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Residential Leadership

Making the transition from rehabilitation to home life can be challenging if a period of structured living is not in the patient’s treatment plan. Our residential professionals help bridge this gap by teaching patients how to gain independence and skills so that they are reunited successfully with their families, employers, and the community.

Megan Flaherty, MS, OTR/L, CBIS, ARF

Associate Vice President of Residential Services

Megan Flaherty is the Associate Vice President of Residential Services at the Centre for Neuro Skills. She began her career at CNS in 2009 as an Occupational Therapist in Bakersfield before relocating to San Francisco in 2011 to assist with opening the clinic. Megan transitioned into leadership roles as a Residential Manager, then Regional Residential Manager, and later National Director before assuming her current position. She holds a Master of Science in Occupational Therapy, is a Certified Brain Injury Specialist (CBIS), and has an Adult Residential Facility (ARF) certification. With a deep commitment to patient-centered care and operational excellence, Megan continues to drive innovation and quality in residential rehabilitation services.

CNS employee, Jess Meaders

Jess Meaders, BA, CALM

Director of Residential Services

Jess Meaders is the Director of Residential Services at the Centre for Neuro Skills, based within the Texas region. Since joining CNS in 2016, Jess has served in a variety of leadership roles, including Residential Program Quality Manager and Director of Residential Services. With more than 15 years of experience in healthcare, behavioral health, and nonprofit leadership, he has led multi-site operations, quality improvement initiatives, and strategic programs focused on enhancing patient outcomes and leadership development. Having lived and worked overseas in Ecuador and Uruguay, Jess brings a global perspective and cross-cultural appreciation to his leadership approach. Fluent in Spanish and passionate about servant leadership, he is committed to empowering people, strengthening organizational culture, and supporting meaningful rehabilitation outcomes.

Prudence Gensman, MBA, OTR, ALM, CC, CBIS

Regional Director of Residential Services

Prudence Gensman is the Residential Manager for the Centre for Neuro Skills in Houston. She earned her Master of Business Administration from the University of Phoenix (2001) and a Bachelor of Science in Occupational Therapy from the University of Oklahoma (1996). Additionally, she is a Certified Assisted Living Manager, Certified Coach, and Certified Brain Injury Specialist. Prudence began her career with CNS in 1996 as an Occupational Therapist in Bakersfield, later advancing to Case Manager and Director of Rehabilitation in Encino. After gaining experience in acute hospital and home health settings, she returned to CNS as an Occupational Therapist Trainer before transitioning into her current leadership role.

CNS Regional Director of Residential Services, Valentina Neufeld

Valentina Neufeld, P.P. OTD, OTR

Regional Director of Residential Services

Dr. Valentina Neufeld began her CNS journey in 2014 as a student and joined full-time in 2015 as an Occupational Therapist, contributing significantly to program development, staff training, and clinical innovation across multiple clinics. Dr. Neufeld played a key role in expanding vision rehabilitation services in Irving and Fort Worth and created clinical modules now used throughout CNS’s occupational therapy departments. She has also supported Corporate Education by onboarding and training new occupational therapists and has served as a clinical presenter for more than six years. Dr. Neufeld holds a post-professional Doctorate in Occupational Therapy with a specialization in remedial vision rehabilitation.

Vanessa Cortes, ARF, CALM

Regional Director of Residential Services
Vanessa Cortes is the Regional Director of Residential Services, overseeing operations for the Bakersfield and Los Angeles residential locations. She began her career with CNS in 2007 as a Neuro Rehabilitation Specialist in Bakersfield and steadily advanced through residential leadership roles, including Residential Supervisor and Residential Treatment Coordinator (RTC). She later took on management and regional leadership responsibilities, overseeing residential programs in Bakersfield, Dallas, and Fort Worth before stepping into her current role. Outside of work, Vanessa enjoys spending time outdoors with her dogs, Domino and Coco, and cherishes time with her sister and nieces, who live next door.
CNS Residential Manager, Daisy Palafox

Daisy Palafox, MOT, OTR/L

Residential Manager

Daisy is a licensed Occupational Therapist who joined Centre for Neuro Skills in 2023. She brings a strong foundation in clinical care, with experience in both acute and inpatient rehabilitation settings. She earned her Master’s in Occupational Therapy from Loma Linda University and is dedicated to helping patients regain independence.

Garrett Mitchell, BA, CALM

Residential Manager

Garrett Mitchell earned his bachelor’s degree in Health and Wellness Promotion from Texas State University in San Marcos, Texas. His experience as a Regional Manager for a large international chain helped him develop the skills necessary to foster a positive and efficient work environment essential for brain injury rehabilitation. Garrett joined CNS in 2021 as the Residential Rehabilitation Manager in Austin, Texas, where he played a key role in acquiring licensure for residential homes and building a team of Neuro Rehabilitation Specialists to provide patient-centered care.

LaRee Sanchez, BA, CALM, CBIS

Residential Manager

LaRee Sanchez holds a Bachelor’s Degree in Business Management with a concentration in Human Resources from Post University. With over 20 years at the Centre for Neuro Skills, she has excelled in operations management, training, and program management, leading teams to drive growth and development. Passionate about training and team building, LaRee fosters inclusive environments that prioritize collaboration and continuous improvement. She aims to leverage her leadership and HR expertise to enhance team performance and patient outcomes.

Marc Saint Clair, BSHHS, ARF, CBIS

Residential Manager

Marc Saint Clair joined the Centre for Neuro Skills in Los Angeles in August 2017 and has been instrumental in supporting individuals with brain injuries. With a background as a Residential Services Director for a non-profit, he brings expertise in residential care, community reintegration, and service quality. Marc served on the Council on Quality and Leadership (CQL) in New York, shaping person-centered care standards, and is a Certified Brain Injury Specialist. Recognized in the Los Angeles Business Journal's "People on the Move" (2021) and inducted into the National Society of Leadership and Success (2022), he is completing his Master of Business Administration. Marc is dedicated to fostering a positive work environment, advocating for healthcare workers, and mentoring the next generation in healthcare administration.

Nora Rodriguez Lopez, BA, CBIS, RBT, ARF

Residential Manager

Nora Rodriguez Lopez earned her Bachelor of Arts in Psychology from National University and holds certifications as a Registered Behavior Technician, Certified Brain Injury Specialist (CBIS), and Adult Residential Facility Administrator (ARF). Since beginning her career at CNS in 2012, she has held various roles, including Neuro Rehab Specialist (NRS), Residential Training Coordinator (RTC), Program Manager, and Regional Program Manager. She now serves as the Residential Manager in Bakersfield, bringing extensive experience and leadership to her role.

Remo Cabunoc, BS, MA, CBIS, ARF

Residential Manager

Remo Cabunoc began his career with CNS in Bakersfield in 2011 and has since held various roles, including Case Manager, Educational Therapist, Clinic Assistant, Residential Treatment Coordinator, Administrative Clerk, Nursing Aide, and Neuro Rehabilitation Specialist. Now serving as the SFO Residential Manager, he brings a wealth of experience to his leadership role. Remo holds a Bachelor of Science degree in Business Human Resources and is a Certified Brain Injury Specialist, Certified Adult Residential Facility Administrator, and a Pro-ACT and AVADE instructor.

Trina Clemons, MOT

Residential Manager

Trina Clemons earned her Master of Occupational Therapy from the University of Pittsburgh and a Bachelor of Exercise Science from Old Dominion University. With nearly 20 years of experience in occupational therapy and rehabilitation services, she has led interdisciplinary teams and mentored clinicians in providing quality patient care across a variety of healthcare settings. Since joining Centre for Neuro Skills in 2024 as an Occupational Therapist, Trina has continued to demonstrate a commitment to clinical excellence and patient-centered care. She now serves as Residential Manager, bringing strong leadership and a passion for helping patients maximize their independence and quality of life. She is a Certified Aging in Place Specialist and holds an Assisted Living Facility Manager Certification.

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