Francis P. KirleyPresident & CEO

Mr. Kirley has more than 32 years of acute and long-term healthcare management experience and is actively involved in all levels of the profession. He oversees skilled nursing facilities in Louisiana, Texas and Colorado.

Currently, he serves as the AHCA-PAC Chairman and is a board member of the Louisiana Nursing Home Association, Elms College and the Warfield Development Center in Sykesville, Maryland. Mr. Kirley is a former AHCA board and Executive Committee member and former board member of the Texas Health Care Association.
He also is involved with other healthcare, real estate and retail companies.

Mr. Kirley earned his bachelor’s degree in Pharmacy from Massachusetts College of Pharmacy in 1973, and completed his MBA at Western New England College in 1980.

Meera RinerChief Operating Officer

Ms. Riner has more than 25 years of long term care experience as an executive and clinician with a solid background in financial analysis, knowledge of federal and multi-state regulatory function and compliance coupled with a strong clinical management expertise. Through her extensive executive and clinical leadership and oversight, she successfully balances all aspects of operations to achieve consistent financial, regulatory and stakeholder desired outcomes. Ms. Riner is well-known to her peers as a devoted patient advocate and a leader for culture change in long term care. Her leadership style of example and empowerment is reflected in the talent and performance of her operations team and facility performance. She has established Nexion as a leader in LTC performance, reform and patient-centered care.

Additionally, Ms. Riner successfully managed the evacuation and return of over 900 residents from 9 facilities in 2 states during Hurricanes Katrina and Rita. In 2005, she supervised similar evacuations in 2008 during Hurricanes Gustav and Ike. She was an invited participant in the National LTC Hurricane Summit, and has been a regular speaker at multiple THCA events in 2006, 2007, 2014, 2015 and 2016, as well as a speaker at the 2006 AHCA Convention in San Antonio, Texas.

Ms. Riner holds a Bachelor’s Degree in Occupational Therapy and completed her studies at G.S. Medical College in Bombay, India.

Janet Johnston – Vice President of Casemix & Reimbursement

Ms. Johnston has been with Nexion Health for 15 years, overseeing casemix, Medicare, Medicaid, insurance and managed care reimbursement for affiliates in Texas, Louisiana and Colorado.

Her nursing expertise has been invaluable to Nexion Health, as she managed the training and implementation for Electronic Health Records (EHR) and respiratory services as they pertain to the MDS 3.0 requirement and the Restorative Nursing Program. Additionally, she is a Texas Health Care Association committee member for the Data Reimbursement Committee and has presented on casemix and MDS 3.0 for the Louisiana Nursing Home Association.

A licensed vocational nurse as of 1992, Ms. Johnston received her Bachelor of Science in Nursing in 2012 from the University of Texas at Tyler. She is currently pursuing her Master’s degrees in nursing from the University of Texas at Tyler. Prior to Nexion Health, Ms. Johnston was the Wound Care Specialist at the Northline Manor Nursing Home.

Brian LeeVice President & General Counsel

Mr. Lee began working for Nexion in 2000 and became General Counsel in 2001. He works closely with senior management in areas relating to contract negotiation, reimbursement, and compliance. He supervises Nexion’s litigation and manages outside counsel in litigation, licensing and various regulatory matters. He also works with facility management on issues relating to surveys, contract management, investigatory agencies, and other matters. In addition to his duties as General Counsel, Mr. Lee is also Nexion’s Compliance Officer and its Privacy Officer, and he coordinates responses to media inquiries.

Previously, he was Senior Corporate Counsel for Integrated Health Services, with responsibility for managing the legal affairs of the majority of its facilities. Prior to that, he was Counsel for the Maryland General Assembly’s Senate Finance Committee, which has jurisdiction over Medicaid and other healthcare issues. Previously, Mr. Lee was with the law firm of Morgan Lewis and Bockius in its Labor and Employment Section.

Mr. Lee graduated Phi Beta Kappa with a Bachelor of Arts Degree in Psychology from the University of Notre Dame in 1985. He graduated from the Columbia University School of Law in 1990.

Cindi Phillips – Vice President of Marketing & Business Development

Ms. Phillips has 24 years of experience in the long term care industry. With a Bachelor of Science, 1989 and a Master of Arts, 1991 in Speech Language Pathology from Oklahoma State University, Cindi brings her expertise in rehabilitation, marketing and communications to her role with Nexion Health.

Ms. Phillips is responsible for overseeing the marketing department and pursuing business relationships that allow Nexion Health’s affiliates to expand within their markets. Her duties include securing managed care contracts, guiding the facilities in developing Accountable Care Organization (ACO)/ Preferred Partner relationships with hospitals and overseeing Political Action Committee contributions. Ms. Phillips spearheads the American Health Care Association’s Quality Award applications and state association employee recognition nominations. Additionally, Ms. Phillips is a member of the Texas Health Care Association Convention Planning Committee

Dan Pierce – Vice President of  Acquisitions & Treasurer

Mr. Pierce has 15 years of Long Term Healthcare Management experience and is actively involved in treasury, accounts payable, and mergers/acquisitions. He has a strong background in accounting, finance, and customer service. Mr. Pierce has willingly gone the extra mile for the company and continues to expand his knowledge on other faucets of the long term healthcare industry.

He is responsible for:

  • the management of roughly $20 million of cash each month;
  • the management of banking relationships;
  • the management of any banking issues on a facility and corporate level;
  • the review of financials on potential acquisitions;
  • the performance of due diligence on potential acquisitions;
  • the reimbursement and distribution of funds for capital expenditures; and
  • the completion of any special projects for the CEO and CFO.

Mr. Pierce earned his Bachelor’s Degree in Accounting from Pennsylvania State University in December 2000.

Tara Roberts – Vice President of Rehabilitation & Wound Care Services

As a licensed physical therapist for the past 21 years, Ms. Roberts has practiced in acute care/outpatient, home health and long term care providing direct skilled therapy and wound care services as well as management, education and clinician development for the advancement of best practices, policies and procedures. She is the owner of the SUCCESSTM platform for skin and wound care services and the developer of the 3 Cs of Skin and Wound Care concept and iCARE road map for skin and wound care delivery. Her passion is advancing excellence and strategic market advantages in the area of rehab and wound care services by building competent, confident clinicians and LTC providers while advancing the quality assurance agenda.

Outside of rehab and wound care, Ms. Roberts is a member of the Board of Governors of the National Association for the Support of Long Term Care (NASL). She also serves on the AHCA Quality Improvement Committee and AHCA Political Action and Involvement Committee. Other AHCA Quality Initiative work includes: development of a short and long stay quality measure for unintended healthcare outcomes and development of an infection prevention control officer tract and certification.

Ms. Roberts has been a guest speaker at Louisiana and Texas nursing home association conferences and boot camps and frequently blogs as a guest columnist for McKnight’s Long term Care News, covering various healthcare, advocacy and quality subjects. Tara currently co-chairs the LNHA Quality Improvement Initiative Committee for Pressure Ulcers and is serving on the Technical Expert Panel for CMS on improving the Short Stay Pressure Ulcer Quality Measure.  Ms. Roberts is a 1995 Graduate of Georgia State University with a Bachelor of Science in Physical Therapy.

Martha Royal – Vice President of Human Resources

Martha Royal joined Nexion’s Leadership Team in October of 2018 as the Vice President of Human Resources. Ms. Royal’s more than 20-year career as an HR Executive in long-term care began at Integrated Health Services where she served as Divisional Vice President of Human Resources, and continued with HR career with Maryland-based Perennial Consulting Services, and, most recently, PCPMG Consulting, LLC, located in Plano, Texas where she served in their top HR role. Prior to long-term care, she was a human resources leader and practitioner in managed care, acute care, and long-term acute care environments, working for such prominent healthcare companies as Kaiser Permanente, Select Medical Corporation and Children’s Medical Center (Dallas).

Ms. Royal is active in the HR Long-Term Care Roundtable, a forum for senior HR executives in long-term care to exchange information on strategies, trends and best practices in areas such as benefits, compensation, employee engagement and labor relations. She also served on American Health Care Association’s Payroll Based Journal Focus Group responsible for trialing CMS’ PBJ Guidelines, reporting issues and recommending solutions to AHCA Quality Cabinet Co-Chairs and AHCA’s SVP of Quality, prior to nation-wide implementation.

Ms. Royal completed her academic studies in Business Administration at East Texas State University, Commerce, Texas.

Andrea SmithVice President & Controller

Ms. Smith assumed the role as Controller for Nexion in 2016. She and her staff handle the financial, reimbursement and tax related issues for the company including annual audits and cost reporting. She is a 1993 graduate of University of Baltimore.

Ms. Smith has more than 21 years of experience in healthcare, beginning at Integrated Health Services, with 12 years at Nexion as the Accounting Manager. Prior to assuming the role as Controller, she was the Director of Finance for a skilled nursing facility operated by Ascension Health, Inc. Ms. Smith’s accomplishments include significant reduction in total accounts receivable and accounts payable and the creation of working financial statements appropriate for skilled nursing facility use. Additionally, she developed financial procedures and a benchmarking system which dramatically improved financial performance.

Madhu Tewary – Vice President of Clinical Services

Ms. Tewary has worked in long term care for more than 30 years, 15 of which have been with Nexion Health. She received her Bachelor of Science in Dietetics from State University of New York at Buffalo and completed her Dietetic Internship with Louisiana Tech University.

Ms. Tewary’s responsibilities include the management of all aspects of resident clinical care and engagement in purchasing and compliance for Nexion Health and its affiliates.

In addition to her role with Nexion Health, Ms. Tewary in involved in a number of organizations, including: Sewa International, Aspire, Stop Diabetes Movement, the Louisiana and Texas Dietetic Association and Pratham USA. She frequently participates in immunization drives and health fairs and she volunteers with local food drives and the Food and Nutrition Conference and Expo. She is a member of the RD Council and a dietetic consultant for various health care facilities.