Nursing home administrators represent wide variations in academic trai
ning. General educational levels do not seem to affect administrative
preparation in key domains of practice-specific academic fields of stu
dy are more relevant. Hence, sole emphasis on higher educational requi
rements for licensure appears to be a misdirected strategy for improvi
ng quality of care and enhancing management efficiencies in nursing ho
mes. Educational paradigms studied have strengths and weaknesses in fu
rnishing various job skills. These results are helpful in defining str
ategic actions for addressing both current deficiencies and future tra
ining needs. A specialized long-term care model that incorporates appr
opriate clinical and business skills is recommended. The roles of cont
inuing education and executive educational offerings also need streaml
ining. These initiatives would require a joint effort from policymaker
s, academicians, and practitioners.