Long term care providers face challenges every day—but they also have no shortage of dedicated people meeting those challenges with creativity, compassion, and resolve. In this issue, we examine the systemic pressures that complicate care delivery, the regulatory progress that makes us optimistic, and the individuals and programs that remind us why this work matters.

One feature takes a close look at the growing tension between the appeal of Medicare Advantage (MA) plans and the difficulties seniors face when trying to access post-acute care through MA. As enrollment in these plans continues to climb, providers must understand the barriers residents encounter—and advocate for solutions that ensure every beneficiary receives the care they deserve.

We shine a long-overdue spotlight on maintenance directors—the unsung heroes whose work underpins safety, quality, and compliance in long term care communities. From preventing costly repairs to creating environments where residents and staff can thrive, these professionals make an outsized contribution that deserves recognition and investment.

In addition, recent updates by the Centers for Medicare and Medicaid Services (CMS) are helping to put patients over paperwork in skilled nursing facilities, reflecting years of advocacy by AHCA and signaling that policymakers are listening. We also profile Sarah Silva, the new National Center for Assisted Living (NCAL) board chair, whose heart-driven approach to care shows her dedication and passion. 

Also, learn how aligning talent with mission and vision builds a stable, high-performing workforce. Celebrate the 30-year legacy of the National Quality Award Examiners, who volunteer their time and expertise to advance excellence across the field. Explore how NCAL’s regulatory resources and advocacy efforts are equipping assisted living leaders for the road ahead. And examine the policy solutions and workforce initiatives essential to building a strong, sustainable care workforce for the future.

Taken together, these articles reflect long term care professionals that refuse to stand still—people who advocate for residents, provide quality care despite changing regulations, and continue to move the profession forward each day.

Deborah Stadtler
Editor in Chief