Justin Ceffalo

Regulatory Compliance Assistant

Justin Ceffalo joined The Nathanson Group in 2013. Justin came to The Nathanson Group with a background in financial services and patent law support. Justin moved into his current position as Regulatory Compliance Assistant in October 2014. Justin uses his technical and administrative skills to help to improve to the efficiency of the overall Approvalign® process. His work with the Approvalign® team includes ensuring that the versions of regulatory documents that are located in the Approvatrack® database are the most current and are stored in Approvatrack® in a manner which facilitates their ease of use by other members of the Approvalign® team.

Jody Hanson


Jody originally joined The Nathanson Group PLLC in 2015 as part of the Approvalign® team but has now become a member of the firm’s transactional team as well. As a result, Jody works with operators and providers of long term care services on their licensing and regulatory matters as well as assisting them with their transactional needs. Prior to joining The Nathanson Group, Jody attended St. Louis University School of Law where she developed her interest in the long term care industry through its top ranked courses on health care law and regulation.

Randi Nathanson


Randi Nathanson founded The Nathanson Group in 1993 and is committed to providing the highest quality of legal services to her clients. She has been practicing law since 1979 after graduating from George Washington University and has since specialized in the representation of health care clients in transactional and regulatory matters. Randi has a broad range of experience handling transactions involving the purchase, sale, leasing and management of nursing homes, hospitals and assisted living facilities, public and private financing transactions, such as commercial loan transactions, revolving credit agreements and tax exempt bond financings, and dealing with state regulators on issues related to licensure, certification and certificates of need. Randi oversees the work of the Approvalign® team with the goal of ensuring that transactions undertaken by the team are processed with efficiency and accuracy. Randi has contacts throughout the United States into which she can tap to get the answers which TNG’s clients need to their regulatory questions.

Shanda London

Senior Regulatory Compliance Coordinator

Shanda London started at The Nathanson Group in 1993 and she is currently the Senior Regulatory Compliance Coordinator. Shanda has extensive knowledge of all areas of complex real estate transactions and corporate law. Her current area of focus is regulatory compliance for long term care facilities, including document preparation and submittal in accordance with local, county, state and federal laws, and ensuring that such facilities are in compliance with all required permits and licenses. More specifically, Shanda’s work includes the preparation and processing of state healthcare licensure applications and local and state ancillary permit applications including beauty salon, elevator, alarm, and CLIA permits. Shanda is also skilled at analyzing whether a transaction requires regulatory approval and what ownership disclosure is required in connection with each particular licensure or ancillary permit application.

Cameron Carlson


Cameron joined The Nathanson Group PLLC in 2019 to provide support to its transactional team on acquisition and financing projects and assist its Approvalign® team with regulatory matters. Prior to joining The Nathanson Group, Cameron served as a Judicial Extern for the Honorable John C. Coughenour in the U.S. District Court for the Western District of Washington, Legal Intern for the U.S. Department of Commerce on international trade matters, and worked for Hogan Lovells International LLP in Ho Chi Minh City, Vietnam.

Margaret Lane


Margaret has experience with a wide variety of health care regulatory work including health care facility policies and agreements. She has worked with state and federal regulators and agencies, and led a state Vaccine Association. Prior to joining TNG, Margaret worked in NY for Brown & Wood (now Sidley & Austin) representing hospital systems in financing transactions, in Seattle for a multi-state health insurer where she directed the public policy and regulatory team, and as a health care consultant. She has worked on projects relating to Skilled Nursing, Nursing homes, health reform, ACOs, vaccines, and medical respite.