AbstractExecutives in health care face multiple challenges due to the organizational change and the shifting demands in the public health sector. The job satisfaction of the employees, which itself influences job performance and working morale, is highly contingent on the leadership behavior of their direct supervisors.The purpose of this thesis is to cover the current state of leadership behavior of supervisors and the actual job satisfaction of employees in retirement and nursing homes in Vorarlberg. Therefore, the newer paradigms of transformational and transactional leadership concerning the leadership behavior of supervisors are used primarily. Besides covering the job satisfaction of the employees connected to their supervisors, also the satisfaction connected to working conditions and the task itself is covered and described.Quantitative data was collected in a descriptive cross-sectional study, in which 329 members of the nursing staff (having a professional license after GuKG) in retirement and nursing homes in Vorarlberg were interviewed. The survey questionnaire used was the German version of the Multifactor Leadership Questionnaire (MLQ).The results of the conducted research show that leading responsibility of executives in health care is found to be on a very high level. Altogether, the chart of transformational leadership was rated better than the chart of transactional leadership. Further results include high ratings in success criteria concerning the direct supervisor as well as the job satisfaction of the nursing staff, relating to the aspects of leadership, the work itself and the prevailing working conditions. This survey should provide a basis for continuative studies on the topic of leadership in health care.Keywords: leadership, job satisfaction, retirement and nursing homes, transformational leadership.