skilled nursing facility

CPMD bridges the gap between the clinical and operational sides of skilled nursing facilities by acting as a physician liaison.


In addition to collaborating with skilled nursing facility leaders on how to improve patient safety, CPMD provides clinical consultation and improves clinical documentation to reflect the overall profile of each patient (i.e. resident).


CPMD also works with the staff to reduce hospital readmission, increase awareness of de-prescribing in the geriatric population, and assist in the implementation and development of various quality improvement programs including antibiotic stewardship.


CPMD's hands-on approach helps facilities improve their quality of care, reduce the risk of liability, and get a higher reimbursement rate--all while reducing the chance of patient readmission and adverse side effects.

New update 

  • Skilled nursing facilities must ensure their medical directors are certified within five years of the date of hire or by January 1, 2027, for medical directors already working in a SNF

  • SNFs must report medical director certification status to CDPH by June 30, 2022

  • SNFs must report medical director changes to CDPH within 10 days of the change

Cesar Palana MD CMD is a certified medical director. For inquiries, please email