Genevive

Our mission is to provide expert, compassionate care to everyone we touch.

Today’s health system wasn’t designed to serve the needs of aging patients. In caring for the elderly, providers too often rely on research based on very different populations and training protocols designed for less complex patients. While well intentioned, these practices are as likely to harm as to help — with serious consequences for patients’ wellbeing and quality of life.

Genevive is changing the outlook. By applying the best medical knowledge with compassion and respect, our model has been shown to improve lives and health outcomes. From recruiting to training to service delivery, we are raising the standard of accountability for geriatric providers in Minnesota and beyond.

To us, this work is a privilege. We wouldn’t think of doing anything else.

Our mission is to provide expert, compassionate care to everyone we touch.

Today’s health system wasn’t designed to serve the needs of aging patients. In caring for the elderly, providers too often rely on research based on very different populations and training protocols designed for less complex patients. While well intentioned, these practices are as likely to harm as to help — with serious consequences for patients’ wellbeing and quality of life.

Genevive is changing the outlook. By applying the best medical knowledge with compassion and respect, our model has been shown to improve lives and health outcomes. From recruiting to training to service delivery, we are raising the standard of accountability for geriatric providers in Minnesota and beyond.

To us, this work is a privilege. We wouldn’t think of doing anything else.

Our History


Genevive was founded as Geriatric Services of Minnesota in 2003 as a division of North Clinic. Dr. Nick Schneeman, Renee Doering GNP, Alaina Lerfald RN, and Kathie Surma LPN were the original employees. Today we are pursuing the same mission with a team of over 115 people including Physicians, Nurse Practitioners, Nurses, and Social Workers deployed throughout the Twin Cities and greater Minnesota.

Our Leadership


Amanda Tufano
MHA, CMPE, CPPM, Chief Executive Officer

Ruby Schoen
APRN, CNP, Medical Director

x
<
>

Amanda Tufano

MHA, CMPE, CPPM, Chief Executive Officer


I started as the Director of Business Operations with Genevive in 2012. This position allowed me to improve the operations within Genevive to better support the fantastic mission focused work our providers and clinical staff do each day. After helping to transition the company into standalone business operations, I became the Chief Operating Officer in January 2015. I have thoroughly enjoyed growing our internal business structure and building a network among other small businesses that support health care. In May 2017, I became credentialed with the Medical Group Management Association (MGMA) as a Certified Medical Practice Executive (CMPE).

Professional Interests

  • Medical group management
  • Small business management
  • Value-driven care models
  • Working with the geriatric population

Education

  • Master of Healthcare Administration, University of Minnesota 2010
  • Bachelor of Arts, Government, University of Texas
  • Bachelor of Science, Radio-Television-Film, University of Texas
  • Interdisciplinary Certificate, Cultural Studies, University of Texas
  • Certified Professional Project Manager, University of St. Thomas, 2012
  • Six Sigma, Green Belt Certified, University of St. Thomas, 2011
  • Lean Flow Certified, St. Paul College 2010

Publications

  • Abraham, J., B. Sick, J. Anderson, A. Berg, C. Dehmer, and A. Tufano. “Selecting a Provider: What Factors Influence Patients’ Decision-Making?” March/April 2011, Journal of Healthcare Management, 56(2): 99-114.
x
<
>

Ruby Schoen

APRN, CNP, Medical Director


I have been working across the care continuum in the geriatric population for over two decades. This includes interests in healthy aging, functional health, management of chronic conditions, palliative care and end of life planning. I discovered providing care to older adults with complex health problems is highly challenging, exciting, and rewarding.

I love working with the geriatric population, this is something I really enjoy. In fact, the more I do it, the more I enjoy it. What I love most about my work are the relationships I establish with patients and their families and the differences I can make in their lives.

I have a professional and personal interest in palliative, dementia care, and leadership. I enjoy palliative and dementia care, because the goal is not to cure, but to provide comfort and maintain the highest possible quality of life for as long as life remains. I enjoy the role of Associate Medical Director because it is an opportunity to inspire, support, and mentor. It’s a privilege to help develop others and enable people to go beyond their individual limitations and achieve great things.

Board Certifications / Re-certifications

  • American Association of Nurse Practitioners Certified Adult Nurse Practitioner
  • American Association of Nurse Practitioners Certified Geriatric Nurse Practitioner

Professional Interests

  • I have a professional and personal interest in palliative and dementia care. I enjoy palliative and dementia care, because the goal is not to cure, but to provide comfort and maintain the highest possible quality of life for as long as life remains.

Education

  • Master's in Science in Nursing, Metropolitan State University
  • Bachelor of Science in Nursing, Metropolitan State University

Our Providers


Shelly Alfson
APRN, CNP

Rita Anderson
APRN, CNP

Melanie Ashfeld
APRN, CNP

Mary Carlson
APRN, CNP

Momodou Ceesay
APRN, CNP

Brian Dixon
MD

Michaela Cielinski
APRN, CNP

Renee Doering
APRN, CNP

Scott Fairbairn
MD

Angela Farrington
APRN, CNP

Amy Foster
APRN, CNP

Bill Hamilton
MD

Robert Helgren
MD

Marcia Hoffman
APRN, CNP

Christa Hoiland
MD

Joy Laansma
DNP, APRN, CNP

Barry Larson
MD

Steven Lawler
MD

Joan Luknic
APRN, CNP

Shannon Mooney
APRN, CNP

Krista Naber
APRN, CNP

Kelsi Nelson
MD

Ngum Ngwa
APRN, CNP

Janice Roetzel
APRN, CNP

Ruby Schoen
APRN, CNP, Medical Director

George Schoephoerster
MD

Melissa Sorenson
APRN, CNP

Debra Stassen
APRN, CNP

Stacie Straus
APRN, CNP

Liz Toth
APRN, CNP

Sandra Turbes
MD

Doug Watkins
MD

x
<
>

Shelly Alfson

APRN, CNP


Caring for the elderly has been my lifelong passion, dating back to high school when I cared for elders as a certified nursing assistant in my hometown nursing facility. I have hospital experience in critical oncology care, as well as managing complex medical care of the geriatric population in Assisted Living, Transitional Care, and Long Term Care settings. I believe this specialized care we deliver as geriatric providers is a gift, and definitely my calling in life. I aim to care for each unique individual and their family with compassion and dignity to promote the best quality of life possible by utilizing the latest geriatric medicine principles and standards of care.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Geriatric Nurse Practitioner

Professional Interests

  • End of life care
  • Managing multiple complex medical conditions

Education

  • Master's of Arts in Nursing, College of St. Catherine, 2000
  • Bachelor of Arts in Nursing, College of St. Catherine, 1994
x
<
>

Rita Anderson

APRN, CNP


As a geriatric nurse practitioner, I enjoy working with older adults to help them manage and live with chronic medical conditions. My goal is to promote and enhance quality of life while maintaining the older adult’s dignity and comfort. I enjoy the history and wisdom each older adult possesses and am committed to meeting their ever-changing health care needs.

Board Certifications / Re-certifications

  • American Academy of Nurse Practitioners Certified Adult/Geriatric Nurse Practitioner

Professional Interests

  • American Academy of Nurse Practitioner's
  • American Medical Directors Association

Education

  • Master of Science in Nursing, Metropolitan State University
x
<
>

Melanie Ashfeld

APRN, CNP


Passionate about providing medical care for adults and elders in the long term care setting to maintain the highest quality of life based on my patients personal goals of care.

Board Certifications / Re-certifications

  • American Academy of Nurse Practitioners Certified Adult Nurse Practitioner
  • Geriatric Nurse Practitioner

Professional Interests

  • Dementia
  • Advanced Care Planning
  • Wound Care
  • Chronic Disease Management

Education

  • Master of Science in Nursing, St. Catherine University
  • Bachelor of Science in Nursing, St. Cloud State University
x
<
>

Mary Carlson

APRN, CNP


After living and working in the same small town for over 20 years, each person I care for is someone’s neighbor, family member, or friend. They each deserve the same kind of care I would give to my own father or mother.

Board Certifications / Re-certifications

  • Certified Adult Gerontological Nurse Practitioner

Professional Interests

  • Palliative care
  • Mental health issues
  • Older adults

Education

  • Master of Arts in Nursing, College of St. Catherine, 1992
  • Adult Nurse Practitioner Certification, College of St. Catherine, 1985
  • Bachelor of Science in Nursing, St. Olaf College, 1982
  • Bachelor of Arts in Religion, St Olaf College, 1981
x
<
>

Momodou Ceesay

APRN, CNP


I immigrated to the United States in 1992 from a small country in West Africa called Gambia. I went straight into nursing caring for the elderly as a nursing assistant in long term care settings across the country. I never looked back. Went back to school for my advance degree in geriatrics in order to continue to deliver the best evidence based practice for my elderly clients.

I’m a lifelong learner when it comes to improving the care for the elderly population. Working in health care this long also provided me great experience on how unique we are as individuals. I’m very passionate in improving the quality of life for all those who entrust me with their care.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Gerontological Nurse Practitioner

Education

  • Master of Science in Nursing, University of Minnesota
  • Bachelor of Science in Nursing, Excelsior College, Albany, New York
  • Associate of Science in Nursing, North Hennepin Community College, Minnesota
x
<
>

Brian Dixon

MD


If primary care doctors are the “people doctors,” then seniors are by far my favorite people. Getting to know my patients and their families is something I value highly. Guiding them through the decisions and complexities that arise in their health care is also highly rewarding. It is at GENEVIVE, helping the frailest of these patients manage chronic disease, acute illness and end-of-life transitions, where I believe a physician can have the greatest impact in primary care.

Board Certifications / Re-certifications

  • Diplomate, American Board of Internal Medicine

Professional Interests

  • Atrial fibrillation
  • Congestive heart failure
  • Advanced care planning
  • End of life care

Education

  • Internal Medicine Residency, Hennepin County Medical Center, Minneapolis, MN
  • Doctor of Medicine, University of Minnesota Medical School (Twin Cities)

Articles

  • Arch Intern Med. 2005 Sep 12;165(16):1877-81. Principal atrial fibrillation discharges by the new ACC/AHA/ESC classification. Dixon BJ, Bracha Y, Loecke SW, Guerrero MA, Taylor RD, Asinger RW.
x
<
>

Michaela Cielinski

APRN, CNP


I am truly blessed to have the opportunity to work within Geriatrics. It is an honor and privilege to be able to focus on enhancing and promoting the quality of life of the elderly, while preserving comfort and dignity.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center/ Adult Gerontology Primary Care Nurse Practitioner

Professional Interests

  • Wound Care
  • Advanced Care Planning
  • Chronic Disease Management
  • Psychiatric Care
  • Polypharmacy

Education

  • Masters of Science in Nursing, College of St. Scholastica
  • Bachelor of Science in Nursing, College of St. Scholastica
x
<
>

Renee Doering

APRN, CNP


I really enjoy my work and working with older adults. I love hearing all the life stories, and working in a team environment like the nursing home. It is a privilege getting to know residents and their families, and I’ve taken care of a lot of people from the same families over the years. Sometimes I get to work with residents and their families for decades, other times just weeks. Either way I try to help them along their journey, and get to know what is important to them.

Board Certifications / Re-certifications

  • American Nursing Certification Center Board Certified Geriatric Nurse Practitioner, 1997

Professional Interests

  • Diabetes
  • Congestive Heart Failure

Education

  • Masters of Science in Nursing, University of Minnesota, Twin Cities, 1997
  • Bachelor of Arts in Nursing, Luther College, 1992
x
<
>

Scott Fairbairn

MD


As a provider I feel I can bring empathy, understanding and caring as well as the expertise of over 20 years in Geriatric Medicine. I want to become a present and constant person in the life of my patients and their families.

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Medicine
  • Member of the American Medical Association
  • Member American Academy of Family Practice
  • Member Hennepin County Medical Society

Professional Interests

  • Geriatrics and Palliative Care
  • Working with Families
  • Patient Interaction

Education

  • Family Practice Residency, Mercy Medical Center, Denver, CO, 1990
  • Doctor of Medicine, Creighton University Medical School, Omaha, NE, 1987
  • Bachelor of Science, Creighton University, Omaha, NE, 1983
x
<
>

Angela Farrington

APRN, CNP


I have held several roles as an NP including a practice in long term care, short term rehab, on line telemedicine, and I have also had a leadership/management role supervising and leading 20 NPs. I prefer the bedside care of patients in long-term care and specifically enjoy managing chronic health conditions and helping patients and families with end of life decisions and comfort.

My primary focus is in honoring patient’s dignity and getting to know and understand their life history, work, passions and desires and what has brought them to the long term care setting. One of the most rewarding aspects of my career is the relationships that develop in caring for someone at the end of their journey in life.

Board Certifications / Re-certifications

  • American Academy of Nurse Practitioners Certified Geriatric Nurse Practitioner, 1999

Professional Interests

  • End of Life Care
  • Precepting

Education

  • Masters of Science in Nursing, St. Catherine University
  • Bachelor of Science in Nursing, University of Minnesota
x
<
>

Amy Foster

APRN, CNP


I have always loved working with the geriatric population. Working at Genevive allows me to provide personalized care to the elderly and their families. As part of the primary care team, I am able to provide care at the nursing facility allowing the eldery to receive care at their home where they are comfortable.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Family Nurse Practitioner

Professional Interests

  • Dementia
  • Advanced Care Planning

Education

  • Masters of Science in Nursing, Minnesota State University, Mankato, MN
  • Bachelor of Science in Nursing, Saginaw Valley State University, Saginaw, MI
x
<
>

Bill Hamilton

MD


Board Certifications / Re-certifications

  • Diplomate, American Board of Family Medicine

Education

  • Fairview St. Mary’s Family Practice Residency, Minneapolis, MN 1987
  • University of Minnesota Medical School, Minneapolis, MN 1984
  • Medical Doctorate University of St. John’s, Collegeville, MN 1979
x
<
>

Robert Helgren

MD


I am an Internal Medicine physician who values providing compassionate quality care to my patients. The last 25 years as an Internist has prepared me for my true niche – which is to partner with my senior patients and their families, to care for them with dignity and respect.

Board Certifications / Re-certifications

  • Diplomate, American Board of Internal Medicine

Professional Interests

  • Care planning for patients with complex diagnoses
  • Patient home visits
  • Listening to patients

Education

  • Internal Medicine Residency, University of Minnesota, 1989
  • Doctor of Medicine, Wayne State University School of Medicine
  • Bachelor of Science, University of Michigan, Ann Arbor
x
<
>

Marcia Hoffman

APRN, CNP


I have a passion for caring for the elderly. I have been a nurse for 30 years with the majority of my experience in the ICU before advancing my education to become a Geriatric Nurse Practitioner in 2000. My goal in working with the elderly is to maximize their health by using appropriate medications and other interventions.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Geriatric Nurse Practitioner

Education

  • Masters of Arts in Nursing, College of St. Catherine
  • Bachelor of Science in Nursing, University of Minnesota
  • Associate of Science in Nursing, Anoka Ramsey Community College
x
<
>

Christa Hoiland

MD


As a Family Physician, I can provide cradle to grave care, but have been drawn to the care of the elderly. I truly enjoy their stories, listening to their life philosophies, and guiding them through a very complex and unpredictable phase of life transitions. My goal is to guide, help heal, and always comfort. Genevive embraces providing compassionate and comprehensive care to the frailest of patients.

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Medicine, added Qualifications in Geriatric Medicine, Hospice and Palliative Medicine
  • Diplomate, America Board of Family Medicine

Professional Interests

  • Wellness/Fitness in the Elderly
  • End of Life Care
  • Dementia
  • Geriatric Depression
  • Pain Management
  • Skin Disorders

Education

  • Doctor of Medicine, Albert Einstein College of Medicine, New York
  • Family Practice Residency, University of Minnesota
  • Geriatric Fellowship, University of Minnesota
x
<
>

Joy Laansma

DNP, APRN, CNP


It is a privilege to practice in an area of my passion. My interest for geriatric medicine stemmed from earlier years working as a nursing assistant who saw a profound need for compassion and holistic medicine in a geriatric setting. This desire continued throughout my nursing career at nursing homes and hospitals from hospice to critical care areas.

Recognizing a patient’s uniqueness and individuality, my desire is to seek a balanced care plan that parallels a geriatric patient in their current circumstances through assessing areas that necessitate care service, planning for the implementation, and evaluating the effectiveness. Therefore, my Mission Statement is to provide ethical and compassionate care while promoting a healthy lifestyle with utilization of collaborative resources. I promise to faithfully and full heartedly provide remarkable care that advocates, protects, promotes, and optimizes health and comfort for the long-term care population.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Gerontological Nurse Practitioner, 2012
  • Sigma Theta Tau Member, 2009
  • Advanced Cardiac Life Support - 2013
  • Basic Life Support – 2013
  • Certified Nursing Assistant - 1980

Education

  • Doctorate of Nursing Practice, Concordia University Wisconsin, Mequon, WI, 2016
  • Master of Science in Nursing, Concordia University Wisconsin, Mequon, WI, 2012
  • Bachelor of Science in Nursing, Bethel University, St. Paul, MN, 2009
  • Associate of Science in Nursing, Normandale Community College, Bloomington, MN, 1996
  • Legal and General Education, North Hennepin Community College, Brooklyn Park, MN
  • General Education, Northwestern College, St. Paul, MN
x
<
>

Barry Larson

MD


I have been with Genevive since June of 2010. I have 25 years of experience in family medicine and have chosen to spend the latter portion of my career working with this very special population and their families.

It’s a privilege for me to work with seniors who have lived full lives and have experienced so much, and who have done so much for our country. I learn so much from them every day and often feel at the end of the day that I have received much more than I have been able to give. I am blessed to be able to work with a great team of caregivers that enables us to give the best care possible.

Board Certifications / Re-certifications

  • Diplomate, Added Qualifications in Geriatric Medicine, American Board of Family Practice, since 1994
  • Diplomate, American Board of Family Practice, since 1988

Professional Interests

  • Primary Caregiving in Long Term Care and in Medical Direction
  • Serve as a Medical Director at one of my facilities
  • Team practice of Medicine
  • Integration of teaching with caregiving

Education

  • Family Medicine Residency, University of Minnesota, Duluth, 1985-1988
  • Doctor of Medicine, University of Minnesota Medical School, 1985
  • Bachelor of Science, Gustavus Adolphus, St. Peter, Minnesota 1981
x
<
>

Steven Lawler

MD


I love being a Family Practitioner because I believe that the best care comes from being able to put a person’s medical issues in the context of the rest of her life. I spent the first dozen years of my practice providing full-spectrum primary care in a clinic setting, and time and again, my experiences there reinforced the importance of looking at the big picture.

For the last few years, I’ve focused on taking care of seniors in long-term care settings, and I’ve continued to apply that approach. I try to get to know each of my patients – not only his medical history, but also his hobbies, his career, his family life, his goals and hopes.

Each patient is unique, and getting to know the whole person helps me provide the best care possible.

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Practice

Professional Interests

  • Medical Director, Northfield Care Center - Northfield, MN

Education

  • Family Medicine Residency, United Family Medicine, St. Paul, MN
  • Doctor of Medicine, University of Iowa College of Medicine, Iowa City, IA
x
<
>

Joan Luknic

APRN, CNP


I have extensive experience in a variety of healthcare settings working with patients across the lifespan with special interest in the geriatric population. I value a collaborative approach to care that deeply involves patients, families and the inter-disciplinary care team in providing individualized services to adults and the elderly. I also pride myself on ensuring that patients and families are well educated on disease processes and trajectories.

Board Certifications / Re-certifications

  • American Academy of Nurse Practitioners Certified Primary Care Adult Nurse Practitioner
  • Memberships in American Association of Nurse Practitioners, Minnesota Nurse Practitioners, American Medical Directors Association, American Geriatrics Society

Professional Interests

  • Managing chronic diseases like diabetes, heart failure, COPD, high blood pressure, dementia and related problems

Education

  • Masters of Science in Nursing, Johns Hopkins University
  • Bachelor of Science in Nursing, Augsburg College
x
<
>

Shannon Mooney

APRN, CNP


Older adults and frail elderly face many complex health challenges. As a nurse practitioner with Genevive, I’m honored to assist them with acute and chronic health needs as well as end of life issues. Older adults and their families need strong support, good communication, and responsible, compassionate care from the entire multidisciplinary team. With over twenty years in healthcare, I’ve discovered that my biggest teachers are the people I care for and their families. I’m grateful for the opportunity to know them and learn about their life journeys, joys and struggles.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Adult-Gerontology Primary Care Nurse Practitioner

Professional Interests

  • Cardiac and Vascular Conditions
  • Diabetes
  • Neurocognitive Disorders
  • Mental Health
  • Advanced Care Planning

Education

  • Masters of Science in Nursing, St. Catherine University
  • Bachelor of Science in Nursing, College of St. Benedict
x
<
>

Krista Naber

APRN, CNP


I have been a nurse practitioner in geriatrics for 15 years. I love the work that I am privileged to do each and every day. Geriatrics was easy for me to choose. I used to walk to the nursing home in my hometown as a kid to visit all of my “adopted grandparents” and enjoyed spending a lot of quality time with my Grandma as she grew older.

The thing I like most about my job is not only getting to know my patients, but getting to know their families as well. I enjoy feeling part of their lives, even if briefly. I enjoy the communication and contact with staff and caregivers alike. I feel we all need the most care when beginning life and again as we prepare for our final journey.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Gerontological Nurse Practitioner

Professional Interests

  • Dementia/Alzheimer’s Disease
  • Neuromuscular Disorder

Education

  • Masters of Art in Nursing, College of St. Catherine
x
<
>

Kelsi Nelson

MD


My first job in high school was as a Certified Nursing Assistant at a long term care center. Now, after more than fifteen years of practicing Family Medicine and Express Care Medicine, I find myself drawn back to that initial setting. I look forward to working with residents both in a transitional care setting and also those in long term care. My goal is to provide quality and compassionate care to each and every resident I encounter!

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Medicine
  • Member of American Medical Association
  • Member of American Academy of Family Practice

Professional Interests

  • Quality of Life
  • Polypharmacy
  • Palliative Care
  • Patient Interaction
  • Mission Work both local and international

Education

  • Family Medicine Residency, University of Minnesota
  • Doctor of Medicine, University of Minnesota, Twin Cities
x
<
>

Ngum Ngwa

APRN, CNP


My interest in working with the geriatric population grew from my personal, work and educational experiences. I have come to embrace the holistic approach that is needed to care for adult and geriatric patients. This has enabled me to grow in other areas, such as being patient, being a great team player, and taking time to listen.

I enjoy hearing the life stories my patients and families have to share. Though some days are challenging, the reward of making a difference in the life of my patients, small as it may be, far outweighs anything else. The more I am involved in the care of older adults, the more I count myself as privileged to be caring for such a special group of people.

Board Certifications / Re-certifications

  • American Academy of Nurse Practitioners Certified Adult Nurse Practitioner
  • Member of American Medical Directors Association, MN Nurse Practitioners Association, American Academy of Nurse Practitioners, MN Medical Directors Association

Professional Interests

  • Volunteer to provide my medical knowledge through non-government organizations, church groups and such, in service to the poor and under privileged both here and abroad

Education

  • Masters of Science in Nursing, Metropolitan State University
x
<
>

Janice Roetzel

APRN, CNP


Some years ago I was present for my mother on her journey in and out of nursing homes due to chronic illness and aging. Through that experience I came to appreciate the strength, humor and resiliency of the many elders I met.

It has been my privilege to work with elders throughout my nurse practitioner career. Since 2008, I have been exclusively practicing in nursing homes. I take to heart the Genevive philosophy of caring for each patient as if he or she were my own parent.American Nurse Credentialing Center Board Certified Adult Nurse Practitioner 1990
American Nurse Credentialing Center Board Certified Gerontological Nurse Practitioner 2011

Board Certifications / Re-certifications

  • American Nurse Credentialing Center Board Certified Adult Nurse Practitioner 1990
  • American Nurse Credentialing Center Board Certified Gerontological Nurse Practitioner 2011

Professional Interests

  • Geriatric Syndromes in the Frail Elder and Transitional Care Patients

Education

  • Master of Arts in Nursing, St Catherine University, St Paul, 2000
  • Adult Nurse Practitioner Certification Program, St Catherine University, St Paul, 1990
  • Bachelor of Science in Nursing, Winona State University, Winona, 1977
x
<
>

Ruby Schoen

APRN, CNP, Medical Director


I have been working across the care continuum in the geriatric population for over two decades. This includes interests in healthy aging, functional health, management of chronic conditions, palliative care and end of life planning. I discovered providing care to older adults with complex health problems is highly challenging, exciting, and rewarding.

I love working with the geriatric population, this is something I really enjoy. In fact, the more I do it, the more I enjoy it. What I love most about my work are the relationships I establish with patients and their families and the differences I can make in their lives.

I have a professional and personal interest in palliative, dementia care, and leadership. I enjoy palliative and dementia care, because the goal is not to cure, but to provide comfort and maintain the highest possible quality of life for as long as life remains. I enjoy the role of Associate Medical Director because it is an opportunity to inspire, support, and mentor. It’s a privilege to help develop others and enable people to go beyond their individual limitations and achieve great things.

Board Certifications / Re-certifications

  • American Association of Nurse Practitioners Certified Adult Nurse Practitioner
  • American Association of Nurse Practitioners Certified Geriatric Nurse Practitioner

Professional Interests

  • I have a professional and personal interest in palliative and dementia care. I enjoy palliative and dementia care, because the goal is not to cure, but to provide comfort and maintain the highest possible quality of life for as long as life remains.

Education

  • Masters in Science in Nursing, Metropolitan State University
  • Bachelor of Science in Nursing, Metropolitan State University
x
<
>

George Schoephoerster

MD


After providing full spectrum family medicine for over 25 years, I was given the opportunity to focus my energy on the frail elderly. I now provide care for short stay and long term care nursing home residents in greater central Minnesota, and serve as Medical Director in some of those homes. I function as part of a team providing primary care. We focus on the needs of our patients in a manner that meets of their goals and is consistent with their values, which then allows families to spend quality time with their loved one in the twilight of their life.

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Medicine with added qualifications in Geriatrics

Professional Interests

  • For the past 10 years, I have had an interest in health care reform in Minnesota, in particular, in the transformation of primary care. My primary interests are in improving the value of care provided to Minnesota seniors. To advance that work, in addition to my work role in Genevive, I serve in many volunteer roles that provide me the opportunity to improve the quality of care provided to the frail elderly, with a particular focus on those with dementia.

Education

  • Family Medicine Residency, Akron General Medical Center, Akron, Ohio
  • Doctor of Medicine, University of Iowa, Iowa City, Iowa
x
<
>

Melissa Sorenson

APRN, CNP


I have worked in long term care settings since 1992. Initially, I started as a floor nurse and then a manager. Understanding the value of on-site medical team visits, I became a Geriatric Nurse Practitioner. I enjoy my patients’ individuality and their life wisdom lessons they have to teach us.

Because this job is full of challenges, fascinating people, and interesting complex medical situations, I expect to be a nurse practitioner for the geriatric populations for many years to come.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Geriatric Nurse Practitioner
  • Minnesota Medical Director Association Member

Professional Interests

  • Palliative Care
  • Individualized Treatment Plans

Education

  • Masters of Science in Nursing, University of Minnesota
  • Bachelor of Arts, College of St. Catherine
x
<
>

Debra Stassen

APRN, CNP


My choice to become a nurse practitioner stems from my desire to make a positive difference in the lives of those who live in the long term care setting by providing on-site medical care, personal attention and prompt conversation with families on a routine basis and as needed.

Genevive patient/family interactions are relaxed, with time taken to prioritize any patient/family concerns, while keeping patient goals of care in mind at all times.

Board Certifications / Re-certifications

  • American Academy of Nurse Practitioners Certified Adult Geriatric Nurse Practitioner

Professional Interests

  • Polypharmacy
  • End of life care and comfort

Education

  • Masters of Science in Nursing, University of North Dakota, Grand Forks, ND
x
<
>

Stacie Straus

APRN, CNP


I have a lifelong passion to help others and have worked in healthcare since high school. I’ve worked in hospital settings and homecare, and especially enjoy the elderly population. Nursing is very rewarding, but I knew I wanted to further my education and geriatrics is what I wanted to specialize in. I love getting to know my elderly patients as individuals along with their families.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Adult-Gerontology Primary Care Nurse Practitioner

Professional Interests

  • Palliative Care
  • End of Life
  • Managing Chronic Medical Problems
  • Dementia

Education

  • Masters of Science in Nursing, Kaplan University
  • Bachelor of Science in Nursing, Walden University
  • Associate of Science in Nursing, Anoka Ramsey Community College
x
<
>

Liz Toth

APRN, CNP


I have been involved in the field of nursing for over 25 years. I began my career as a nurse in hospital acute care. After completing my Masters Degree in Nursing at the College of St. Scholastica as an Adult and Geriatric Nurse Practitioner, I decided to devote my advanced nursing practice caring for the geriatric and adult population in the long-term care setting.

I believe my mission in this occupation is to be open, honest, accessible and approachable making the relationship with the resident and family/loved one a personable and comfortable experience. I am truly blessed to work in the field of Geriatrics. It is an honor and a privilege for me to focus on quality health care for this patient population.

Board Certifications / Re-certifications

  • American Nurses Credentialing Center Certified Adult and Geriatric Nurse Practitioner
  • American Medical Directors Association
  • Minnesota Medical Directors Association
  • American Association of Nurse Practitioners
  • Gerontological Advanced Practice Nurses Association

Professional Interests

  • I have a special interest in the frail elderly population and devoting attention to quality of life. I have a passion for palliative/hospice services, wound care, pain management and educating all involved in the care of the resident. I enjoy precepting student advance practice nurses and advocating for the geriatric field.

Education

  • Masters of Arts in Nursing, College of St. Scholastica
  • Bachelor of Science in Nursing, Northern Illinois University
x
<
>

Sandra Turbes

MD


I feel fortunate to have found the opportunity to provide quality care to elders at Genevive. Those in our care have reached a point of becoming more medically vulnerable, but they have survived a lot. I value taking the time to get to know each patient’s story both medically and personally. My goal is to optimize every patient’s care based on their individual health conditions, values, and needs. I strive to explain things in ways that patients and family members can understand, so that together, we can balance the benefits and risks of various options in treatment plans and overall care. What I love about my work is relationships – my relationships with patients and families, patients’ connections with the important people in their lives, collaborative relationships in both long term care settings and home-based care, and the positive, collegial relationships at Genevive.

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Medicine

Professional Interests

  • Home-Based Care
  • End of Life Care
  • Palliative Care
  • Spanish Speaking and Cross Cultural Care
  • Care of Underserved and Vulnerable Populations

Education

  • Swedish Family Medicine Residency, Washington
  • Doctor of Medicine, University of Minnesota, Twin Cities
x
<
>

Doug Watkins

MD


In approximately 2005, after 15 years of clinic-based practice, I found myself becoming more and more deeply dissatisfied with that style of practice. The physician’s role was evolving to meet the challenges to computerize the practice of medicine, and to be more “productive” — to see more patients more rapidly, resulting in the focus shifting to less on the patient and more on the computer.

After assessing the factors of medicine that were most rewarding to me, I came to realize they were all associated with caring for the older segment of the population. I enjoyed the mental challenge of caring for the multiple medical problems that accumulate with age, interacting with people whose perspectives have been fully formed by the experiences of a lifetime, and dealing with people (and their families) who were more appreciative of what I had to offer.

These realizations lead me to the full time practice of geriatric care in the nursing home setting in 2006. Subsequently I completed work to become a Certified Medical Director, and now am the attending physician to the majority of the residents in five nursing homes, serving as Medical Director in four of those homes.

Board Certifications / Re-certifications

  • Diplomate, American Board of Family Practice

Professional Interests

  • Medical Director serving:
  • Lake Ridge Care Center, Buffalo MN
  • Park View Care Center, Buffalo, MN
  • Sterling Park Care Center, Waite Park, MN
  • Talahi Care Center, St Cloud, MN

Education

  • Family Medicine Residency, Duluth Graduate Medical Education Council
  • Doctor of Medicine, University of Minnesota Medical School/ University of Minnesota-Duluth School of Medicine