Sarah Burger worked for the last 50 years to improve nursing homes through public policy. Sarah joined Elma Holder executive director of The National Citizens Coalition for Nursing Home Reform (Now Consumer Voice) in this endeavor. NCCNHR created a large coalition of stakeholders including Consumers, providers, professionals and government to define and find consensus on the major elements of the Nursing Home Reform Law of 1987. NCCNHR maintained the coalition during the next decade of rulemaking and implementation. In 2001, Sarah’s focus shifted from consumers to long term care nursing. She became the Coordinator of The Coalition for Geriatric Nursing Organizations, the major policy organization for 27,000 long term care RNs. Retiring in 2015, Sarah remains a senior advisor to the Hartford Institute for Geriatric Nursing at NYU-Rory Meyers College of Nursing, the umbrella for the CGNO. Sarah was a founding member of the Washington Hospice Society which became Hospice Care of the District of Columbia. She continues volunteer work with the Expert panel on Aging of the American Academy of Nursing where nurse staffing in nursing homes is an ongoing challenge especially in the face of COVID. Sarah has had no clinical experience since the 1970’s and has lived in DuPont Circle since 1990.