Trust-based management is discussed to solve various types of quality and personnel problems in Swedish eldercare. This article contributes to this discussion by examining the conditions for distributed leadership (DL) as a form of trust-based management. The aim of the article is to investigate what enables and hinders DL with focus on the prevailing working conditions. The article is based on a qualitative case study of five nursing homes and their respective strategy for governance and management. The result shows that DL requires basic resources such as sufficient time, personnel, and financial resources.