Elizabeth and Erin finish the new nursery. Ashley starts her new job, but a troublesome manager makes her first day difficult. Luke and Reagan discuss meeting Reagan's family. Back at the hospital, Landon continues to fight for his life.

Elizabeth's nursery project at the church pays off, with new families touring the space. At Tim's grave, Kari makes a monumental decision. Ashley speaks up at work and reaches out to Landon for one last chat before he moves to California.