Robert Lightfoot II
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Robert J. Lightfoot II is a shareholder in Reinhart’s Health Care Practice specializing in long-term care, assisted living, and senior housing matters. He has extensive experience representing assisted living and skilled nursing facilities on regulatory and operational issues including survey and certification, licensure, audits, regulatory compliance, risk management, HIPAA compliance, contracts and transactional matters involving the buying and selling of facilities.

He represents providers on numerous matters before State and Federal agencies including the Wisconsin Department of Health Services (DHS), Centers for Medicare and Medicaid Services (CMS), the U.S. Attorney’s Office, the State and Federal Office of the Inspector General, and the Wisconsin Department of Justice. He also represents health care and other licensed professionals in licensing matters before the Wisconsin Department of Safety and Professional Services (formerly known as the Department of Regulation & Licensing).

Having over two decades of legal experience working with assisted living and skilled nursing facility owners and operators, and licensed to practice in two states, Bob is recognized both in and outside Wisconsin as an expert in his field. As a result of his unique specialization, he has established strong, professional relationships with governmental regulators in both state and federal agencies. Adding to his impressive list of professional accomplishments, Bob is a licensed Registered Nurse with ten years of clinical experience, most of which was spent in nursing practice at Vanderbilt University Medical Center, a large academic medical center in Nashville, Tennessee. His nursing background provides him with a unique practical real-world perspective since he appreciates both the legal and clinical sides of health care-related issues when advising his clients.

In addition to his legal practice, Bob is an experienced and frequent presenter at the following: the Wisconsin Assisted Living Association annual conference, Assisted Living Federation of America annual conference, American Health Lawyers – Long Term Care and the Law annual conference, Leading Age Wisconsin Spring and Fall Conferences, Wisconsin Health Care Association Spring and Fall Conferences, Wisconsin Personal Services Association Conferences, Wisconsin Department of Justice, Wisconsin Department of health Services Focus annual conference, State bar of Wisconsin Health Law Section annual conference and Iowa Assisted Living Association.


J.D., Hamline University School of Law
B.S., Middle Tennessee State University
Diploma, St. Joseph’s Hospital School of Nursing

Bar Admissions


  • Successfully defended numerous assisted living and nursing home facilities on appeal regarding regulatory violations and license revocations
  • Successfully assisted national nursing home and assisted living companies in Change of Ownership (CHOW) transactions and licensing
  • Appointed to serve on a Special Legislative Committee on Legal Interventions for Persons with Alzheimer’s Disease and Related Dementias
  • Obtained a six-figure reduction in fines for a Wisconsin nursing home
  • Advocated for pro-assisted living legislation to members of Congress
  • Obtained favorable resolutions for nurses and physicians faced with loss of professional license by the Department of Safety and Professional Services


  • Recognized by “Best Lawyers” annually since 2009
  • 2012 Best Lawyers Health Care Lawyer of the Year for the Madison area
  • Madison Magazine Top Health Care Lawyers in Dane County (2007 and 2009)
  • Martindale-Hubbell AV® Preeminent™ Peer Review Rated


  • Dehn-Medico Legal Fellow at the Marshfield Clinic in Marshfield, Wisconsin, 1993.
  • Featured in “Men in Nursing” publication, February 2007, Volume 2 Number 1
  • State Bar of Wisconsin Board of Governors (2003-2006)
  • State Bar of Wisconsin Health Law Section, and past member of the Health Law Section Board
  • Leading Age Wisconsin
  • Wisconsin Assisted Living Association, Past-President and Board Chair (2008-2010); Board of Directors (2002-present); Legislative Committee Co-Chair
  • American Health Lawyers Association (Long Term Care section)
  • Assisted Living Federation of America (past member of the President’s Council)
  • Past Member, Board of Directors, Edgerton Care Center
  • Madison Wheelchair Recycling Program (former Board member)
  • Verona Knights of Columbus
  • Verona Chamber of Commerce
  • Updates Author and author of the assisted living section, Advising Older Clients and Their Families, Chapter 18: Long-Term Care Facilities: Regulation, published by the State Bar of Wisconsin
  • “Nurse Delegation in Long Term Care and Assisted Living” published in Long Term Living, November 2011
    Numerous articles for “WALA Watch”, the newsletter of the Wisconsin Assisted Living Association
  • “Clinical Care Documentation: Delivering Detailed, Resident-Focused Services” published in the Senior Living Executive, f/k/a the Assisted Living Executive, May/June 2009
  • “Butcher v. Fashingbauer: The Case for a Surrogate Decision Maker Statute in Minnesota”, Hamline Journal of Public Law & Policy, Vol. 16, Issue 1 (Fall 1994), pp. 231-268

Recent Presentations

  • “Resident’s Rights vs Safety of Others: A Case Study of an Assisted Living Resident’s Right Not to Be Filmed Without Consent and the Rights of Others to be Safe,” Argentum Annual Conference, Denver, CO (May 2016)
  • “The Importance of a Properly Structured QA to Investigations,” WALA Annual Conference, Wisconsin Dells, WI (March 2016)
  • “RN Delegation in Assisted Living,” WALA Annual Conference, Wisconsin Dells, WI (March 2016)
  • “Filming an Agitated Combative Resident of Assisted Living – Resident Right of Privacy vs Right of Others to Be Safe,” AHLA Long Term Care and the Law Annual Conference, Orlando, FL (February 2016)