This report reflects my practicum experience with the Kelsey Trail Health Region (KTHR) and the Parkland Place Long Term Care (LTC) Management Team in Melfort, Saskatchewan. The practicum took place between April 1 and June 30, 2013, with the objective to learn and practice at a senior management level with a focus on analyzing LTC policies, procedures and a Lean approach to admissions, management, and patient centered care through the lens of social work. This paper follows the direct practice framework recommended for integrative practicum reports as outlined by the University of Regina, Faculty of Social Work; covering theoretical frameworks used during field practicum including empowerment theory, systems theory, Lean theory, ecological theory and life course theory. Descriptions of the agency, practicum goals and objectives are also included. One case study of a client and his family’s experience with admission to LTC is examined along with a value stream map of the admission process. The ideology, values, ethics, relationships, strategies and skills used during the practicum are discussed, and the report concludes with my recommendations. This conclusion includes discussion related to my experiences during the field practicum in LTC management, and how a specialized skill set is required to be successful in the profession of social work.