Coverage Area

About Us




All of the Clay & Associate senior consultants have numerous years experience as Director of Nurses and as Regional Clinical Consultants.

Karen Clay, RN, BSN, CWCN: Karen has 30 years experience in health care. She is a national speaker on wound management topics and has worked with numerous Quality Improvement Organizations and health care associations. Karen is the author of three books: "The Long Term Care Survey Preparation Handbook", "Risk Management: Pressure Ulcers - A prevention, assessment and treatment training manual" and "Evidence-Based Pressure Ulcer Prevention" (HCPro). Karen has provided consulting services and seminars in twenty-nine States.

Vivan Brehaut, RN: Vivian has 30 years experience in acute care, long term care and specialized services. Vivian is certified in infection control, foot care and is a certified medication trainer. Vivian provides clinical consultation on all topics pertinent to long term care and is dedicated to achieving strong clinical outcomes.

Kathy Pion, RN, Director of Clinical Consulting: Kathy has 25 years experience in acute and long term care. As Director of Clinical Consulting Kathy provides oversight and management of all consultants and the services we provide. Kathy has particular expertise in survey preparation, management and response. With strong clinical and organizational skills Kathy has assisted facilities in developing systems to assure "survey readiness" on a daily basis.


Arlena Wood, Financial Manager: Arlena prepares, reviews, and oversees that the financial statements of the companies accurately reflect the operations of the entity.  She has over 30 years of experience in managing the finances of nursing homes.  Arlena received her degree in Accounting and Business Administration from Western State College in Colorado and is a CPA.



26 Harvard Street, Worcester, MA 01609   |   Phone 508-459-5700 


Sheehan Health Group, LLC