NURSING HOME ADMINISTRATION
M I L E S K I • M c C L AY
Eighth Edition
Michael Mileski, DC, MPH, MHA, MSHEd, LNFA, FACHCA
Rebecca McClay, DNP, MS, ACNPC-AG, CCRN-CMC-CSC,TCRN, NPD-BC
MICHAEL MILESKI
Now in its eighth edition, Nursing Home Administration remains the authoritative
R E B E C C A M c C L AY
textbook detailing the nursing facility administrator role, including what they do, how
they think, and how they lead. By breaking down the art of administration into its basic,
need-to-know tasks—forecasting, planning, organizing, staffing, directing, controlling
quality, innovating, and marketing—this text provides the essential context for managing
and leading nursing homes and skilled nursing facilities. Thoroughly updated to include
the four domains of practice as put forth by the National Association of Long Term Care
Administrator Boards (NAB) for the 2022 licensure examination and beyond, this textbook
is complete with essential context for the domains and associated competencies to better
NURSING
NURSING HOME ADMINISTRATION
prepare students for the required NAB examination.
With revised sections addressing new federal regulations and laws affecting the field, best
practices in residential care, and refreshed examples and cases, this text continues to set
students up for success in working as a nursing facility administrator. Updated sections
address changes within the residential care continuum, provide further information on
patient-driven payment models and value-based care, and inform current practices for
HOME
marketing and controlling quality within the long-term care facility. Chapter boxes reflect
common pitfalls in practice while real-life case studies and critical-thinking exercises,
including a “What Would You Do?” section that concludes all chapters, encourage students
to consider challenges they may experience in the field. In addition to the updated domains
of practice—care, services, and supports; operations; environment and quality; and
leadership and strategy—the book describes how core components fit together.
ADMINISTRATION
New to the Eighth Edition:
n Includes the updated 2022 domains of practice as they relate to the licensing examination standards of the
National Association of Long Term Care Administrator Boards (NAB)
n Replete with information on new federal laws, requirements, and regulations including links to important
resources such as the Minimum Data Set (MDS) 3.0
n Provides insight into the impact the COVID-19 pandemic has and will have on managing a long-term
care facility
n Introduces “Common Pitfalls in Practice” sections and “What Would You Do?” boxes in each chapter,
designed to spark critical thinking and discussion
n Updated figures, tables, and references throughout
Key Features:
n Provides an in-depth discussion of nursing facility administration
n Utilizes current data from the field of long-term care EIGHTH EDITION
n Case studies throughout the textbook address real-world situations and experiences for administrators and
managers in nursing facility administration and skilled nursing care
Eighth
n Qualified instructors can gain access to the book’s accompanying Instructor’s Manual Edition
11 W. 42nd Street
New York, NY 10036-8002
www.springerpub.com
,Nursing Home Administration
,Michael Mileski, DC, MPH, MHA, MSHEd, LNFA, FACHCA, is currently continu-
ing his work in long-term care and acute care environments as a field consultant.
He also shares his extensive and diverse experience with upcoming administrators
through his associate professorship at Texas State University, where he is program
director of the Long-Term Care Administration Program in the School of Health
Administration. Dr. Mileski received his doctor of chiropractic degree at Texas
Chiropractic College and his master of public health, master of health administra-
tion, and master of higher education from Purdue University Global. He has been a
licensed nursing facility administrator for more than 20 years and is a Fellow of the
American College of Health Care Administrators. Dr. Mileski’s active research focus,
with many peer-reviewed publications, is long-term care efficacy and effectiveness in
addition to his work on patient experience improvement and efficiency. When pos-
sible, he enjoys traveling and exploring exotic historic and artisanal beverages and
cultures.
Rebecca McClay, DNP, MS, ACNPC-AG, CCRN-CMC-CSC, TCRN, NPD-BC, is
currently working in intensive care as part of a hospitalist team. Her strong clinical
background and high level of clinical and administrative acumen have allowed her
to become the quality improvement champion for the group. Dr. McClay received
her DNP in adult/gerontology acute care from the University of Arizona and has
remained active in research and project development, with several peer-reviewed
publications. Her research focus is on improving the bedside experience through
supporting and implementing healthy work environment standards. In her spare
time, she loves to take road trips around the country searching for wonderful,
locally influenced artisan chocolates.
, Nursing Home Administration
Eighth Edition
Michael Mileski, DC, MPH, MHA, MSHEd,
LNFA, FACHCA
Rebecca McClay, DNP, MS, ACNPC-AG,
CCRN-CMC-CSC, TCRN, NPD-BC
M I L E S K I • M c C L AY
Eighth Edition
Michael Mileski, DC, MPH, MHA, MSHEd, LNFA, FACHCA
Rebecca McClay, DNP, MS, ACNPC-AG, CCRN-CMC-CSC,TCRN, NPD-BC
MICHAEL MILESKI
Now in its eighth edition, Nursing Home Administration remains the authoritative
R E B E C C A M c C L AY
textbook detailing the nursing facility administrator role, including what they do, how
they think, and how they lead. By breaking down the art of administration into its basic,
need-to-know tasks—forecasting, planning, organizing, staffing, directing, controlling
quality, innovating, and marketing—this text provides the essential context for managing
and leading nursing homes and skilled nursing facilities. Thoroughly updated to include
the four domains of practice as put forth by the National Association of Long Term Care
Administrator Boards (NAB) for the 2022 licensure examination and beyond, this textbook
is complete with essential context for the domains and associated competencies to better
NURSING
NURSING HOME ADMINISTRATION
prepare students for the required NAB examination.
With revised sections addressing new federal regulations and laws affecting the field, best
practices in residential care, and refreshed examples and cases, this text continues to set
students up for success in working as a nursing facility administrator. Updated sections
address changes within the residential care continuum, provide further information on
patient-driven payment models and value-based care, and inform current practices for
HOME
marketing and controlling quality within the long-term care facility. Chapter boxes reflect
common pitfalls in practice while real-life case studies and critical-thinking exercises,
including a “What Would You Do?” section that concludes all chapters, encourage students
to consider challenges they may experience in the field. In addition to the updated domains
of practice—care, services, and supports; operations; environment and quality; and
leadership and strategy—the book describes how core components fit together.
ADMINISTRATION
New to the Eighth Edition:
n Includes the updated 2022 domains of practice as they relate to the licensing examination standards of the
National Association of Long Term Care Administrator Boards (NAB)
n Replete with information on new federal laws, requirements, and regulations including links to important
resources such as the Minimum Data Set (MDS) 3.0
n Provides insight into the impact the COVID-19 pandemic has and will have on managing a long-term
care facility
n Introduces “Common Pitfalls in Practice” sections and “What Would You Do?” boxes in each chapter,
designed to spark critical thinking and discussion
n Updated figures, tables, and references throughout
Key Features:
n Provides an in-depth discussion of nursing facility administration
n Utilizes current data from the field of long-term care EIGHTH EDITION
n Case studies throughout the textbook address real-world situations and experiences for administrators and
managers in nursing facility administration and skilled nursing care
Eighth
n Qualified instructors can gain access to the book’s accompanying Instructor’s Manual Edition
11 W. 42nd Street
New York, NY 10036-8002
www.springerpub.com
,Nursing Home Administration
,Michael Mileski, DC, MPH, MHA, MSHEd, LNFA, FACHCA, is currently continu-
ing his work in long-term care and acute care environments as a field consultant.
He also shares his extensive and diverse experience with upcoming administrators
through his associate professorship at Texas State University, where he is program
director of the Long-Term Care Administration Program in the School of Health
Administration. Dr. Mileski received his doctor of chiropractic degree at Texas
Chiropractic College and his master of public health, master of health administra-
tion, and master of higher education from Purdue University Global. He has been a
licensed nursing facility administrator for more than 20 years and is a Fellow of the
American College of Health Care Administrators. Dr. Mileski’s active research focus,
with many peer-reviewed publications, is long-term care efficacy and effectiveness in
addition to his work on patient experience improvement and efficiency. When pos-
sible, he enjoys traveling and exploring exotic historic and artisanal beverages and
cultures.
Rebecca McClay, DNP, MS, ACNPC-AG, CCRN-CMC-CSC, TCRN, NPD-BC, is
currently working in intensive care as part of a hospitalist team. Her strong clinical
background and high level of clinical and administrative acumen have allowed her
to become the quality improvement champion for the group. Dr. McClay received
her DNP in adult/gerontology acute care from the University of Arizona and has
remained active in research and project development, with several peer-reviewed
publications. Her research focus is on improving the bedside experience through
supporting and implementing healthy work environment standards. In her spare
time, she loves to take road trips around the country searching for wonderful,
locally influenced artisan chocolates.
, Nursing Home Administration
Eighth Edition
Michael Mileski, DC, MPH, MHA, MSHEd,
LNFA, FACHCA
Rebecca McClay, DNP, MS, ACNPC-AG,
CCRN-CMC-CSC, TCRN, NPD-BC
