The history of care of the aged -- Characteristics of the long-term care model -- Governing the long-term care organization -- Executive leadership -- Developing the management team -- Fiscal leaderhship -- Human resoruce management overview -- Worker motivation, attitudes, and perceptions -- Recruitment, screening, and selection of personnel -- Personnel policies with special impact on employees -- Staff development -- Monitoring and evalulating HRM practices -- Rehabilitation and exercise in long-term care -- Medical care and the role of the medical director -- The department of nursing -- Social services in long-term care -- Therapeutic activity -- Enhancing organizational performance through environmental design -- Monitoring clinical outcomes -- Managing the effects of institutionalization -- Families: the second client -- Intergenerational activities -- Companion animals in the environment -- End of life in a long-term care facility -- Spiritual care and the chaplain in the long-term care facility -- Using information technology to improve quality measurement -- Managing change -- Appendix A: Competencies of directors of nursing/nurse administrators in long-term care facilities -- Appendix B: Determination of staffing using the RUG-III case-mix classification system for nursing time -- Appendix C: Two-week blocks for nursing staff schedule.