A hard hitting and revealing look at what it's really like to be a Nursing Home Administrator, and what it takes to be a good one. Michael talks about the dynamic and imperfect nature of long term care, the preconceived notions that our customers have about our business, the true problems underlying our staffing crisis, the keys to effective management and leadership, the ways in which we can make more money and save more of the money we make, how to use time and information more effectively, managing the survey process, and providing quality of care and life to our residents. Michael also introduces the five pillars of success for all long term care facilities. The style and the format of the book make it easy to read, and a practical resource for continued reference. It has been described as "getting on the job experience from reading a book, and avoiding the mistakes and the pain that come from learning on the job itself." The author is a retired Nursing Home Administrator who spent over forty four years in long term care. An ancient Chinese proverb tells us that to know the road ahead, one must ask someone coming back. Michael Jacobs is that someone coming back, and it will become obvious to you when you read this book.