OUR TEAM
Loree Tamayo
CEO and Owner MBA, LNFA, CALM, CDP
Loree has thirty years of experience in healthcare. She has been in business since 2009, helping many startups or struggling healthcare facilities become profitable businesses. Much of her experience has involved planning and opening new facilities and agencies. She started her career as a nursing facility administrator and worked in almost every healthcare sector, from long-term care to acute care. In 2018 she started her most notable career success as a CEO of a rural hospital while continuing to run her successful business. She turned a financially strapped hospital district into a profitable and viable health system in three years. She has since returned full-time to her business, where she helps companies in urban and rural areas run successful healthcare businesses.
Chantelle Julian
Director of Business Development
Chantelle has a Bachelor of Arts degree in Social Work from Baylor University with experience in administration and management of Assisted Living, Nursing Facilities, and Adult Day Health. Chantelle also has a strong background in Case Management, having worked in Oklahoma and Texas, providing Case Management services in hospitals and geriatric settings. Chantelle’s passion is working with and assisting people from all walks of life, and she has found that healthcare provides a unique opportunity to do just that. She has worked for LTCM for over 11 years and has over 30 years of experience in healthcare.
Melanie Gagliardo
Director of Operations
Melanie Gagliardo has been a nurse specializing in geriatrics for over 25 years. Melanie is a certified consultant for CHAP (Community Health Accreditation Program) and ACHC (Accreditation Commission for Health Care). Melanie specializes in all aspects of operations, including budget development and compliance, market analysis, strategic planning, staff management, education, training, quality assurance, performance improvement, policy and procedure creation, adherence, reporting, contract facilitation, and regulatory compliance.
Melanie has started and managed countless assisted living and memory care communities and home health and hospice agencies from inception to successful operation. Melanie is passionate about the senior population and focuses on education, best practices, and quality-of-life initiatives in conjunction with regulatory compliance. She has developed numerous programs to facilitate the growth and development of employees from front-line staff through upper management. Still, she believes the number one priority for every facility is a genuine relationship with those we serve. Melanie attended the University of Florida, and before joining LTCM, her nursing career included internal medicine, pediatrics, home health, and hospice. Melanie resides in San Antonio with her husband and two sons and enjoys all things outdoors, cooking, reading, and fostering abandoned animals.
Lisa Gonzales
Lisa has more than 30 years of experience in senior care. She earned her BA in Psychology from Angelo State University and Masters in Gerontology from Abilene Christian University. Before joining LTCM, Lisa had the privilege of serving in various capacities, which included: director of an independent assisted living and adult day health communities, administrator of licensed nursing facilities, a specialist with Adult Protective Services, researcher/grant writer for acute care and non-profit organizations and serving on many non-profit boards.
Sue White, RN
Sue White is an RN Healthcare Consultant with over 35 years of experience as a registered nurse. She obtained her BSN from Bowling Green State University in Toledo, Ohio. She has spent most of her career in Home Health and Hospice Care, focusing on quality performance improvement and compliance consulting and management. Sue specializes in managing and consulting nursing facilities, assisted living, home health, hospice, and rural hospital districts. She ensures quality start-up, ongoing operations, and compliance with all regulations, policies, and procedures. Sue resides in Spicewood with her husband and enjoys gardening, decorating, baking, and reading.
Sarah Castaneda LVN, CMAC
Healthcare Consultant
Sarah has over 15 years of experience in geriatrics, including over eight years of MDS experience. She earned her LVN License from the Victoria College Zelda L. Allen School of Nursing in 2015. Sarah has an extensive MDS background and specialty knowledge in Case-Mix. She has maintained up-to-date knowledge of PDPM, the PASRR process, rules, and regulations, and developing and maintaining care plans. Sarah most recently has been working with LTCM’s Total Case Management Program in multiple PPS and Critical Access hospitals. With Sarah’s clinical background, she has been an integral part of the LTCM Case Management team. Sarah resides in La Grange, Texas, and enjoys spending time with her husband and three children.
Kacey Schniederjan
Lacey Virgin
Healthcare Consultant
Lacey has 17 years of experience in healthcare. She started serving her community in 2006 as a Certified Medical Assistant in a physician’s office, where she performed front and back-office tasks for multiple specialty physicians. Lacey has been with LTCM since 2022, focusing on using effective relationship management, coordination of services, resource management, education, patient advocacy, and related interventions to promote cost-effective medical outcomes and assure our patients receive appropriate levels of care. Lacey has a passion for helping her community and takes pride in being able to provide her services within the healthcare community.
In 2018, Lacey earned her associate degree in business management and moved to Central Texas in 2019 from Colorado. She has four children and a grandson. She enjoys spending time with her family and traveling with her husband.
