 Nursing home NH patients with Alzheimers disease and related dementias often receive unwanted, burdensome treatments such as hospitalization. Advance care planning ACP is a key strategy to support patients and family-caregivers in making informed decisions and ensuring treatment preferences are proactively known and honored. The ACP Specialist Program will improve care and reduce unwanted, burdensome hospitalizations through improved ACP procedures, standardized staff education on ACP, and systematic ACP facilitation delivered by existing NH staff. 