Abstract Background The COVID-19 pandemic is recognised as having a significant impact on older people, particularly on those within nursing homes. Prior to the pandemic, a significant focus was placed on the application of a social model of care within nursing homes. We know that COVID-19 has required the stringent application of infection prevention and control measures as well as the provision of increased amounts of clinical care. This has resulted in the recent stronger application of a medical model of care within nursing homes. Methods A roundtable event attended by twenty-six people took place. Attendees represented clinical Gerontology, the Irish College of General Practitioner, Sage Family Forum, The Health Information and Quality Authority, Nursing Homes Ireland and nursing home providers. A number of presentations were made, and a roundtable discussion took place about the model of nursing home care post pandemic. Key messages from presentations and the discussion were captured. A report was compiled and shared with attendees to check for accuracy. Results The following key messages were identified: 1. Social care is a cornerstone of nursing home care 2. Increased integration of nursing homes within the wider health and social care system is required 3. Increased access to services for nursing home residents is required 4. Regulatory reform is required 5. Resourcing of nursing home care needs to be appropriately addressed 6. The nursing home sector need to be included in conversations around policy and service development affecting nursing home care in Ireland. Conclusion Nursing homes are an essential part of the healthcare system in Ireland and have been shown to be adaptable throughout the course of the pandemic. A one size fits all approach is an unlikely fit for purpose approach as we look towards the future with COVID-19.