Quality of care issues have long been a concern for nursing homes (NHs). Now, as growing numbers of people with complex geriatric needs deepen a global healthcare worker shortage, NHs are facing increased challenges to provide high quality of care (OECD/ European Union, 2013). To meet these challenges, implementing quality improvement is key: it can help NHs identify problems, initiate improvement cycles and evaluate outcomes (Johannessen et al., 2020; OECD/European Union, 2013;Rantz et al., 2012).Quality improvement activities include, for example, monitoring, benchmarking and assessing data, evaluating processes, identifying opportunities for improvement, implementing new approaches to care, and assessing changes in processes or outcomes. Various publications have reported on specific NH quality improvement interventions or projects (Chadborn et al., 2020;Toles et al., 2021). However,