Roger began his healthcare career in 1993 in one of the least glamorous—and most instructive—places in a nursing home: the kitchen, scrubbing pots and pans. That ground-level start gave him an early view of care as a complete operating system. Meals, maintenance, staffing, clinical judgment, leadership, and trust all have to work together before a resident ever experiences the result.
He carried that perspective forward as he became a registered nurse, licensed nursing home administrator, facility leader, regional operator, chief operating and nursing officer, and executive vice president. His career has moved from the daily realities of a single building to the strategic demands of complex, multi-state organizations, without losing sight of the people who do the work or the people who depend on it.
Across more than three decades, Roger’s responsibilities have spanned skilled nursing, assisted living, independent living, home health, personal services, physician clinics, supply chain, quality, compliance, capacity management, and organizational transition. At Oakdale, he held vice president and executive vice president roles serving communities across the Midwest to the Atlantic Coast.
As COO and CNO of UPMC Senior Communities, Roger’s work reached across senior-care operations, physician clinics, advanced practice nursing, supply-chain value analysis, hospital consultation, transitional recovery, and post-acute capacity. He helped leaders think beyond an individual facility and consider how bed management, clinical readiness, referral pathways, and care transitions affect the performance of the entire continuum.
Earlier, as a regional vice president with Aedos Health Services, he led skilled nursing facilities across three states through receivership and into successful new ownership while sustaining quality outcomes and compliance. His experience also includes executive-director leadership, regional support, leadership onboarding, and the steady work of helping organizations operate through uncertainty rather than waiting for conditions to become easy.
Quality improvement has been a consistent thread. Roger has supported CARF/CCAC reaccreditation, initiated a portfolio-wide CARF accreditation effort, and worked with teams translating regulatory expectations into practical operating routines. He also served on various UPMC-related boards and on the board of Faith Affiliated Insurance Partners, bringing a governance and risk perspective to the same issues he has managed in operations.
Teaching and professional development remain important parts of his work. Roger serves as adjunct faculty at the University of Pittsburgh College of Nursing, has led nurse aide training programs, and previously taught introductory courses in medical programs at Belmont College. His professional service includes the AMDA (The Society for Post-Acute and Long-Term Care Medicine) Moving Needles Committee, 2022–September 2026—a five-year CDC cooperative agreement to improve immunization rates among post-acute and long-term care residents and staff; the project concluded September 2026. Since around 2018, he has provided independent case review and expert witness testimony in post-acute and nursing-home matters, helping attorneys and other stakeholders understand how standards, policies, and real-world operations intersect.
His operator’s perspective extends beyond healthcare. Roger has owned R&A Davis Real Estate LLC since 2000 and has experience with long-term rentals, small commercial properties, renovation projects, property maintenance, and foreclosure management. That work reinforces a practical understanding of capital, physical assets, risk, and the difference between a plan that looks good on paper and one that can be carried out responsibly.
Faith and family are central to Roger’s life. He shares life in Rayland with his wife, Amy, and is the proud father of two successful daughters. His small-town roots run deep: he grew up in a small steel-belt community nestled along the Ohio River and now runs a small farm with horses, cattle, chickens, and goats. The farm offers its own daily reminder that stewardship is active work—showing up, noticing what has changed, and taking care of what has been entrusted to you.
That combination of bedside understanding, operating discipline, executive judgment, teaching experience, and small-town accountability shapes Keystone Strategies. Roger approaches each engagement with candid analysis, respect for the people carrying the work, and a bias toward decisions that hold up in practice. The goal is not a polished recommendation that sits on a shelf; it is a clearer path that leaders can own, teams can execute, and organizations can sustain.