Individualized Wellness. Professional Support. Coordinated Care.
Wellness Designed Around The Individual.
Our interdisciplinary approach brings professionals together when appropriate to support each person's health, abilities, goals, independence, and overall quality of life.
About BTL Wellness
We recognize that health is influenced by more than one factor. Nutrition, physical activity, medical considerations, functional abilities, environment, and personal goals can all affect an individual's overall wellness.
Our model brings nursing, nutrition, fitness, and adaptive wellness together within one organization, allowing our professionals to coordinate services when appropriate while remaining within their respective professional scopes.
Experience That Matters
BTL Wellness brings together professionals with experience across nursing, nutrition, fitness and wellness, disability services, community-based support, administration, and organizational leadership.
Our multidisciplinary background helps us provide coordinated, person-centered services that support health, independence, and individual goals.
Why Choose BTL Wellness
Whole-Person Wellness
We look beyond a single service to support the individual’s overall health, wellness, independence, and quality of life.
Coordinated Services
Our multidisciplinary approach allows nutrition, nursing, fitness, and wellness supports to work together around the individual’s needs and goals.
Person-Centered Approach
Every individual is different. Services are designed around personal needs, abilities, preferences, goals, and existing supports.
Accessible & Flexible Care
Services are designed to be delivered in appropriate settings—including community-based, in-person, and telehealth options when permitted.
Qualified Professionals
Services are provided by appropriately qualified professionals working within their respective roles and scopes of practice.
Built for the People We Serve
Virginia-Based. Community-Focused.
BTL Wellness is a Virginia-based wellness provider committed to supporting individuals and families across the Commonwealth. Our services are designed around Virginia’s diverse communities, with an emphasis on accessible, coordinated, and person-centered health and wellness support.
Through appropriate in-person, community-based, and telehealth service delivery, BTL Wellness works to make professional wellness services accessible to individuals throughout Virginia—from urban communities to areas where specialized services may be more difficult to access.
Leadership
Executive Oversight & Governance
The LIMIT Agency is led by experienced incident management, investigative, clinical, and compliance professionals with deep expertise supporting providers serving vulnerable individuals within regulated care environments.
Our leadership team brings experience working within regulatory frameworks across jurisdictions including Maryland, Virginia, and the broader Mid-Atlantic region.
Our leadership structure is intentionally designed to ensure investigative integrity, clinical oversight, regulatory alignment, and operational accountability—while maintaining a provider-supportive posture consistent with Maryland Developmental Disabilities Administration (DDA), Office of Health Care Quality (OHCQ), Virginia DBHDS, and related regulatory authorities.
Executive Leadership
Ray Luckey
Mid-Atlantic Operations
Chief of Incident Operations - (CIO)
Role Overview:
Chief Raymond "Ray" Luckey serves as The LIMIT Agency’s Chief of Incident Operations (CIO) and is the senior authority over incident management and investigations involving reportable incidents and provider-required internal investigations under Maryland and Virginia regulatory frameworks, including matters governed by Maryland’s Policy on Reportable Incidents and Investigations (PORII), OHCQ requirements for Assisted Living Facilities, and comparable Virginia DBHDS/DSS incident and compliance standards.
Professional Background:
Chief Luckey brings over two decades of experience in public safety, abuse investigations, and regulatory incident response. His career includes service as a police officer and Special Agent, during which he received multiple citation awards and formal recognition from the Virginia State Senate for contributions to public safety and professional excellence.
Prior to entering law enforcement, Chief Luckey spent seven years working as a support counselor serving individuals with intellectual and developmental disabilities and mental health diagnoses. This early experience provided direct insight into provider operations, person-centered care, and the realities of supporting vulnerable populations.
For more than a decade, Chief Luckey led and conducted complex administrative and regulatory investigations within the Nation’s Capital and surrounding Mid-Atlantic jurisdictions, addressing allegations of abuse, neglect, exploitation, missing persons, and other serious allegations involving individuals with disabilities. During this period, he worked in close professional partnership with Deputy Chief Donaldson on some of the region’s most complex and high-risk investigations. Chief Luckey leads internal investigations for state-regulated providers, including Assisted Living Facilities in Virginia, involving allegations of abuse, neglect, exploitation, missing persons, use of restraints, and other serious incidents in accordance with applicable state regulations.
These engagements are conducted as administrative and regulatory investigations, supporting provider obligations related to internal review, documentation, and corrective action—without exercising criminal or law enforcement authority.
Executive Oversight:
• Critical Incident Investigations Division (CIID)
• Investigations involving reportable incidents and risk mitigation
• Assisted Living Facility internal investigations
• Investigative standards, escalation decisions, and documentation integrity
Nadege Donaldson
Maryland & Virginia Operations
Deputy Chief - Chief Nursing Officer (CNO)
Role Overview:
Deputy Chief Nadege Donaldson serves as The LIMIT Agency’s Chief Nursing Officer, providing executive leadership over all clinical, nursing, and healthcare-related operations across disability and long-term care services.
In this capacity, she is responsible for establishing and maintaining clinical standards, nursing practices, and health and wellness oversight systems that support safe, compliant, and high-quality care delivery within:
Maryland DDA-regulated services
Virginia DBHDS-regulated providers
Assisted Living Facilities throughout Maryland and Virginia
Her role is centered on clinical governance, regulatory alignment, and healthcare system integrity, ensuring that provider practices and internal agency processes meet applicable medical and regulatory expectations.
Executive Clinical Leadership:
As Chief Nursing Officer, Deputy Chief Donaldson provides executive direction in:
Nursing practice standards and clinical protocols
Health and wellness program oversight
Clinical documentation integrity and medical record review
Regulatory readiness and healthcare compliance alignment
Clinical quality assurance and performance improvement systems
Development of clinical components of Corrective Action Plans (CAPs)
Clinical risk identification and mitigation strategies
She serves as the Agency’s senior clinical authority, advising executive leadership on healthcare-related matters and supporting providers in strengthening clinical systems and outcomes.
Professional Background:
Deputy Chief Donaldson brings over 25 years of healthcare and regulatory experience across:
Hospital systems
Long-Term Acute Care (LTAC) settings
Assisted Living Facilities
Home Health Services
Her career spans both direct clinical practice and executive leadership, with a sustained focus on regulatory compliance, patient safety, and operational excellence.
She has led Assisted Living Facilities throughout Maryland and Virginia, guiding organizations through:
Office of Health Care Quality (OHCQ) surveys
Virginia Department of Social Services (DSS) inspections
Corrective action development and regulatory resolution
Her leadership emphasizes clinical integrity, staff development, and sustainable compliance systems.
Deputy Chief Donaldson previously served as a Home Health Nurse Supervisor with the Johns Hopkins Hospital Home Health Agency Division, where she oversaw clinical operations and ensured compliant care delivery within regulated home-based healthcare environments.
She also served as a U.S. Government Contractor supporting the Department of Defense, providing healthcare staffing coordination and compliance support for military medical facilities nationwide.
Clinical Oversight Authority:
Deputy Chief Donaldson provides executive oversight of the Agency’s clinical and nursing functions, including:
Clinical & Regulatory Review Division (CRRD)
Clinical documentation and medical record review
Health and wellness compliance systems
Clinical audit support and regulatory readiness
Assisted Living Facility clinical oversight (VA & MD)
Nursing and medical policy development
Role Delineation:
The Deputy Chief – Chief Nursing Officer operates exclusively in a clinical and nursing leadership capacity.
All investigative authority, case determinations, and incident-related findings remain solely within the purview of designated investigative units, ensuring a clear and formal separation between clinical oversight and investigative operations.
Stephanie Davis
Mid-Atlantic Operations
Director - Preventive Wellness & Incident Review (PWIR)
Role Overview:
Stephanie Davis, RDN, serves as Director of Preventive Wellness & Incident Review at The LIMIT Agency, providing leadership over the Agency’s post-intake review functions focused on early-stage incident analysis, wellness-informed evaluation, and preventative intervention across disability and long-term care services.
In this capacity, Director Davis is responsible for oversight and fact-finding reviews of lower-level incidents, identifying contributing factors, and developing practical, corrective recommendations designed to prevent escalation and strengthen provider practices within:
Assisted Living Facilities throughout Virginia
Maryland DDA-regulated services (in development and phased implementation)
Her role is centered on preventative oversight, structured review, and early intervention, ensuring that concerns are addressed appropriately prior to escalation to formal investigation or regulatory action.
Preventative Review Leadership:
As Director of Preventive Wellness & Incident Review, Stephanie provides leadership in:
- Post-intake incident review and fact-finding analysis
- Identification of patterns, gaps, and contributing factors in service delivery
- Development of preventative recommendations, including training and corrective guidance
- Integration of wellness-informed considerations into incident review processes
- Coordination with investigative and clinical leadership when escalation is required
- Support of provider compliance through early-stage intervention and system improvement
Director Davis serves as a key component of the Agency’s review framework, ensuring that lower-level concerns are evaluated consistently and addressed proactively across provider environments.
Professional Background:
Director Davis brings 10 years of experience in public health and community nutrition, with a strong focus on developing practical, accessible, and sustainable wellness systems.
In addition to her role of Director with TLA, Director Davis currently serves as the sole Registered Dietitian for 15 YMCA locations across Greater Richmond, where she developed and implemented a comprehensive nutrition program from the ground up in 2022.
Her experience includes:
- Public health and community-based program development
- Multi-site wellness system implementation
- Direct engagement with diverse populations across varying health needs
- Development of sustainable, real-world wellness strategies
Wellness-Informed Review Expertise:
Stephanie brings specialized knowledge in wellness and health-related considerations as they relate to incident review and preventative oversight activities.
Her expertise supports:
- Identification of health-related factors that may contribute to incidents
- Review of provider practices impacting overall wellness and care outcomes
- Consideration of dietary, behavioral, and environmental influences during fact-finding
- Integration of wellness-informed insights into corrective recommendations
Her approach ensures that wellness factors are appropriately considered within review processes—without functioning as a direct clinical or therapeutic service.
Preventive Oversight Authority:
Director Davis provides leadership over the Agency’s preventative wellness and incident review functions, including:
- Preventative Wellness & Incident Review Division
- Post-intake incident review and fact-finding processes
- Development of training and corrective recommendations
- Wellness-informed review and system improvement strategies
- Support of provider compliance through early intervention
The Director of Preventive Wellness & Incident Review operates exclusively in a post-intake review and preventative oversight capacity.
All formal investigative authority, case determinations, and substantiated findings remain solely within the purview of designated investigative units, ensuring a clear and formal separation between incident review, clinical oversight, and investigative operations.
Teaka Davis
Supervisory Analyst
Preventive Wellness & Incident Review (PWIR)
Role Overview:
Sharteaka Davis serves as Supervisory Analyst within the Preventative Wellness & Incident Review Division at The LIMIT Agency, supporting incident intake, structured review, and documentation oversight across Virginia and Maryland provider environments.
In this role, she is responsible for ensuring that incident documentation is accurate, complete, and aligned with regulatory and organizational standards while supporting fact-finding review processes for lower-level incidents. Her work strengthens the agency’s preventative review framework by improving the quality, consistency, and reliability of information prior to escalation or formal investigation.
Her responsibilities support operations within:
• Virginia DBHDS-regulated providers
• Maryland DDA-regulated services (in development and phased implementation)
Incident Review & Fact-Finding Support:
Teaka plays a central role in completing structured incident reviews and supporting fact-finding processes for lower-level events that do not require a full investigative response. Her responsibilities include:
• Completion of incident reports based on available documentation and provider submissions
• Structured fact-finding review of incidents to identify contributing factors and documentation gaps
• Analysis of incident details to support early-stage understanding of events
• Identification of inconsistencies, missing information, and areas requiring clarification
• Preparation of findings summaries to support division-level review and potential escalation
Her work ensures that incidents are thoroughly reviewed at the early stage and that relevant information is clearly organized for further evaluation when necessary.
Incident Intake & Documentation Oversight:
In addition to review functions, Teaka supports intake coordination and documentation quality across the division, including:
• Review and validation of incident reports for accuracy and completeness
• Coordination with providers to obtain missing or clarifying documentation
• Organization and preparation of records for structured review processes
• Tracking and coordination of intake workflows across cases and providers
• Support of internal communication to ensure timely case movement
Her role ensures that all incidents entering the review process meet internal standards for quality and consistency.
Operational & Compliance Support:
Teaka supports broader operational and compliance functions within PWIR, including:
• Documentation review aligned with regulatory and audit expectations
• Maintenance of accurate records and case-related data
• Assistance with audit preparation and documentation readiness
• Identification of workflow gaps and support of process improvements
• Coordination with internal teams to support consistency across review functions
Her work contributes to strengthening internal quality control processes and supporting providers in maintaining compliant documentation practices.
Professional Background:
Teaka brings a strong background in credentialing, data integrity, and healthcare operations, with experience supporting compliance-driven environments and high-volume documentation systems.
She has managed credentialing and recredentialing processes for healthcare providers, maintained accurate provider records across multiple systems, and supported audit preparation in alignment with regulatory standards. Her experience includes direct coordination with providers and health plans to ensure timely and accurate submission of required documentation.
In addition, her background includes program coordination, workflow tracking, and operational support functions, where she has contributed to improving efficiency, maintaining organized systems, and supporting cross-functional communication.
Her approach is detail-oriented and process-driven, with a focus on accuracy, accountability, and operational consistency across all aspects of incident review and documentation oversight.
Willie Toppin
Provider Relations Officer
Office of Provider Support
Role Overview:
Willie Toppin serves as Provider Relations Officer for THE LIMIT’s Office of Provider Support, bringing more than 20 years of leadership experience in compliance, provider credentialing, operations management, quality assurance, and business administration across healthcare transportation, government, military, and private sector organizations.
Drawing on his experience as aCompliance Coordinator and Provider Credentialing Specialist, Willie serves as a trusted liaison between THE LIMIT and provider agencies. He supports providers through regulatory guidance, onboarding assistance, compliance education, and operational problem-solving while helping organizations maintain readiness for oversight, investigations, and quality improvement initiatives.
His background in provider compliance, contract administration, credential verification, auditing, policy implementation, and vendor management allows him to help agencies proactively identify compliance risks before they become regulatory concerns. Willie is committed to building collaborative relationships with providers while promoting accountability, transparency, and operational excellence.
His responsibilities support provider operations throughout:
- Virginia DBHDS-regulated providers
- Maryland DDA-regulated providers (phased implementation)
- Future expansion into the District of Columbia
Primary Responsibilities
- Serve as the primary provider liaison for operational and compliance support.
- Assist providers with onboarding, credentialing, and regulatory readiness.
- Educate providers on documentation standards, policy requirements, and best practices.
- Review provider records to identify deficiencies and recommend corrective actions before formal oversight activities.
- Coordinate with THE LIMIT’s Incident Operations, Clinical Services, and Compliance teams to resolve provider concerns.
- Support providers during corrective action planning, quality improvement initiatives, and operational consultations.
- Promote collaborative relationships between providers and regulatory agencies while advocating for fair, accurate, and consistent compliance practices.
- Assist with provider outreach, education, and development of compliance resources that strengthen long-term organizational success.
