The advanced care directives review project was inspired by the complicated issues that often arise in the process of putting together patients’ advanced care plans in the nursing home setting. The project has two parts: the first is an inventory of patients’ advanced care plans, and the frequency with which these plans are updated, especially when serious changes to a patient’s health or diagnosis occur. The second is an assessment of whether these ACPs align with the principles of Goal-Concordant Care. The project is being undertaken at Mary Manning Walsh nursing home.