Innovation and Quality Improvement: Safe or Sabotage in Nursing Homes?

High mortality among nursing home residents in the COVID-19 pandemic has laid bare the vulnerabilities of our current health care system and is inspiring conversations about how to transform nursing home care to improve quality of life and quality of work, including a JAMDA Call for Papers focused on “Reimagining Long-Term Care.”1–3 As researchers and policy makers recruit nursing homes for partnership in studies of transformation, an assessment of organizational strain of these communities will be essential.