Tina Gotsch

Are You Hiding Under Your Desk… or Riding Your Tricycle Down the Hallway? Let’s be honest. Senior care leadership right now can feel overwhelming. Regulations, staffing challenges, burnout, shifting generational expectations, budget pressures — it’s enough to make anyone want to hide under their desk. But what if instead… we chose to ride our tricycle down the hallway with excitement? That’s the heart behind my recent presentation, “Crazy Times Call for Crazy Teams.” Because the truth is...

At Nurse Leadership Solutions , we believe that strong systems start with strong people. And when it comes to medication administration in senior care, there is no room for shortcuts. That’s why our Certified Medication Aide (CMA) Class  isn’t just a requirement—it’s a strategic investment in your team, your residents, and your overall operational excellence. As a nurse-founded and nurse-led organization, we understand the realities of assisted living and residential care. We’ve walked the...

Operational improvement in senior care is not about chasing perfection, adding more paperwork, or reacting to the next survey. True operational excellence happens when people, process, and performance  are aligned — and when leaders intentionally design systems that support both staff and residents every single day. Senior care communities today face unprecedented challenges: staffing shortages, rising acuity, increasing regulatory pressure, and inefficient workflows that drain energy from...