Facility Operations
Day-to-day management support, administrator coordination, department-head oversight, and practical operating discipline.
Skilled Nursing Facility Management
Operator-led healthcare management built for stability, compliance, and care.
Adir Management LLC provides practical, accountable management and operational services to skilled nursing and long-term care facilities. Our team supports owners, investors, lenders, and healthcare groups with facility-level oversight, staffing coordination, compliance follow-through, budgeting, reporting, and operational improvement.
40+Years senior healthcare leadership
20+States collective facility experience
1,000Approximate team platform
$50M+Annual revenue across platforms
About Adir
A practical operating partner for skilled nursing facilities.
Adir Management LLC provides hands-on management and operational support for skilled nursing and long-term care facilities that require stronger oversight, transition support, cost control, staffing coordination, regulatory focus, or a reliable day-to-day operating partner. Adir understands the discipline required to manage facilities well and communicate clearly with owners, lenders, and stakeholders.
Our leadership team brings experience across skilled nursing operations, healthcare support services, budgeting, labor management, compliance oversight, ancillary services, census development, vendor coordination, and multi-site management.
Collectively, the Adir Management team has operated and managed long-term care facilities across more than 20 states, including facilities in the Southeast, Northeast, Midwest, and West. This regional operating experience gives Adir practical insight into facility transitions, staffing models, regulatory expectations, owner reporting, and performance improvement across diverse markets.
Collective Footprint
Representative markets where the Adir Management team has managed and operated facilities.
Collectively, members of the Adir Management team have operated and managed long-term care facilities across more than 20 states. The map below highlights representative markets in the Southeast, Northeast, Midwest, and Western regions.
U.S. Operating Footprint
30 representative marketsNortheast4Midwest2Southeast18West6
Hover or tap a point to see the city. Marker color indicates region — see the counts above.
Representative Markets
The following cities and counties reflect representative locations where members of the Adir Management team have collectively managed or operated long-term care facilities historically.
Northeast
- Newport, New Hampshire
- Putnam County, New York
- Princeton, New Jersey
- Bergen County, New Jersey
Midwest
- St. Louis, Missouri
- Kansas City, Missouri
Southeast
- Charlottesville, Virginia
- Roanoke, Virginia
- Charleston, South Carolina
- Greenville, South Carolina
- Atlanta, Georgia
- Weston, Georgia
- Memphis, Tennessee
- Jackson, Mississippi
- Mobile, Alabama
- Baton Rouge, Louisiana
- New Orleans, Louisiana
- Miami, Florida
- Tampa, Florida
- Orlando, Florida
- Pensacola, Florida
- Tallahassee, Florida
- Daytona Beach, Florida
- Port St. Lucie, Florida
West
- Portland, Oregon
- Vancouver, Washington
- Boise, Idaho
- Salt Lake City, Utah
- Carson City, Nevada
- Las Vegas, Nevada
Management Services
Comprehensive support for owners, investors, lenders, and operators.
Staffing & Labor Oversight
Labor review, staffing coordination, productivity monitoring, employee support, and cost-control initiatives.
Budgeting & Reporting
Budget development, business-office oversight, owner reporting, PPD analysis, purchasing discipline, and margin management.
Compliance Focus
Survey readiness, life-safety awareness, regulatory follow-through, quality control, and operational accountability.
Census & Referrals
Support for census development, hospital relationships, community referral activity, and market-position improvement.
Transitions & Turnarounds
New acquisition support, facility stabilization, vendor coordination, operational cleanup, and hands-on transition planning.
Who We Serve
Built for facility stakeholders who need accountable management.
Adir partners with nursing home owners, family-owned facilities, healthcare operators, real estate investors, banks, lenders, receiverships, and groups acquiring or transitioning skilled nursing assets that need proven facility management and operational oversight.
StabilizeBring consistency to facility operations.
ImproveStrengthen reporting, staffing, and cost controls.
GrowSupport acquisitions and multi-facility expansion.
Leadership
Experienced operators with deep healthcare services and facility-level experience.
Aaron Beller
Principal & Healthcare Operator
Aaron Beller is a seasoned healthcare operator and consultant with more than seventeen years of experience in the long-term care industry. He began his career at a skilled nursing facility in Queens, New York, where he was involved in facility management and marketing while completing his master’s degree.
Following graduate school, Aaron served as a consultant on long-term care acquisitions totaling more than $500 million across multiple states, advising on underwriting, reimbursement, case mix, labor trends, census strategy, referral relationships, life-safety requirements, and compliance matters.
In 2014, Aaron co-founded Serene Health Services, a housekeeping, laundry, and dietary services platform serving skilled nursing facilities across six states with approximately 1,000 staff members. Aaron co-founded Adir Management LLC to bring that operator-led discipline directly into skilled nursing and long-term care facility management. Through Adir, Aaron remains focused on facility-level operations, regulatory readiness, staffing coordination, vendor management, and practical oversight. Adir Management was created to offer hands-on operating discipline to owners, lenders, and stakeholders seeking a capable management partner.
Avi Berger
Partner
Avi Berger is an experienced operator and investor with a background in real estate, structured finance, healthcare support services, and multi-site operating businesses. He began his career in mortgage and finance, developing expertise in underwriting, capital structures, asset-based lending, and financial analysis.
In 2014, Avi co-founded Serene Health Services, overseeing financial management, budgeting, business-office operations, compliance oversight, and quality control. In 2021, he co-founded ISH Dining Services, a dining and housekeeping platform serving long-term care facilities in Pennsylvania. Across affiliated operating platforms, Avi and his partners now oversee more than $50 million in annual revenue.
Avi co-founded Adir Management LLC to expand the team’s skilled nursing and long-term care management platform. Through Adir, Avi focuses on facility-level budgeting, business-office oversight, staffing coordination, compliance follow-through, vendor controls, and operational reporting. Adir Management was built to provide that management capability to facilities, owners, investors, and lenders seeking stronger operational oversight.
Alex Paley
Chief Operating Officer
Alex Paley is a healthcare operations and growth executive with nearly forty years of executive leadership experience, including more than twenty-five years in C-suite long-term care operations. He has led skilled nursing, assisted living, independent living, rehabilitation, physician services, pharmacy, and healthcare asset-management platforms across multi-state portfolios.
Prior to joining Adir, Alex held senior leadership roles with Healthcare Navigator and related operating platforms, helping grow a senior housing and healthcare services business from eight facilities and approximately $20 million in revenue into a national platform with more than 140 facilities, approximately 15,000 employees, and operations across 20 states.
Alex brings deep experience in multi-site operations, M&A integration, asset value maximization, regulatory improvement, budgeting, team building, business development, and facility turnaround strategy. At Adir, he supports operational transfer, reorganization, growth, and performance improvement across skilled nursing and senior housing assets.
Donna Lawlor
Vice President of Clinical Services
Donna Lawlor is a clinical operations, regulatory compliance, and healthcare informatics leader with extensive experience across skilled nursing and long-term care organizations. Her background includes senior clinical leadership, Director of Nursing experience, regional quality oversight, survey preparedness, clinical systems implementation, and multi-site regulatory support.
Donna has served in senior clinical and compliance roles across long-term care organizations, with experience developing clinical policies and procedures, supporting Administrators and Directors of Nursing, improving survey readiness, strengthening documentation practices, and guiding facilities through complex regulatory and operational challenges.
At Adir, Donna supports clinical department development, clinical education, PointClickCare configuration and training, DON onboarding, clinical policy implementation, vendor and pharmacy initiatives, and facility-level quality improvement efforts designed to support stronger care outcomes and regulatory readiness.
Contact
Looking for a management partner?
Speak with Adir Management about facility management, day-to-day operational services, transition support, turnaround assistance, cost control, staffing oversight, or owner and lender reporting for long-term care facilities.