Mobility as a Vital Sign examines how everyday environments, institutional routines, and leadership decisions shape mobility outcomes for older adults in nursing homes. Drawing on clinical experience and systems-level insight, the book reframes mobility as a measurable indicator of health, dignity, and quality of care rather than a task delegated solely to therapy. The book explores how design choices, staff training, accountability structures, and organizational culture influence whether residents move or remain sedentary. By positioning mobility as a vital sign, the work offers a practical and ethical framework for improving recovery, safety, and independence in long-term care settings.