Aims: The Veterans Health Administration (VA) is the largest healthcare entity in the United States dedicated to serving Veterans. The VA has focused on improving resident-centered care through increased communication and strengthened relationships among staff who work in Community Living Centers (CLCs). This study employed the Relational Coordination (RC) survey to assess communication and relationships among nurses and nursing assistants in CLCs. Design: The study used a mixed methods design grounded in the theory of RC. Methods: 134 CLCs were identified by ranking their quality of care measures. The top half of the facilities were stratified using patient-centered care measures, with eight highest-ranking CLCs invited to complete the RC Survey to assess the following dimensions: frequent communication, timely communication, accurate communication, problem-solving communication, shared goals, shared knowledge, and mutual respect. A total of 153 nurses and 133 nursing assistants responded (25% response rate). Within-group and between-group mean ratings for each dimension were computed and classified as “weak,” “medium,” or “strong.” Results: Nursing assistant ratings fell into the strong category when assessing the frequency of communication with fellow nursing assistants and with nurses. Nurse ratings fell into the strong category when assessing communication frequency with other nurses and moderate when assessing communication frequency with nursing assistants. When looking at timely, accurate, and problem-solving communication between nurses and nursing assistants, ratings fell into the weak category. Shared goals and mutual respect fell into the weak category for within-role and across-role relationships for nurses and nursing assistants. Nursing assistant ratings for shared knowledge with nurses fell into the moderate rating category. Conclusions: High frequency of communication may co-exist with low quality of communication and relationships. Impact: Nurses and nursing assistants play a critical role in nursing home care. Our study points to specific dimensions of RC as foci of CLC quality improvement efforts.