Our Medical Team

Dr. Alfonso Brochero

Medical Director

Dr. Brochero is an experienced hospitalist who has overseen the care of patients in the skilled nursing and long term care settings for the past 12 years. He has filled the role of associate professor and was also assigned the responsibility of mentoring medical students. Dr. Brochero is a board certified Internal Medicine Physician who specializes in post acute and long term care medicine. He is a graduate of Libre University and Carilion Roanoke Memorial Hospital in 2009. His primary focus over the past decade has been to help patients and facilities in post acute care.

Petros Ayele, MD

Medical Doctor

Petros Ayele received his doctorate degree from Gondar College of Medical Science in 1992. His first residency program focus was in clinical pathology at Addis Ababa Medical School and the second was in Internal Medicine at Prince George’s Hospital Center. Dr. Ayele currently specializes in Internal Medicine and has over 25 years of experience. He has published work in transplant medicine.

Dr. Ayele’s Primary Care Practice is located in Alexandria, VA. He serves as the Medical Director for Fredericksburg Health and Rehabilitation Center. He is currently providing care for patients in Fredericksburg Health and Rehabilitation Center, Potomac Falls Health and Rehabilitation Center, Manassas Health and Rehabilitation Center as well as various assisted living centers and also in private residences.

Donna Cyrus, MSN, RN, CDP, WCC, AGNP

Donna began working in the health care field over 25 years ago. She has worked at the University of Virginia Medical Center, Central Virginia Training Center, and various long-term skilled nursing facilities. Donna’s background is mainly in critical care and skilled rehabilitation. Donna specifically enjoys working with the geriatric population.

Donna holds a Master’s degree in nursing, is wound care certified, and has been certified as a dementia practitioner. She is a board-certified Adult Geriatric Nurse Practitioner providing care in a variety of settings including the patient’s home, assisted living facilities, skilled and rehabilitation centers, and primary and urgent care. In addition to providing care, Donna enjoys teaching and was once named Teacher of the Year by the VCCA.

Dr. James Forest-Lam

Attending Physician

Dr. James Forest-Lam is originally from California and relocated to Ashland, Virginia. He serves as Medical Director in our greater Richmond, VA area. Dr. Forest-Lam attended University of California at Berkeley and attended Medical College of Virginia Master’s program in Biochemistry. He then continued his education at Eastern Virginia Medical School’s MD Program and also attended Brown University’s Internal Medicine Residency Program. He is actively certified in both American Board of Internal Medicine and American Board of Emergency Medicine.

Rachel Ambrose, MSN, RN, ACNPC-AG

Rachel is a Board-Certified Nurse Practitioner. She received her Master’s degree in Nursing from Walden University. Rachel has vast experience in acute care, skilled care and long-term care environments. Prior to her work as an NP, Rachel served in nursing leadership roles providing education and guidance to nursing staff to ensure patients were provided optimal care. In this role, Rachel was able to lead the staff by example. Her ability to handle stressful situations while maintaining a professional and calm demeanor fostered trust amongst the staff and patients.

In addition to her work, Rachel enjoys being outdoors and engaging in activities such as hunting and camping.

Rebecca Bulman, MSN, RN, FNP

Rebecca is a Master’s prepared nurse who is a Board-Certified Family Nurse Practitioner. She received her Master’s degree from Virginia Commonwealth University. Rebecca’s work experience includes emergency medicine, urgent care, primary care and skilled rehabilitation. She particularly enjoys working with geriatric patients in any setting, especially those cognitively impaired due to her own personal experiences with her grandparents.

Rebecca strives to ensure her patients are well informed of their disease states. Her satisfaction comes from knowing her patients are well equipped to care for themselves as long as possible and maintain the highest level of wellness possible.

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