&NA;Staffing and administrative issues are among the most serious problems facing nursing homes and assisted living facilities in the United States. Staffing and administrative practices are critically important to organizational performance in terms of finance, human resources, level of quality, and satisfaction. In this article, we highlight the importance of five organizational systems as they relate to organizational performance: (1) environmental design, (2) programs, (3) information systems, (4) human resource management, and (5) leadership. A fundamental challenge facing researchers and practitioners today is translating research into practice. We describe a collaborative research strategy to better inform researchers, practitioners, and policy makers about how to simultaneously improve special care unit performance and expand our knowledge base.