Consulting

Gravity Healthcare Consulting provides the stability, resources and customized strategies you are looking for to meet a wide array of needs in Continuing Care Retirement Communities, Home Health, and various settings within the healthcare continuum. We offer both short-term and long-term consulting contracts covering every aspect of services provided in your community, as well as interim Administrator, DON and RNAC/MDS coordinator coverage. Our team of highly qualified consultants have over 30 years of experience in the healthcare industry. We pride ourselves on providing practical solutions in a comprehensive and cost effective framework.

meet the Gravity Team

Melissa Sabo [ OTR/L, CSRS ]   Lead Consultant

Melissa Sabo has over 15 years of experience as an Occupational Therapist and consultant in the skilled nursing, hospital and home care settings. Melissa has served as a compliance officer and clinical liaison for regional contract rehabilitation companies. She focuses on pragmatic and practical solutions that are cost effective and realistic. Her specialties include fall prevention, interdisciplinary pain management, wound care, wheelchair positioning, and oversight of all aspects of rehabilitation. Additionally, she is an expert in improving team dynamics and assisting with efficiency and task delineation within an organization.  In her free time, she enjoys walking her pet Yorkie, Professor Rolo, or volunteering at her church as a wedding coordinator.

Melissa Keiter  [ RN, RAC-CT, DNS-CT, DON ]

Melissa Keiter, R.N. has more than 20 years of administrative and management experience long term care facilities. Her primary expertise is in revenue enhancement and strategic planning of Case Mix Index (CMI) and Medicare RUG utilization. Melissa conducts a variety of operational and clinical nursing audits for customers in facilities ranging from large metropolitan nursing facilities to rural communities. She focuses on Department of Health surveys, policy and procedure implementation and mock surveys. She also aides and oversees interim management and consulting projects as an Interim RNAC and Interim Director of Nursing, impacting all aspects of nursing services. Melissa is RAC-CT certified for RNAC coverage, and certified as a Director of Nursing and Nurse Educator. When she is not consulting, Melissa enjoys spending time with her daughter and two sons, especially attending her youngest son’s baseball games.

MICHAEL Guzmán Díaz

[ JD, MS OTR/L, CHC, RAC-CT, CDP]  Home Health Consultant


Michael Guzman has over 12 years of experience as an Occupational Therapist, Regional Compliance Officer for six (6) states, and Healthcare Consultant throughout the continuum of post-acute care settings, including home health in multiple states and Puerto Rico. His clinical and management experience combined with his academic background, including the completion of his Juris Doctor in 2011, provides him with a unique perspective when analyzing and addressing regulatory affairs. He is also certified in healthcare compliance (CHC), certified as a Resident Assessment Coordinator (RAC-CT), and is a Certified Dementia Practitioner (CDP). Mike is a member of the Occupational Therapy Assistant Program Advisory Committee for the Northern Virginia Community College. When he is not traveling for work, he enjoys traveling to the sunny beaches of his hometown in Puerto Rico.


Regina Slater has over 12 years of medical speech pathology experience with a specialty in caseload development and progressive neurological disorders. Her comprehensive clinical experience spans across medical settings including outpatient clinics, acute care, tracheostomy/ventilator specialty hospitals, TBI continuum of care community re-integration, Aging In Place Assisted Living and Independent Living campuses, home health and skilled nursing facilities. With extensive experience as a Regional director and Compliance officer in multiple settings Regina is an expert at developing, monitoring and maintaining strong rehabilitative departments from both a clinical outcomes and operational process and procedure perspective. She has a passion for educating physicians and clinicians and has presented at ASHA on the importance of clinically specialties, provided community education and overseen the clinical and professional mentorship of Clinical Fellows every year. When not consulting, managing, treating or mentoring, Regina enjoys catching up on new cutting edge treatment techniques and spending quality time with my son, two “furbaby” puppies, family and friends.

Ashley K. Boyle [ MS, CCC/SLP, RAC-CT, CDP, CADDCT ]

As a Speech Language Pathologist, Ashley Boyle has focused her specialization in dementia care and has supervised many new Clinical Fellows in Speech Language Pathology. Ashley has experience as a Regional Director for a multi-state therapy provider in Continuing Care Retirement Communities and free standing Skilled Nursing Facilities. She also has expertise in operational strategies within long-term care settings, and has obtained her RAC-CT certification to further enhance her knowledge and provide education to nurses and administration in this setting. Having managed up to 200 clinicians, Ashley is skilled in providing leadership to therapists and other healthcare professionals in an ever changing healthcare environment. She is a Certified Alzheimer’s Disease and Dementia Care Trainer, as it is her passion to promote quality care and education to better the lives of those living with dementia. Ashley is an avid dog lover and music enthusiast, giving her an ability to connect with many residents in her communities with these same interests.

Chelsea Boyle [ OTR/L, RAC-CT ]   Founder

Chelsea is a licensed Occupational Therapist with over 20 years of experience in the healthcare industry.  Chelsea has developed progressive programs and systems for long term care and continuing care retirement communities including nursing and rehabilitation collaboration, Medicare documentation, clinical reporting systems, EMR management, and implementation of innovative and comprehensive compliance and operational strategies. Chelsea’s leadership experience has included management of over 900 employees spanning multiple states across the healthcare spectrum.


She founded Gravity Healthcare Consulting to provide specialized and customized consulting, training and mentorship in the healthcare communities she serviced. Chelsea endeavors to be a trusted resource and partner with the healthcare teams to promote improved systems and processes through auditing, education, and training programs, strategies to advance health care reform, and advocating for excellence in care.


Chelsea is a member of Leading PA, Leading Age MD, District of Columbia Association (DCHCA), Pennsylvania Health Care Association (PHCA), National Association for Support of Long-Term Care (NASL), and American Occupational Therapy Association (AOTA). Chelsea spends her time outside of work with family and attending her children’s many sports activities.


Dustin Freas is a Nursing Home Administrator and a licensed business consultant. He specializes in evaluating and solving organizational inefficiency. Dustin meets regularly with state and federal policymakers to promote measures that increase access, lower costs and improve the quality of healthcare.  He is a strong advocate for a consumer-centered health care system, value-based payment design, and the expansion and utilization of health information technology. He is a member of Leading Age as well as Leading Age of PA, MD, DC, VA, and NC. He also has membership in District of Columbia Association (DCHCA); Pennsylvania Health Care Association (PHCA); and Board Member of National Association for Support of Long-Term Care (NASL). Dustin spends his free time supporting his community by volunteering for local groups.

Gravity Healthcare Consulting, 157 Baltimore Street, Suite 200, Cumberland MD 21502

© 2016 Gravity Healthcare Consulting & CareVentures, Inc.