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Objective Our objective was to assess the preferences for Total Worker Health intervention modes to improve the health and well-being of workers in U.S. nursing homes.Material and Methods In spring 2025, a census of nursing homes in four midwestern U.S. states, Kansas, Iowa, Nebraska, and Missouri, was taken. Information about the nursing homes, including those with fewer than 30 beds and those in rural areas, was used to survey Directors of Nursing using a multi-mode survey. The survey is in the field but will be completed by June 2025.Results Overall, DONs were responsive to the survey and reported levels of best practices for worker health and well-being. Results from the discrete choice experiment about intervention modes are forthcoming. Data analysis and the final survey contacts are ongoing.Conclusion Conclusions will be updated once the final data analysis is complete.Funding Funding for this work was provided by the Healthier Workforce Center of the Midwest (NIOSH -U19OH008868).