Nursing Home/Long Term Care

What is Nursing Home Culture Change?

Culture change reflects a shift from the "one-size-fits-all" traditional medical model to a model that seeks to improve the quality of life for residents, while fostering an atmosphere of community within the nursing home setting for staff and residents alike.

Culture change is sought by individuals who promote the values and mission of the the Pioneer Network. The Pioneer Network is a loosely associated group of providers, regulators, advocates and elders who hold that nursing homes can serve as the starting point for changing society's vision of aging. Their work is premised on the belief that nursing homes can be good places to live and work. Pioneers seek to improve the quality of life for residents and to foster an appreciation of the work of those who care for them by altering the "culture," the sense of community or lack thereof, of the nursing home setting.



Where can I get a copy of the federal regulations used to survey nursing homes?

Federal regulations used for surveying nursing homes that participate in Medicare & Medicaid programs are available from Code of Federal Regulations, see Title 42 Part 483, Subpart B. You can also find this information on the Centers for Medicare & Medicaid Services (CMS) website. The regulations are in the State Operations Manual and are labeled as Appendix PP. Log onto the following CMS website:



Where can I find information about a nursing home's health or fire-safety inspection results?

Health and fire-safety inspections with detailed and summary information about deficiencies found during the three most recent comprehensive inspections (conducted annually) and the last three years of complaint investigations are found on the Nursing Home Compare website.


Nursing Home Compare allows consumers to search for a nursing home based on location and compare the quality of care they provide and their staffing. Nursing Home Compare has detailed information about every Medicare and Medicaid-certified nursing home in the country.


For information about Louisiana nursing homes or any other nursing home inquiry, contact the LDH Health Standards Section, Nursing Home Program Desk at 225-342-0114 or visit the Louisiana Nursing Home Association website. Nursing home providers are required to post the results of their most recent inspection in the facility.