This tome, which is unfortunately required by most states as the core text for AIT programs, is a big stinking pile of horse manure. Information imparted here is horribly outdated and doesn't appear to have revised since at least the early 80s. It bothers me that Allen pretends to be either a nurse or a doctor in the section on resident health issues when he is in fact neither. I am also confused as to why so much of the chapters on government regulation focus on ADA while there is virtually nothing on the CMS survey process. This book teaches you nothing needed to actually practice as an administrator. The only foreseeable reason I can think of to get this book is to prepare for the NAB test, which is also horribly outdated and seems to be based on this book. The best way to change the culture of a nursing home is to burn this book and scatter the ashes, then never look back.