The EF Story

Robert and Patrick worked closely as colleagues in their respective fields, Robert in assisted living communities and Patrick in home care.

Through that working relationship, there was the epiphany of a shared approach and alignment of values that put people, relationships and efficient process first which had been the core of their own organizations’ success.

It was not long after that Eisenstein Flaherty and Associates was born to bring that positive and thoughtful approach to their clients to improve quality of care and operational success.

Our Leadership Team

Robert Eisenstein, MPH, MSW, LICSW, LNHA
Robert Eisenstein, MPH, MSW, LICSW, LNHAPrincipal
In his most recent executive positions, Robert led the turnaround of the financial performance and quality of care for two assisted living communities in Massachusetts passing five consecutive EOEA surveys. During this time, he was recognized as the Massachusetts Assisted Living Association Executive Director of the Year.

Robert is a seasoned health care executive with broad experience in a variety of different settings including mental health, acute care hospitals, skilled nursing centers and senior living communities. Having strong clinical skills as well as people and management skills, Robert manages operations that succeed on both clinical quality and revenue metrics. In addition to strong clinical and management background, Robert has a passion for teaching as an adjunct professor at both Fisher College and Quincy College.

Patrick Flaherty
Patrick FlahertyPrincipal
Patrick founded a successful home care and private nursing organization serving Southeastern Massachusetts that has grown to over 120 employees. His company was built upon a client centric model where transparency, communication, care management, and service excellence are the top priorities.

Patrick has extensive experience partnering with executive management teams in multiple assisted living communities. This experience provides a unique view and analysis of how teams and organizational structure impacts quality of care from a community provider’s view. Patrick brings a focus on efficient workflows and process development that aide in communication and workplace satisfaction with all staff.

Mathew Muratore, LNHA
Mathew Muratore, LNHAManaging Partner
Matt began his career at skilled nursing homes in high school and college working various roles before becoming licensed by the Commonwealth in 1991 as nursing home administrator. During his career, he has operated small to large Skilled Nursing Facilities as well as Assisted Livings, Rest Homes and Adult Day Programs. Matt was executive director of Continuum Care Retirement Community (CCRC) in Kingston, MA (now called Silver Lake Commons). This campus was made up of a 164-bed skilled nursing and rehabilitation center, 64 apartments of Assisted Living, 50 apartments of independent living, an adult day program and childcare center. He also operated one of the largest SNFs in the Commonwealth, Plymouth Rehabilitation and Health Care Center, from 2003 through January 2015. This building included short term rehab, long term care, memory care, pediatric care, over 22 program and a special needs chapters 766 school.

Matt is a member of Massachusetts Senior Care Association, American College of Health Care Administrators and Plymouth Chamber of Commerce. He is a graduate of Northeastern University with a degree in Business Management.

Paula Topjian, MA, LNHA, LADCII
Paula Topjian, MA, LNHA, LADCIIVice President of Long Term Care Operations
Paula Topjian is an accomplished executive with thirty years of experience in Addiction Treatment Facilities, Psychiatric Hospitals, Skilled Nursing and Rehabilitation Centers.

Paula is a former Dept. of Public Health, Health Care Quality Facility Specialist Surveyor, where her regulatory and compliance experience, has complimented her role as a Nursing Home Administrator. Her commitment to providing Quality of Care and Life to the residents served, have been reflective of her survey outcomes.

Paula has been involved in the initiative in creating Substance Abuse Recovery standards and best practices in skilled nursing care centers that are geared towards both geriatric and young adults without stigma. Her experience includes evaluating and treating substance use disorders in detoxification and inpatient settings. She most recently, Co-Chaired the Substance Use Disorder Task Force for Massachusetts Senior Care Association and has participated in a collaborative work group with providers on Transitioning Patients on (MAT) Medicated Assisted Treatment in nursing homes. She is a Board Member of the Mansfield Council of Aging.

Paula oversees the full-service management of the day-to-day operations of the Long Term Care division. Additionally, Paula has developed and will be spearheading a new program addressing Substance Use Disorders within Nursing Homes.

The SUD program is an innovative approach combining operational systems support with clinical programs including a strong Physician component. The comprehensive approach focuses on the systemic problems associated with the SUD population within the nursing home setting. The program is individualized based upon on the unique needs of each nursing home. The program mirrors the recent trends in “person centered care” as well as the new regulations for “trauma centered care,” according to the Department of Public Health guidelines. Paula’s role in this new innovative program will be acting as the “Care Navigator” overseeing and monitoring the work of the entire interdisciplinary team within the nursing home, as well as a liaison to the community treatment providers.

Karen M. Bain RN BS
Karen M. Bain RN BSVice President of Assisted Living Operations
Karen has been a Registered Nurse in the state of Massachusetts for over twenty-five years. For the last eleven years she has been working in the Assisted Living field, most recently as the Vice President of Resident Care for Benchmark. She has lobbied for new legislature and presented on various topics for the Massachusetts Assisted Living Association.

Karen is a graduate of Bridgewater State University with a Bachelors Degree in Health Education. Her experience includes acute and long-term care, home care and education. She is an instructor for the American Heart Association, and has a passion for wellness and health promotion. She is a member of the Newton Wellesley Hospital-Collaborative for Healthy Families and Communities, Elder Services Council and is a supporter of the Common Sense Health Bill for MA Assisted Living Nurses. Her experience working in collaboration with physicians and hospitals including McLean, Mt. Auburn and Newton Wellesley exceeded her expectations in allowing her to fulfill her passion for health and wellness for seniors.

Karen oversees the full-service management of operations of the Assisted Living division at Eisenstein Flaherty.

She lives in Mansfield with her husband Roy of thirty years, they have a daughter Rachel who is also a nurse. Karen enjoys yoga and spending time at her home in Eastham on Cape Cod.