Culture Change: Room for Improvement; Adoption Linked to Medicaid Reimbursement

​In a survey of nearly 3,700 nursing homes conducted in 2009 and 2010, 85% of directors of nursing (DONs) reported at least partial implementation of culture change, found a study in the June 2014 issue of the Gerontologist. By comparison, a 2007 survey found that only 57% of nursing homes had engaged in at least partial implementation. But despite the increasing adoption of culture change, the majority of nursing homes (72%) have achieved only partial implementation. The three domains of the survey were the nursing home's physical environment, staff empowerment, and resident choice and decision making.