Priti S. Gujar
Physician
5 on the ECS panel
Physician and geriatrician expert witness for nursing home cases
In most long-term care cases the physician is the causation witness. Nurses and administrators can establish what the facility failed to do; a physician explains whether that failure caused the fracture, the sepsis, the stroke or the death, and whether earlier action would have changed the outcome.
Physicians with nursing home practice are a narrower group than the directories suggest. A hospitalist or an academic geriatrician may be well qualified in medicine and still be exposed on cross-examination about how a skilled nursing facility actually operates. Look for physicians who have attended residents in facilities or served as medical director.
What this expert addresses
- Causation, including whether an injury is consistent with the facility's explanation
- Sepsis and change-in-condition timelines, and what earlier escalation would have changed
- Medication appropriateness, dosing, interactions and psychotropic use (F757, F605)
- Medical director responsibilities for clinical policy and oversight (F841)
- Comorbidity and expected course, including end-of-life decline
- Wrongful death: cause of death and contribution of the facility's care
Retain this discipline when
- Causation is disputed, which it usually is
- The case turns on hours: when the resident changed and when the facility acted
- Medication choices or physician oversight are at issue
What they will ask you for
- The full chart and physician orders
- Vital signs with time stamps
- Hospital, ED and EMS records
- Laboratory and imaging results
- Death certificate and autopsy where applicable
- Medical director and QAPI materials, subject to privilege
Read: How to choose between an RN, DON, administrator and physician expert
How to vet one
Ask for these with the CV. ECS sends the CV and fee schedule within 24 hours and testimony history on request.
- Nursing home or post-acute practice, not only hospital medicine
- Medical director experience, where oversight is at issue
- Board certification relevant to geriatric care
- Testimony history, requested with the CV
Panel members in this discipline
Availability and conflicts are confirmed on the call.
Larissa J. Lucas
Physician
Mark B. Rohrer
Physician
Ronald Nelson Rosen
Physician, Wound care certified
Robert Warren
Physician, Geriatrician, Hospice and palliative medicine
Case types where this discipline leads
Sepsis and infection
Change in condition, notification timing, delayed transfer, and infection control.
See this case type ›Medication errors
Wrong drug or dose, omitted doses, psychotropic use, and pharmacy oversight.
See this case type ›Falls and fractures
Fall risk assessment, supervision, devices, and what happened after the fall.
See this case type ›Pressure injuries and bedsores
Avoidable versus unavoidable, turning and repositioning, staging, and nutrition.
See this case type ›Other disciplines
Nursing home administrator expert witness
Operational standard of care: staffing, policy, supervision, reporting and corporate direction.
See the discipline ›Nursing home nurse expert witness
Nursing standard of care: assessment, care planning, documentation, notification and supervision.
See the discipline ›Wound care and pressure injury expert witness
Avoidable or unavoidable, staging, treatment and healing trajectory.
See the discipline ›Need this kind of expert?
CVs and fee schedules inside 24 hours.