Conduct 45 to 60 minute longevity visits built on a comprehensive geriatric assessment: what matters most to the resident, medication review and deprescribing, cognition (including the Mini-Cog), mood, sleep, nutrition, mobility, fall risk, daily function and advance care planning. Active, unrestricted Washington ARNP license as a nurse practitioner, with prescriptive authority, from the Washington State Board of Nursing, plus an active Washington or multistate RN license (a multistate RN compact license does not cover ARNP practice).