Margaret A. Von Heuvel, MSN, APRN, GNP-BC

***** **** ****, ****, ** 77493

Cell 832-***-**** Fax 866-***-****

Self-driven accomplished Nurse Practitioner and Healthcare Executive with 19 years’ experience having successfully opened and operated 15 medical facilities with a total of 6000+ patient population. Education

University of Texas Medical Branch (Galveston, TX) 8/2004 Geriatric Nurse Practitioner GPA3.84

University of Incarnate Word (San Antonio, TX) 12/1999 Masters of Science Adult Health GPA 3.7

Wright State University (Dayton, OH) 6/1996 Bachelor of Science in Nursing GPA 3.6 Professional Credentials

Geriatric Nurse Practitioner

Registered Nurse-Texas License

Enhanced External Counter-Pulsation Therapist Certified since 2006 Professional Experience

Geriatric Nurse Practitioner 03/17/2014 - Present President

Margaret Care Concierge Health Services, PLLC

Margaret Care Premier Primary Care

Katy, Tx

832-***-****

Performs assessments as needed for patients of the primary care practice to include, acute, chronic, urgent, and preventative care. Provided antiaging medicine/BIHRT, and Weight Loss. Coordinates care under the supervision of the MD for prescription medications. Ordering and performing diagnostic tests and procedures. Supervising licensed and unlicensed personnel.

Geriatric Nurse Practitioner 05/2009-5/2013

CEO Malexa Medical PLLC

Rockport Rejuvenative Clinic—Rockport, Tx

Malexa Family Medicine—Portland, Tx

Private Practice with 6000 patients and 2 locations. Primary Care Provider for the patients, offering acute and chronic disease management, urgent care, preventative medicine, antiaging medicine/BIHRT, and Weight Loss. Performed school physicals, DOT physicals, Flight physicals, Disability assessment documentation. Closed practice and relocated to Katy after getting married. Long term care rounds, house calls, and hospital discharge summaries.

Adult Protective Services Investigator 05/2009-05/2013 Texas Department of Human Services Aging & Disability Aransas, San Patricio, and Bee Counties

Investigated complaints of elder abuse or neglect, testified for competency hearings, coordinated admission to safe placement in an alternative setting.

Geriatric Nurse Practitioner 05/2008-5/2009

Gulfside Medical Clinic—Rockport, Tx

Treated 20-30 patients per day with acute, chronic diseases, urgent care needs, or disease prevention. Long term care rounds, house calls, and hospital discharge summaries.

Long Term Care/House calls Geriatric Nurse Practitioner 08/2007-05/2008 Transitions Senior Services PLLC Fort Worth, Tx and Corpus Christi, Tx Provided Primary Care Role for Patients in Long Term Care Facilities and Assisted Living Facilities. Provided medical house calls in private residences.

Sole Provider Nurse Practitioner 08/2006-05/2007 Coldsprings Family Practice Coldspring, Texas.

Independent role providing primary care to 5000 patients and maintained contract for the San Jacinto county jail treating inmates as needed.

CEO—Preservation Health, PLLC (Medical House Calls) 09/2005-May 2007 Fort Worth, Texas/Conroe, Texas.

Built patient caseload from 0-2000 patients in two years. Primary Care acute and chronic disease.

Legal Nurse Consultant/Long Term Care Consultant 01/2004-05/2007 Owner —Transitions Senior Services San Antonio, Texas & Fort Worth, Texas Case review. Expert Witness Testimony. Depositions.

Vice President of Operations Legacy Heart Care, Inc. 06/2006-03/2007 Fort Worth, Texas. Led business turn around and successfully opened 2 additional locations.

Geriatric Nurse Practitioner—Bueno Vista Family Practice 08/2005-06/2006 San Antonio, Texas, Medical management of 3000 primary care patients

Administrator/Geriatric Nurse Practitioner SAVA—Asperion Hospice 06/2005-06/2006 San Antonio, Texas. Successfully started a hospice division of 3 hospice locations in San Antonio, Houston, and Austin simultaneously. Built total census to 310. (Company sold hospice division position was dissolved)

Program Manager Care Level Management 09/2004-07/2005 San Antonio, Texas. Created successful CMS Medical Housecall pilot program for high risk patients from Humana Health Insurance Medicare plans that lead to nationwide transformation of how this population of patient is managed. (Pilot program was completed)

Administrator/Director of Nursing Heritage Home Health 03/2004-11/2004 San Antonio, Texas (Graduated and took position as a Nurse Practitioner)

Director of Nursing 12/2004- 04/2004

Mystic Park Health & Rehabilitation

San Antonio, Texas.

Managed licensing and opening of a new 125-bed skilled nursing facility. Achieved occupancy of 90% within 6 months (owners sold facility and I elected not to join new corporate team)

RN Supervisor Hospice Homecare 02/2003-01/2004

San Antonio, Texas

Case Manager and on call supervisor 150 patient hospice.

Internal Medicine RN/Nurse Practitioner Rodney Carry, MD 03/2003-12/2004 San Antonio, Texas

Office RN for Internal Medicine Practice. Coordinated care for MD as Medical Director for 15 SNF

Director of Nursing Services—Parklane West Retirement Center 03/2002-03/2003 American Retirement Corporation.

San Antonio, Texas

DON for 250 bed SNF, 50 bed ALF 150 IL Apts.

Critical Care Registered Nurse—Methodist Healthcare Systems 12/2002-12/2003 San Antonio, Texas

Provided ICU and MICU care to patients. Provided Dialysis in ICU and MICU.

Regional Director of Health & Wellness—Marriott Senior Living Services 04/1998-10/2001 Home Office, The Forum at Lincoln Heights San Antonio, Texas overseeing Texas, Oklahoma, and Bethesda, Maryland. Full management responsibility for 9 CCRC each with approximately 60-bed skilled nursing, 30 assisted living, and a total of 1000+ independent living apartments. Responsible for the fiscal control and human resources management of a ~3000 staff. Coordinated and completed conversion of facility to Electronic Medical Records. Achieved a 98% -99 % satisfaction score for major benchmarks during my entire tenure.

Assistant Director of Nursing/Registered Nurse 07/1997- 04/1998 Manor Care Health & Rehabilitation

Windcrest/San Antonio, Texas. Responsible for resident care delivery of a 110- bed unit. Supervised 60 employees. Led implementation of intra-thecal pain management program.

Assessment Coordinator RN 07/1997-04/1998

Manor Care Health & Rehabilitation

Windcrest/San Antonio, Texas. Coordinated and conducted multidisciplinary assignments of residents while ensuring regulatory compliance for a 190-bed skilled nursing facility. Managed the Electronic Medical Records system. (Promoted to Assistant Director of Nursing)

Registered Nurse—Audie Murphy Veterans Hospital 06/1996-07/1997 San Antonio, Texas

Telemetry, Emergency Room, Cardiac Cath Lab, Oncology, Urodynamics, Wound Care, Med Surg, and Spinal Cord Injury

Professional Memberships

American College of Nurse Practitioners-member

The American Geriatric Association—member

Texas/American Nurses Association—member

University of Incarnate Word Nursing Honor Society-member Professional Skills (Selected Highlights)

Dermatology—benign skin lesion removal, shave, punch, and excision biopsy. Cryotherapy. I&D. post-surgical wound care, management of venous and arterial ulcers, management of pressure ulcers.

Gynecology—routine pap, std culture, bladder instillations, manual breast exams, teaching self- breast exams, bioidentical hormone replacement therapy

Pulmonology—nebulizer treatments, management of acute respiratory distress, perform pulmonary function tests, peak flow meter, teaching asthma management

Cardiology—12 lead ECG interpretation, chest pain management, cpr, stress test

Occupational Health—Performed chain of custody drug screening, fit testing, color blind vision screening, completed documentation according to OSHA, Dept of Transportation, and FAA.

Immunotherapy—reduced the severity of allergy and asthma

Discharge Summaries from Acute Care—completed discharge summary and case management

Urgent Care—chest pain, stroke, falls with lacerations, foreign body removal, dehydration, altered mental status, diabetic emergency, respiratory distress, performed rapid stabilization

ENT—Vital stim with PT for dyshpagia therapy, throat cultures, thyroid palpations, ear lavage, fluorascine staining, removal of foreign bodies, orbital lavage post enucleation

Neurology—emg/ecv testing, full neurological assessment, vertigo testing, MMSD

Psychiatry—Beck Depression Inventory, MMSE, BPRS, PANSS, Global Mental Health Assessment Tool, GDS

Presentations & Projects

Host/Chairwoman for the Rockport Rejuvenative Clinic Annual Healthcare Gala— attendance 2000. 2009 Fulton Texas.

Host/Chairwoman for the Cherish Your Skin—Malignant Melanoma skin cancer screening event. Co- chair was Mrs Texas International. Attendance 1500. 2009 Fulton Texas.

CoHost for Sacred Heart School Family Health Awareness Event. 750 children and parents attended hands on demonstrations and lectures from physicians, nurses, emt, fireman, dentists, optometrist, halo flight, physical therapy, hospitalist, diabetes educators, etc. 2009 Rockport Texas.

Host/Chairwoman for the Rockport Rejuvenative Clinic and Oak Crest Nursing and Rehabilitation Center Grandparent and Grandchild Hot Diggity Dog Hot dog cook-off and Antique Car Show. 150 Attended. Judged by Fulton Volunteer Fire Department. 2010 Rockport Texas.

Host Malexa Medical Family Health Awareness Fun Day. 200 Attendees. Halo flight demo, Healthcare related games for children, Medical screening, Community Blood Bank Donations, and personal trainer fitness testing. 2011 Portland Texas.

Presenter—“EECP Therapy-What is it?” AARP Fort Worth Chapter, Fort Worth Texas. August- 2006.

Co-presenter—“Chronic Wound Solutions” Southwest General, Smith & Nephew. August-2005.

Presenter—“Healthcare Continuum: Geriatric Medicine” Care Level Management October 2004.

Co-presenter—“Atypical Antipsychotic Use in the Elderly” Pfizer NP Forum. Nov 2003 • Developed Nursing Competency Program for Marriott Senior Living Services. Bethesda, MD. 2000.

Presentation of Long Term Care Educational Series: “Management of Geriatric Emergencies, Maintaining Resident Dignity through Restraint Reduction, Pain Management & Assessment to Enhance Quality of Life of Residents, Risk Management: Documentation as a Necessity to Promote Continuity of Care” Dr Ronald Garret Roe. Oakcrest Nursing Center. Rockport Texas 2011.

Lecture Series What’s aging got to do with it? Health Lecture Series. Corpus Christi, Texas 2010.

Lecture Series Congestive Heart Failure Disease treatment algorithms. Corpus Christi Texas 2009.

Presentation of Long Term Care Educational Series: “Management of Geriatric Emergencies, Maintaining Resident Dignity through Restraint Reduction, Pain Management & Assessment to Enhance Quality of Life of Residents, Risk Management: Documentation as a Necessity to Promote Continuity of Care” 8 SNFs San Antonio, Texas March 2003- Dec 2003.

Poster Presentation—Bilingual focused group discussion—a tool for data collection of health needs in St Philip of Jesus” Parish. San Antonio, TX 1999 University of Incarnate Word.

Program Development: “Weight Change—a predictor of health status in Long Term Care”. University of Incarnate Word and Marriott Senior Living Services. August 1999.

Congestive Heart Failure Outreach Program: Implementation of a Preventative Based Model for Management of Acute Exacerbations of Congestive Heart Failure. Miami Valley Hospital/Wright State University. Dayton, Ohio. 1995-1996.

References Available Upon Request.

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