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What Directors of Nursing Want Providers to Know

PULSE: Signal Report

November 2026

Senior Living Directors of Nursing

The Balancing Act Behind Great Care

Directors of Nursing balance clinical leadership, staffing, regulatory demands, and resident care. As their responsibilities expand, is the support around them keeping pace? Ziegler Link•age Funds, in partnership with Link•age Connect, explores this question in its inaugural PULSE: Signal report, Senior Living Directors of Nursing: The Balancing Act Behind Great Care.

Drawing on surveys, interviews, and roundtable discussions with nearly 90 Directors of Nursing across senior living and care, the research reveals:

  • More than 70% identified recruitment and retention as a significant challenge.
  • 46% reported spending more than 60% of their workweek on administrative and non-clinical responsibilities.
  • Technology satisfaction averaged 3.2 out of 5, signaling opportunities for improvement.

The report offers actionable recommendations to strengthen collaboration and organizational support — from improving staffing and administrative resources to developing clinical leaders, protecting clinical time, and aligning technology with daily workflows. Hear directly from nursing leaders and discover how providers can better support the people behind great resident care.

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