The TREC Measurement System (TMS) study is a longitudinal study that explores the strength of linkages between work environments, best practice use and resident outcomes using staff survey data and RAI-MDS 2.0 data. The study will take place in 90 nursing homes across British Columbia, Alberta and Manitoba. Recruitment of sites will ensure representation across these locations, and that facilities of different sizes and owner-operator models (public, voluntary and private) are included.