The Sustainability of Person-Centered Care During a Pandemic: How COVID-19 Impacted Culture Change Efforts in Nursing Homes 

This report shares results from a survey of nursing home administrators and other staff in communities affiliated with The Green House Project, Pioneer Network, the Eden Alternative, and the Live Oak Project—organizations dedicated to overhauling the institutional nursing home culture that far too often has prioritized operator convenience, efficiency, and profit over resident quality of life. Altarum conducted this survey during January and February 2022. It describes areas of progress and backslide in person-centered practices during the Covid-19 pandemic, along with workforce developments, key reflections, and future considerations.