Chronic pain remains a major public health concern throughout the United States, but its high prevalence among older adults who reside in long-term care facilities (LTCF) emphasizes the need to focus research efforts on chronic pain management. Chronic pain in older adults who live in LTCFs is consistently undertreated and unrecognized by staff. The literature identifies the following four challenges to recognizing and managing chronic pain in older adults who live in LTCFs: generational differences; cognitive impairment; non-standardization of pain protocols and guidelines; and non-uniform pain assessment tools and pain scales. This honors project is part of a project funded by the North Carolina AHEC Innovation Grant in order to conduct a Quality Improvement Project on the quality issue of chronic pain management. The purpose of my project was to conduct a stakeholder analysis exploring the stakeholders’ perceptions of chronic pain management in older adults who reside in the LTCF. The analysis revealed nine themes that were presented to the School of Nursing team. We discussed and examined several potential areas of intervention to suggest to the leadership team at Happy Meadows. This Quality Improvement Project will not only aid the leadership team at Happy Meadows in developing a new pain management protocol, but also it will inform future quality improvement efforts to improve chronic pain management in LTCFs.