Research Highlights: This research provides an application of a model assessing the naturalness of the forest ecosystem to demonstrate its capacity to assess either the deterioration or the rehabilitation of the ecosystem through different forest management scenarios. Background and Objectives: The model allows the assessment of the quality of ecosystems at the landscape level based on the condition of the forest and the proportion of different forest management practices to precisely characterize a given strategy. The present work aims to: (1) verify the capacity of the Naturalness Assessment Model to perform bi-directional assessments, allowing not only the evaluation of the deterioration of naturalness characteristics, but also its improvement related to enhanced ecological management or restoration strategies; (2) identify forest management strategies prone to improving ecosystem quality; (3) analyze the model’s capacity to summarize the effect of different practices along a single alteration gradient. Materials and Methods: The Naturalness Assessment Model was adapted to the Abies balsamea–Betula papyrifera forest of Quebec (Canada), and a naturalness assessment of two sectors with different historical management strategies was performed. Fictive forest management scenarios were evaluated using different mixes of forestry practices. The sensitivity of the reference data set used for the naturalness assessment has been evaluated by comparing the results using data from old management plans with those based on Quebec’s reference state registry. Results: The model makes it possible to identify forest management strategies capable of improving ecosystem quality compared to the current situation. The model’s most sensitive variables are regeneration process, dead wood, closed forest and cover type. Conclusions: In the Abies balsamea–Betula papyrifera forest, scenarios with enhanced protection and inclusion of irregular shelterwood cuttings could play an important role in improving ecosystem quality. Conversely, scenarios with short rotation (50 years) could lead to further degradation of the ecosystem quality.