The Role of the Registered Nurse in Long-Term Care

Updated 30 October 2026 · Educational resource

Registered nurses (RNs) play a central role in long-term care settings in both the United States and the United Kingdom. They assess residents, develop and update care plans, administer complex treatments, supervise other staff, and coordinate with physicians and families.

Typical responsibilities

• Admission and ongoing clinical assessments
• Medication management and administration of treatments that require nursing judgment
• Wound care, catheter care, and other skilled procedures
• Supervision of licensed practical nurses and care assistants
• Communication with physicians and specialists
• Participation in quality improvement and infection prevention programs

In US skilled nursing facilities, RNs are required as part of the staffing model. In UK nursing homes, registered nurses must be available to meet the needs of residents who require nursing care. The presence of consistent RN leadership is associated with better outcomes for residents with complex needs.

Disclaimer: Scope of practice and exact duties vary by jurisdiction and facility. This page is educational only.

← Back to Information Centre · About this site · Editorial policy