Rena is president of RRS Healthcare Consulting Services, providing long-term care consulting and training services to facilities, corporations, and attorneys nationwide. A nationally recognized expert on resident assessment and care in nursing homes, she was the founding chair of AANAC and served as AANAC's executive editor until May 2012. She is the primary author of the AANAC RAC-CT MDS certification program. A member of the MDS 3.0 development team, she has been a presenter for the CMS MDS 3.0 Train-the-Trainer events as well as a consultant to CMS and several QIOs. She was director of nursing services in nursing homes for 14 years. She holds a masters degree in healthcare administration.