About Us


The Mission of the Institute of Post-Acute Care (InsPAC) is to provide PAC nurses and interdisciplinary team (IDT) members with robust certification programs and other education and trainings; to enable them to take on leadership and educational roles; become proficient in their current roles; and serve as champions in improving quality outcomes for our seniors. “We believe our certifications validate ability to perform at higher standards; and that continuing education and trainings are necessary to achieve quality outcomes in our Post-Acute Care facilities.”

Play Video


InsPAC’s vision is to equip every PAC community with trained and certified staff members with in-depth knowledge and skills necessary to attain satisfaction by residents and their family members, career fulfillment for members of the PAC environment, and recognition of excellence at the PAC facility.

The Institute of Post-Acute Care offers a suite of services, including:

  • PAC certification courses, and subject matter trainings. The credentials and education are offered face-to-face, online, or blended. Our programs can also be tailored to meet an organization’s need or group of associates working for one organization.  
  • Online competencies: clinical courses and demonstrations are available online to enhance the competencies of direct care staff.
  • Educational materials: clinical and cutting-edge leadership topics are available for individual knowledge enhancement or to aid in online staff education within the organization.
  • Conferences: InsPAC Annual Conference, and periodic seminars on emerging industry topics. We collaborate with organizations to host events at their facility or designated locations.
  • Consulting services: InsPAC associates are available to train and deliver expertise on unique matters at PAC facilities. We conduct detailed needs assessments, develop education and training programs, provide mock surveys, offer onsite regulatory compliance assessments, and more!
  • Speaking engagements: Book one of our faculty or advisors for your next team meeting, employee recognition program, staff in-service, Nurses Week, or other events. InsPAC members are available to provide in-person and live web-based programs. 
    Our faculty are leading experts in their respective fields and are available to present on many topics.



“After taking this program, I felt ready

to provide quality nursing care at my nursing facility.”

Gayle R., MSN, RN, PAC-CSE

“Great program. I’m so glad I was

a part of it.”

Shirley A., MSN, RN, PAC-NL

“I learned so much with this certification course. I will highly recommend to any nurse. The assessment and documentation modules were the best.”

Kanamu K., RN, PAC-RN

“Thank you for putting this program together. Every nurse needs to take

this course.”

Joyce T., BSN, RN, PAC-DC

“I never knew a program like this existed until a friend mentioned it to

me on FB. Kudos for putting together

a nurse certification program to make nurses successful at work.”

Angela K., LPN, PAC-DC

“The best RN training program ever.

I will highly recommend this program to all RN’s in Skilled Nursing Facilities, Nursing Homes, Assisted Living Facilities, Home Care, and all acute care nurses looking to transition from hospital to post-acute.”


InsPAC’s Vision is to equip every PAC Community with trained and certified staff that possess the knowledge

and skills to successfully care for

our seniors.

Faculty & Advisors

Astacia Linton is an experienced registered nurse with clinical skills in both the acute and post-acute setting. Astacia graduated from the University of Central Florida and holds a Master’s degree in Nursing Education. She has served as a nurse educator in the acute and post-acute setting and is a Post-Acute Care Certified Staff Educator.

Denise Scruggs is the Director of the innovative and award-winning Beard Center on Aging in the College of Health Sciences at the University of Lynchburg. She holds a bachelor’s degree in social work and masters’ degrees in counselor’s education and criminology.

Denise has spent over twenty years in higher education. She has been responsible for teaching gerontology courses, conducting student leadership and aging sensitivity training, coordinating a state-wide conference on aging, offering continuing education programs for health care professionals, and providing leadership for a sixty-agency Consortium on Aging.

In addition, she has over twenty years of leadership experience in long-term care and senior services, including managing a memory care unit and conducting in-service training and family caregiver education. Her expertise spans caregiving, elder abuse, leadership development, education, person-centered care, aging sensitivity training, and relationship-building. Denise is a post-acute care certified instructor for the PAC-CSE program.

Cindi Raymond

With over 30 years of experience in the healthcare industry, Cindi’s focus is on leading and shaping the future of elder care toward excellence in the post-acute care environment.


Her strong clinical and fiscal acumen combined with continued development of succession planning for colleagues throughout the industry have profound impact on her expert ability to serve. This experience comes through her work in large multi-site organizations as well as single-site long term care facilities. She has grown up in long-term care as a Director of Nursing, Administrator, Consultant, Chief Nursing Officer, a Principal with Plante Moran, PLLC, and her most recent work as the Owner of Cindi Raymond On Purpose, LLC.


Those who know Cindi particularly appreciate her ability to bring simplicity to the complex by moving multifaceted ideas into actionable work-plans. 

Dale SteakleyDale Steakley is a Healthcare Executive and Board-Certified RN with over 16 years in the business working in various clinical and leadership roles across the entire healthcare continuum. Throughout his career he has worked with a variety of hospitals, health plans, nursing facilities, and population health management and technology companies. He is currently the Vice President of Caregiver and Post-Acute Care Networks for NAVVIS Healthcare and manages care networks for the Hawai’i Market.


Dale’s clinical and management experience includes medical-surgical, telemetry, hematology, oncology, hemodialysis, neuroscience, peritoneal dialysis, a variety of surgical specialties, and post-acute care nursing (Assisted Living & SNF). An interesting and important fact about Dale is he started his career as a housekeeper and nursing assistant and worked two jobs for most of his career thereby shaping him into the leader, nurse advocate, and market influencer he is today.

Joshua J. Freitas is an award-winning memory care program developer, researcher, and author. His care and training philosophies have been featured in prominent publications, including Long-Term Living Magazine, Healthcare Provider Magazine, Science Today Magazine, local news channels, and much more. Freitas serves as the Chief Research Officer for the CERTUS Institute and the Vice President of Program Development at CERTUS Senior living, LLC, where he oversees memory care philosophy and initiatives throughout the company.
Currently, Freitas is a Doctoral student at California Institute of Integral Studies where he focuses on Clinical Gerontology and Aging Neuroscience. He has also studied Non-Pharmacological Healthcare at Lesley University, Healthcare Economics at Harvard University, and Music Education and Music Therapy at Berklee College of Music. Freitas holds five certifications related to dementia care and serves on the National Institute for Dementia Education’s SOE council advisory boards.
Through his two recent book publications, The Dementia Concept and Joining Grandma’s Journey, Freitas hopes to change the way society views individuals who are living with Alzheimer’s disease and related forms of dementia. A dementia diagnosis should not be viewed as the end of life. “To break the stigmas that impede progress and quality care,” Freitas says, “we must all advocate for those with memory loss, and support their families and friends.”

Nadine Grant is a registered nurse with 42 years of experience in nursing and 26 years in the post-acute sector. Nadine possesses a Bachelor’s degree in Health Care Administration and a Master’s degree in Nursing. Nadine has worked in critical care, emergency medicine, consulting, education, and leadership roles. She is also a licensed nursing home administrator and is a board-certified infection preventionist. She was president elect for the Hawaii Association of Nursing Administrator from 2007 – 2014. Nadine authored the only Hawaii state approved feeding assistant program and was one of two statewide trainers for the INTERACT II initiative. She served as a member of the long-term care advisory panel for Gojo industries, as well as currently serving as a content reviewer for Wolter Kluwer Health. Nadine was chosen eight times to serve on the review panels for the National Council of State Boards of Nursing to review and rewrite the NCLEX exams.

Dr. Aponte is an Executive Health Care professional in the clinical and education areas with over 15 years of experience. Experiences include strategic planning, regulatory accreditation and compliance, health system leadership, collaboration with leaders and other key stakeholders, support of the Mission, Vision and Values of the organization; high quality care and delivery of customer service experiences, partnership relations in a diverse work environment; and execution of full budgetary responsibilities. Additionally, she is an experienced leader who works in a collegial manner with all members of interdisciplinary teams to ensure overall coordination of patient care and ancillary services.


She has delivered Executive Education sessions in various leadership and organizational behavior topics, such as Leading Change, Fundamentals of Leadership, Leading High Performing Teams, Designing and Managing Effective Chronic Care Systems, Innovation and Creativity, Measuring the Outcomes of Organizational Change.


Her vision is to integrate her education, experience and passion for the advocacy of Elder Care and to educate and empower Health Care professionals to better serve the vulnerable elder population. Her plans to accomplish this is through lectures, workshops, direct healthcare management and ongoing advocacy.


Priscilla is a very well respected authority and thought leader in the geriatrics health care area and is a frequently sought out speaker in this area and related topics. She has appeared in various media, including Radio, Speeches, Feature & Keynote speeches and workshops. Her research interests are in the fields of Health Disparities; Vulnerable Health Populations; Nurse Manager Leadership Development; Leadership Effectiveness; Geriatrics and Long Term Care.

Dr. Richard Stefanacci brings several unique perspectives to the field of long term care (LTC) care. To begin, he literally grew up in LTC; celebrating his 8th birthday in a nursing home that his family continues to own and operate today. As a practicing internist/geriatrician, he has a long-standing interest in and commitment to the frail elderly as his clinical practice solely focuses on nursing home eligible older adults through the PACE program (Program for All-inclusive Care for the Elderly).


As a geriatrician, Dr. Stefanacci has been involved with treatment and management of adults qualifying for LTC care. This work includes direct patient care across all care settings from home, adult day center, clinic and skilled nursing facilities.


On the policy side, Dr. Stefanacci served as Health Policy Scholar for the Centers for Medicare & Medicaid Services (CMS). He has combined his expertise in healthcare policy in his teaching position at Thomas Jefferson University in their Jefferson College of Population Health. In his academic role he has over 600 publications in addition to delivering well over 1000 lectures both nationally and internationally.


An active member of all the LTC professional associations – Dr. Stefanacci has been active on both the American Society of Consultant Pharmacists (ASCP) and AMDA Foundation Boards as well as being honored as an honorary lifetime member for ASCP and the National Association of Directors of Nursing. Extremely active with AMDA, Dr. Stefanacci serves as faculty for the CMD / Certified Medical Director program. Finally, Dr. Stefanacci has achieved recognition as a fellow in both the College of Physicians of Philadelphia and American Geriatric Society as well as several national awards.


Dr Stefanacci’s greatest accomplishment is the Go4theGoal Foundation (www.Go4theGoal.org), a 501(c)(3) public charity that he founded with his family and friends when his oldest son Richard was diagnosed with Ewing’s sarcoma in May 2006. He developed the foundation with an intense focus after his son’s death on June 12, 2007. Since its inception, the foundation has raised several million dollars to assist hundreds of children affected by cancer at nearly 100 children’s hospitals across the country, while also funding cutting-edge research to find a cure.

Toby Smith, DO has been involved in the Post-Acute and Long-Term care industry for over 20 years. Initially involved with nursing home research at UCLA’s Borun Center for Gerontological Research, he decided to pursue a career in medicine to improve the quality of care for nursing home residents. He obtained his medical degree(D.O.) from Western University and did his residency training at the University of Hawaii in internal medicine as well as fellowship training in geriatric medicine. After training and working as a hospitalist, he was eventually hired as one of the first full time onsite nursing home physicians in Hawaii and worked for one of the largest nursing home companies in the U.S. He became a certified medical director(C.M.D.) through the American Medical Directors Association and has served as a nursing home medical director in multiple facilities throughout Hawaii. He is now a core faculty member for AMDA and also teaches as an assistant clinical professor of geriatrics at the University of Hawaii.Dr. Smith is ABIM board certified in Geriatric and Hospice/Palliative Medicine and is currently the Chief Medical Officer and Vice President for a nursing home provider group. He additionally provides his expertise as a medical director for hospice and the largest insurance company in Hawaii for palliative care.

Business Partners

  • National Institute for Dementia Education
  • New York University – Rory Meyers College of Nursing
  • The Beacon Institute – Life Span
  • College of Health Sciences – University of Lynchburg

Become a Partner

Benefits of membership include:

  • Instant benefits
  • Enduring benefits
  • Connect using online forums
    • Ongoing live chats

    Partership Level