A study to determine the quality of life and care in 20 Long-Term Care (LTC) facilities in the Metro Denver Area revealed that care was better than anticipated. Assessments were made on 158 residents regarding their problems, functioning level, and appropriateness of level of care based on information from residents, staff nurses, activity directors, and medical records. Research needs to continue in theareas of refining assessment of quality care methodologies and development of criteria for measuring those outcomes in conjunction with the development of operational programs such as Professional Standards Review Organization (PSRO) review.