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. Ability to practice under a collaborative practice arrangement with a physician, as required in Missouri, including one month of on-site practice alongside the collaborating physician before practicing at a separate site, physician chart review every 14 days and regular in-person meetings.