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Hiring Right Changes Everything: How to Select High-Performing Team Members in Healthcare
In senior care, hiring is not just an HR function—it’s a quality-of-care decision. Every resident experience, survey outcome, and team culture challenge can often be traced back to one critical moment: who we chose to bring onto the team . After nearly three decades in nursing and senior care leadership, I’ve seen this truth play out time and time again. Facilities don’t struggle because they lack policies. They struggle because they lack consistent, high-performing people w

Tina Gotsch
Dec 162 min read


🌱 Why Your Community Needs the Surviving to Thriving Program in 2026
Transforming nursing teams from overwhelmed to empowered. Have a senior care community that you just can’t get moving in the right direction —no matter how many coaching calls, regional visits, or staffing changes you’ve tried? You’re not alone. Across Missouri and beyond, senior care organizations are facing the same frustrations: • High turnover • Burned-out staff • Constant crisis mode • Inconsistent systems • Low morale • Leadership gaps • Families concerned about stabili

Tina Gotsch
Dec 33 min read


Why You Should Attend One of Our Administrator Study Courses: A Complete, Supportive Exam Prep Experience!
Preparing for your administrator licensure exams—whether Residential Care & Assisted Living or Nursing Home Administration—is a major milestone in your senior living career. It’s not just a test; it’s the doorway to leadership, advancement, and the opportunity to make an even greater impact on the lives of residents and staff. That’s why choosing the right study program matters. Our study courses were created to give you everything you need to succeed. If you're wondering wh

Tina Gotsch
Dec 33 min read


🌱 Surviving to Thriving — Your Leadership Reset for 2026 Starts Now
Every senior care community has a story. Too often, that story reflects burnout, turnover, and constant “survival mode.” The Surviving to Thriving Program is designed to change that narrative — with structure, support, and leadership transformation that creates lasting culture change. Through this program, teams learn to: ✔ Rebuild trust and communication ✔ Strengthen clinical decision-making ✔ Reduce turnover and leadership fatigue ✔ Establish consistent systems and expecta

Tina Gotsch
Nov 251 min read


Why an In-Person, Interactive Study Course Is the Best Way to Prepare for Your Nursing Home Administrator Licensure Exam
Becoming a licensed Nursing Home Administrator is more than passing a test—it’s stepping into a leadership role that shapes the lives of residents, families, and staff every single day. With such an important responsibility ahead, the way you prepare matters. That’s why our Nursing Home Administrator Licensure Study Course is intentionally designed to be in-person, hands-on, and engaging —a learning experience that fuels understanding, confidence, and connection. Here’s why

Tina Gotsch
Nov 252 min read


RESIDENTIAL CARE ASSISTED LIVING STUDY COURSE - ENROLLMENT NOW OPEN!
SCAN OR FOLLOW THE LINK BELOW TO BOOK YOUR SPOT - SEATING IS LIMITED! https://www.nurseleadershipsolutions.com/event-details/residential-care-assisted-living-study-course-missouri

Tina Gotsch
Nov 201 min read


Nursing Facility Visit Checklist
Nursing Facility Visit Checklist Use this checklist when touring nursing homes to help you compare and make the best choice for your loved one. Resident Experience · ☐ Residents are clean, well-dressed, and cared for · ☐ Residents appear engaged and content · ☐ Residents participate in activities · ☐ Residents are treated respectfully by staff Staffing & Care · ☐ Staff-to-resident ratio seems appropriate · ☐ Nurse available on-s

Tina Gotsch
Oct 282 min read


Surviving to Thriving - Turning Struggling into Strength in Senior Care
At Nurse Leadership Solutions, we understand what it feels like when your community is stuck in survival mode . Staff are exhausted, turnover is high, and it can seem like there’s no clear path forward. That’s why we’re proud to introduce our newest initiative — Surviving to Thriving: Turning Struggle into Strength in Senior Care. This program is designed to help nursing home and assisted living leadership teams rebuild stability, restore confidence, and reignite their team’s

Tina Gotsch
Oct 162 min read


✅ Social Leadership Strategies: A Checklist for Joyful Leaders in Senior Care
In senior care, leadership is about more than managing schedules or meeting compliance requirements — it’s about creating an environment...

Tina Gotsch
Sep 292 min read


Joyful Leadership in Senior Care Checklist
Start with Presence ☐ Begin each shift with a deep breath and a positive intention. ☐ Make eye contact and greet residents and staff by...

Tina Gotsch
Sep 251 min read


If I get dementia....
Hang this up where I live for all to see and remember my love for them. 1. Every time you enter the room announce yourself. “Hi Mom -...

Tina Gotsch
Jun 292 min read



Tina Gotsch
Jun 230 min read


Experience Matters During Leadership Transitions
Why Choose an Interim Leader During Transitions in Senior Care? Transitions in senior care community leadership—whether planned or...

Tina Gotsch
Jun 162 min read


Advance Care Planning: Guidance from a Nurse
As nurses, we’re often trusted not only for our clinical expertise but for our ability to guide patients and families through emotional,...

Tina Gotsch
May 192 min read


🩺 Nursing Team Mentor Program Leadership Support that Strengthens the whole senior care team.
We’re here to help you succeed. The Nursing Team Mentor Program pairs your team with an experienced nurse leader who will guide,...

Tina Gotsch
May 141 min read


Growing Talent From Within Your Community
Through our consulting program, we emphasize the importance of developing local talent within your community. It outlines steps such as...

Tina Gotsch
May 51 min read


🩺 What It Means to Be a Leader in Senior Care: Leading with Compassion • Building with Purpose • Caring with Heart
1. Champion Dignity & Respect Treat every resident as an individual—with value, voice, and purpose. 2. Model Compassionate Care Let your...

Tina Gotsch
Apr 301 min read


What Directors of Nursing want from their Executive Director
Working Together for Better Senior Care Outcomes ✅ 1. Clear Communication & Consistent Expectations Open conversations, regular...

Tina Gotsch
Apr 211 min read


Living with Dementia: A Family's Journey
The Amazing Woman We Loved Martha Louella was a woman who showed us love, support, faith, and the importance of family. Her presence was...

Tina Gotsch
Apr 144 min read
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