Demands for quality of care in nursing homes have increased, but staffing levels, skills and knowledge have not kept up with demands that continue to intensify, according to the Journal of Nursing Regulation. This increase in acuity, as well as the rapidity of resident admission and discharge, heightens the urgency and need for enhanced body system and medical condition training for licensed vocational nurses (LVNs), also known as licensed practical nurses (LPNs) in some states. The purpose of TMF’s Improving Resident-Focused Assessment and Monitoring is to enhance the education, development and skillsets of LVNs/LPNs caring for residents in Texas nursing homes. This program will address education gaps that exist in LVN/LPNs pre-license curriculum by providing enhanced body system and medical condition training. Enhanced knowledge and understanding of the interactions of body systems and medical condition comorbidities will position LVNs/LPNs to have a positive influence on resident care.