Healthcare consultation services to improve efficiencies and enhance care for retirement living and senior service healthcare providers

With decades of experience as senior healthcare executives, administrators, specialists, and consultants, PSI offers critical market and operational analysis, management, marketing and development services, and financial solutions, all designed to assist you in this ever-changing healthcare environment.


PSI is a network of resources that assists retirement living senior service and health care providers with customized support and strategies. We provide services that enhance compliance, governance, financial challenges, improve staff competencies, and consistently deliver high-quality care. We also partner with facilities to provide training and support for administrators, managers and staff.

Our team provides specialized, independent network resources personalized for each clients’ specific project or needs.

Our Philosophy

Peer Services Incorporated (PSI) grew out of a large CCRC in the Central Valley of California when similar communities in the surrounding area began requesting consultation in a number of retirement living senior service areas. PSI discovered that collaboration is the best way to address the growing need for expertise and guidance in the rapidly changing senior healthcare environment.

With decades of service to senior care, PSI maintains a close relationship with its roots and still contracts with its founding CCRC to provide management, operational and accounting capacity, while also branching out to provide consultative services.

Our Clients Include:

Property Development

CCRC’s/Life Plan Communities


Skilled Nursing

Assisted Living


Client Projects

Ararat Home

Coordination of a community expansion project and conversion to a Continuing Care Retirement Community organizational structure. This effort includes a market study, financial analysis, and state and regulatory compliance.

California Armenian Home

Organizational efforts with board of directors, risk management, cost savings and efficiencies, executive search, and other human resource assistance, education and training, skilled nursing operational review/recommendations, and federal and state survey preparation/compliance.

Casa de Modesto

Peer Services, Inc. provides day-to-day executive management and oversight, consults Board of Directors, provides marketing, staffing, and vendor relations.

Moadieh Evangelical Center

Facilitated creation of elder support for assisted living and services. This effort was multi-cultural and bridged religious beliefs and boundaries.

Roseleaf Assisted Living & Memory Care

Partnering with a new investor acquisition to manage and operate multi-assisted living facilities in Northern California. Assisting with Department of Social Services application for Change of Management and Change of Ownership. Management agreement includes: Staffing Executive Director at main campus, oversight of senior leadership, staffing all sites, securing all insurance needs, marketing, vendor relations, and State Department of Social Services (DSS) compliance.

Kerncrest Manor

Temporary management and oversight including; consultants to Board of Directors, marketing, financial, operations, and staffing.

St. John’s Retirement Village Assisted Living & Memory Care

Peer Services, Inc. provides day-to-day executive management and oversight, consults Board of Directors, provides marketing, staffing, and vendor relations.

About Us

We are retirement community administrators and senior healthcare executives who have maintained positive net incomes, with an occupancy rate of 90 percent or more for the past 25 years. We’ve received high scores in resident satisfaction surveys and have earned Five Star ratings in state and federal inspections.

David Reimer, MA, LNHA


As President and CEO of PSI, David works in operations, marketing, financing, financial projections, master planning, repositioning, staff coaching, personnel management, customer satisfaction, employee satisfaction and public speaking.



Dale Torry, J.D.

Managing Director

Dale advises on master planning, project development, financing, financial projections, operations, repositioning, continuous quality improvement, staff coaching and risk management, as well as providing services as a public speaker and legal consultant.


Darren Trisel, MSA, LNHA, RCFE

Vice President of Operations

During Darren’s enlistment in the United States Air Force, President Ronald Reagan honored him with the President’s Award for Outstanding Service for his contributions as a member of the Space Shuttle Challenger Disaster Recovery Team.

You can also expect Darren’s expertise, service, and level of detail to be provided to your business in areas of risk management, legal support services, survey prep and POC’s, QAPI, person-centered care, financials, budgets, operations, P & L’s, direct care nursing hours, and Medicare optimization.


Guy Crouch, CPA

Accounting Services

Guy has more than 30 years of experience in the accounting field. His focus has been the accounting related to Healthcare clients, particularly CCRC’s, Skilled Nursing facilities, Assisted Living facilities and Independent Living facilities. Guy has worked with on not-for-profit organizations, as well as for profit organizations. Guy focuses on current accounting pronouncements and accounting standards that affect the Healthcare Industry. Throughout his career, Guy has assisted clients in managing risk mitigation, and maintaining adequate credit facilities.
Guy is also a Peer Reviewer of other CPA’s. He serves on the Missouri Report Acceptance Body, reviewing Peer Review Reports.
Guy is licensed in California and Missouri.


Dave Curtiss

Interim Executive Director Casa de Modesto

Dave works in Senior Living operations, sales and marketing, staff coaching, donor development, customer satisfaction, and public speaking.



“I am really pleased with the efforts of Peer Services, Inc. at SJRV.  I think your company is going to be a big help in assisting the board in determining our future direction.  We are at a crossroads, so the information you are uncovering and work you are doing in marketing and improving census are going to help us make better informed decisions in the future.”

Marilyn Mitchell


Starting down the path to future growth and stability begins when you contact any of our professional below. We look forward to your call or email.


Mailing Address

PO Box 1286
Reedley, CA 93654