What makes long-term care more than just a job?

In this episode of Hearts of Excellence, host Chelsey Gheyara sits down with Payton Nienaber, Director of Nursing Services at Majestic Care of Newburgh. From starting as a CNA in 2014 to becoming a board-certified Family Nurse Practitioner, Payton’s journey is rooted in resilience, growth, and a deep commitment to people.

Alongside Majestic Care CEO Paul Pruitt, they explore what it really means to lead in long-term care: from navigating overwhelming challenges to building meaningful relationships with Residents and Care Team members. Payton shares powerful stories of connection, advocacy, and the moments that remind her why this work is so much more than a career.

This is a conversation about heart, leadership, and why the best care starts with seeing people as people.

In this episode, you’ll hear:

• Why long-term care is truly a people business
• How strong support systems shape great leaders
• The importance of treating staff and Residents with humanity

Highlights:
(00:00) Introduction
(00:40) Long-term care vs. hospital life: “DC vs. Marvel”
(01:13) From CNA to Director of Nursing and Nurse Practitioner
(03:00) A Resident who felt like family
(06:00) Falling in love with long-term care
(10:20) Balancing leadership, life, and education
(11:00) The power of support systems
(12:30) Stepping into leadership before feeling ready
(16:30) Navigating daily challenges in long-term care
(22:40) Why long-term care is misunderstood
(23:20) Advocating to keep a Resident and spouse together
(26:30) Why long-term care is a people business
(30:15) Advice for new healthcare professionals
(32:00) Leading with humanity and empathy
(37:10) Payton’s definition of excellence