Gerontological advanced practice registered nurses (APRNs) have practiced in long-term care (LTC) settings for nearly four decades, providing healthcare for long term residents and for short term residents receiving post-acute care. The evidence has consistently identified gerontological APRNs as critical members of the interprofessional team. The COVID-19 pandemic brought unpredictable challenges, for which APRNs provided extraordinary leadership. This position statement outlines the critical role of the gerontological APRN in long-term care, highlights barriers to APRN practice, and suggests recommendations for continued advancement of the role.