Carmen joined Rolla Presbyterian Manor as a certified nurse aide in November 2008 after relocating from Tennessee. In 2009, she became Rolla Presbyterian Manor’s assistant activity director, a position she held until becoming the Manor’s dining services director in 2013. Previously, Carmen spent a decade employed at McDonald’s Restaurants and seven years as a job coach for disabled workers. She entered the food services industry after closing her hair salon in 1990. In addition to an education in cosmetology, Carmen studied child development at Tennessee Tech. She has received training in social services, activities and food services.