to burnout and grief suggesting that support from coworkers may not necessarily be protective against the negative impacts of resident death, but instead may increase distress. Studies show that individuals at end-of-life (EOL) are more likely to have advance directives (AD) or a durable power of attorney (DPA). However, most of these studies do not investigate the outcomes of decision-making at EOL. This paper examines the association between individuals with ADs and DPAs and the care received by those individuals, and it compares the appointed decision maker to the actual decision maker at EOL. The study will use a nation-ally representative sample from the Health and Retirement Study (HRS) Core and Exit interviews conducted between 2008 and 2014, and it will compare its findings to those of Silveira, Kim & Langa (2010). Analysis was conducted on data compiled from 5,000 participants age 60 and older and from proxies following participant death. 45.8% of decedents required decision-making, of whom 69.3% lacked decision-making capacity. About half (51.0%) of these decedents had advance directives and 68.3% had a DPA. However, there was only 15.1% agreement between the appointed decision maker and the actual decision maker. Logistic regression revealed that participant preferences for prolonged care (OR=12.64) and limited care (OR=2.63) were consistent with the care they received. Participants who elected comfort care were more likely to receive limited care. These findings are consistent with those of Silveira, Kim & Langa (2010), who examined the HRS interviews conducted between 2000 and 2006, and thus further supports AD. More research is needed to understand the incongruence between appointed and actual decision makers at EOL.