Purpose: Highlighting management competence, goals and leader business in a Norwegian TNH. Methods: This study had a quantitative and qualitative approach. Survey was used as method for collecting quantitative data, respondents were 107 employees in this TNH. Qualitative data was collected through focus group interviews, respondents were 9 leaders. This article discuss two of three phases of a leader project in a teaching nursing home. Results: Leader competence was assessed as good by 75% of employees. Plans of actions and leader's dynamic qualities were seen as improvement areas by 25%. This TNH had positive assumptions to establish as TNH, but leaders drew a turbid picture of it. Conclusions: Leader competence in this TNH was good. The profile as a TNH was unclear and seems a core stone for further development. To appear unique and attractive factors concerning organization and management should be included in TNH-concept. Leader role as change agents and total innovation seem necessary.