Telehealth use in long-term care (LTC) facilities expanded rapidly during the COVID-19 pandemic following Medicare policy changes in March 2020. Utilization has remained above pre-pandemic levels, but research has focused primarily on physicians, leaving gaps in the understanding of nurses’ roles and experiences. Nurses, including nurse practitioners (NPs) and certified nursing assistants (CNAs), are central to telehealth implementation in LTC, yet little is known about their challenges, training needs, and perspectives.