With the growing elderly population, compounded by the retirement of the babyboomers, the need for long-term care (LTC) facilities is expected to grow. An area of great concern for those that are seeking a home for their family member is the quality of care provided by the nursing home to the residents. Electronic medical records (EMR) are often viewed as a way to improve quality of care, and this non-experimental, cross-sectional study examined the relationship between EMR and quality ratings of long-term care facilities, as well as the attributes of facilities that use EMR and those without EMR. Nursing Homes (NH) in New York City (NYC) were surveyed between September 2012 to October 2012 using an instrument that elicited information on the facilities' presence or absence of EMR, level of EMR use, years of implementation, and the specific EMR software type used (n = 129, response rate 81.13%). Secondary data on quality measures and facility characteristics on the surveyed NH were extracted from the Nursing Home Compare (NHC) database. This study suggested that there was no significant relationship between implementation of EMR and the quality ratings of nursing homes in NYC: however ownership type and occupancy rate differed in nursing homes that used EMR compared to those without EMR. For-profit nursing homes tended to report use of EMR more than those owned by non-profit and government. NHs with higher occupancy rate tended to use EMR more than those with lower occupancy rate. The study identified nonpervasive use of EMR among LTC facilities in NYC, despite the federal mandate with the new Health Care Reform that calls for the adoption of EMR in all healthcare facilities. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]