Using a cross-sectional survey of managers, we examined the role of nurse practitioners (NPs) in long-term care (LTC) facilities in Newfoundland and Labrador. We compared facilities with no regular primary care provider, with only family physicians (FPs) and with both FPs and NPs. A total of 91 of 127 (71.0%) facilities completed the survey; 19 (21.3%) facilities had no primary care provider, 42 (47.2%) had FPs only and 28 (31.5%) had both FPs and NPs. NPs and FPs provide a similar range of services in LTC. On a five-point Likert scale, facilities with no primary care provider were more likely to rate continuity of care lower (2.59; p