Introduction Researchers have developed various models and approaches to help sustain quality in healthcare services and facilities. The question, which model ensures quality care eludes most of care providers. This paper briefly examines the current models used in short- and long-term care facilities, and will settle on the most appropriate model for a nursing home. In addition, the paper will also consider the benefits and the limitations of adapting the new Quality Improvement model. Quality models  1. Quality Assurance: It refers to a systematic monitoring and evaluation of the different components of a facility, service, or project to guarantee that nursing homes attain standards of quality (Webster, 2003).  2. Continuous Quality Improvement: Refers to an approach to quality management that improves on traditional quality assurance techniques. This process is done by highlighting the systems and the organization, including focusing on the process of delivery instead of the individuals; recognizing both inside and outside consumers; and supporting the importance of objective data to analyze and improve processes (Graham, 1995, p.69).  3. Performance Improvement: The Joint Commission implemented this model in 1990’s. Performance Improvement is the continuous revision and implementation of processes and functions of a health care facility to raise the probability of achieving expectation and to better comply to the patient’s needs as well as of other consumers of the services; the third component of a performance measurement, evaluation, and improvement system.  4. Total Quality Management (TQM): Hackman and Wageman (1995), defines TQM as the process of engaging all players of the organization in processes that results to the production of best quality good or services (p. 309).  5. ISO 9000: According to Babwin (1998), theses are a range of quality management standards that International Organization for Standardization [ISO] initially published in 1987 (p.57). Presently, thousands of companies in more than 120 countries have implemented the ISO standards in their various organizations. These companies range from healthcare organizations to numerous other large and small-scale companies and organizations. ISO standards necessitate that an organization establishes a systematic direction to developing a quality management structure through sustaining a culture that has a quality focus.  6. Six Sigma: This quality model is a management theory generated by Motorola that underscores setting extremely high goals, data collection, and analyzing outcomes to a fine degree as a means to diminish defects in goods and services (Ettiner, 2001, p.13). The letter sigma may denote deviation from a standard; however, the concept behind Six Sigma is that, when one measures the number of defects present in a process, s/he can identify a step-by-step action to eradicate errors and get as close to excellence as possible. A prerequisite for a company to attain six sigma means that it cannot generate more than 3.4 defects for every million opportunities. Advocates of the Six Sigma model testify that its advantages include up to 50% process cost decline, enhanced customer satisfaction, cycle-time improvement, an improved u