Services
Operational Assessments
CDS is a nationally recognized consulting firm, focused on helping organizations identify their own best practices and learn successful practices and strategies implemented at other organizations. CDS has conducted over 100 operational reviews of senior living organizations, including continuing care retirement communities, corporate offices, nursing homes and assisted living communities.
CDS operational assessments include a multi-day site visit to the campus to meet with senior managers and department leadership, from most operation and service areas of your organization. During the interviews, CDS will learn about specific policies and procedures and brainstorm with the team about creative strategies and operating practices to optimize short-term and long-term financial performance.
The scope of the operational assessment includes:
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- Examination of the current organizational structure and staffing in each operating department;
- Analysis of historical and projected financial statements;
- Evaluation of key operating metrics and development of best practice benchmarks;
- Analysis and focus on determining the viability of key business lines such as home health and hospice;
- Review of marketing practices, marketing studies conducted by outside professionals, contract language and pricing structure;
- Discussion of results with management, board, and lenders;
- Preparation of a written report with detailed analysis and recommendations for strategic practices, improved operating efficiency, cost containment and program enhancement consistent with best practices for senior living organizations and the mission and culture of your organization.
Implementation Support
CDS has worked with several clients to enhance leadership’s knowledge of the senior living industry. Services include coaching, review of financial statements, assistance with debt service covenant requirements and other special projects and typically include a commitment from CDS of 6 to 10 days per year on site and 4 to 8 hours per month phone consultation.
Management support services are provided on a monthly retainer basis and typically are for periods of six months to two years, but can be customized to suit management’s needs.
“We worked with CDS in the past and when we started experiencing similar operational challenges, I picked up the phone right away and called Dan. In April 2024, Waterman retained CDS for a two-year period to assist the management team with implementation of the recommendations. Dan and his team are very meticulous. They will dig deep in their operational review to find opportunities that will lead you to success. I appreciate how they focus on maintaining your culture while recommending financial efficiencies and revenue growth strategies.”
Andrew Dujon, President & CEO
Waterman Communities, Mount Dora, Florida
“At Provident Healthcare Management, we have had the privilege of working closely with Vicki and Dan Gray of Continuum Development Services. What sets them apart is their ability to truly understand the unique nature of each organization they serve. They take the time to listen, to assess, and to tailor solutions that are both practical and impactful, rather than offering one-size-fits-all approaches. Their depth of expertise across senior care, behavioral health, and skilled nursing brings immense value, especially in helping us navigate operational challenges with clarity and confidence. Vicki and Dan’s insights have directly supported our growth, impacted our financial outcomes and strengthened the quality of services we provide to residents and their families.
Of equal importance, beyond being experts in their field and well-connected across the industry, Vicki and Dan bring the warmest disposition to their work. They have a natural way of putting you at ease, and their sense of humor is a true gift—qualities that make working with them not only deeply productive but genuinely enjoyable. This unique combination is rare to find in a consulting partner, and it is one of the many reasons we value our relationship with them so highly.”
Vadim Muchnik, President,
Provident Healthcare Management
(Celebrate Niles; Celebrate Fort Wayne)
“For over a decade, CDS has collaborated with The Overlook leadership, completing several comprehensive and successful operational reviews for the organization. Not only are Dan, Vicki and their support teams subject matter experts in all things senior living and long-term care; they also bring a wealth of valuable resources, industry benchmarks, best practices, and an independent, third-party perspective—spanning the entire continuum of senior living healthcare, services, amenities and hospitality. The Overlook’s Operational performance has improved by millions of dollars, leveraging CDS’ guidance and multiple recommendations.
I would strongly encourage any senior living provider, whether financially healthy—or struggling financially, to partner with CDS. Their in-depth analysis of the operations, provide a thorough understanding to both leadership and governing boards, of what’s working well within an organization—as well as opportunities for markedly improving financial positioning and overall community and stakeholder satisfaction.”
Tameryn Campbell, President & CEO
Masonic Health System (The Overlook)
“After completing our multi-year, multi- phase campus expansion and repositioning we engaged Dan and Vicki Gray with Continuum Development Services (CDS) to assess our operations and provide us with recommendations to help us reach our full potential operationally. They did not disappoint. They provided excellent information on industry best practices, which was easily understood and actionable by the organization including sound advice for our governing board. After going through this process with them, I am convinced that CDS will make your organization better, guaranteed. If you want to be the best in class, you will benefit from engaging CDS.”
Jason R. Cronk,
Chief Executive Officer
Immanuel Lutheran Communities
Our Services
CDS professionals can provide assistance with:
Operational Assessments
Management Consultant Reports
PACE Technical Assistance
Best Practice Benchmarking Reports
Health Care Staffing and Quality Evaluations
Intellectual and Developmental Disabilities Consulting Services


Continuum Development Services
1501 Greer Lane
Signal Mountain, TN 37377
Phone
423.240.8378 / 423.255.7161
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