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Culture Change / Return to Community

What is Culture Change?

“The new culture of aging involves a transformation based on person-directed values and person-directed practices, where the voices of elders and those working closest with them are honored and respected…an inclusive grassroots movement where new ways of de-institutionalizing services and individualizing care are shared freely.”  Pioneer Network 


Pioneer Network
Virginia Culture Change
Advancing Excellence
CMS Culture Change FAQ
Institute for Caregiver Education
National Commission for Quality Long-term Care

‘Return to Community Referral’ Assessment

To assure that nursing facility residents reside in the least restrictive environment, the Centers for Medicare and Medicaid (CMS) has developed the ‘Return to Community Referral’ evaluation as part of the resident assessment process.  The goal of the assessment is to assist nursing facility residents interested in transitioning back to their communities.

As part of the requirements for implementing the evaluation, the Area Agencies on Aging (AAAs) have been designated as the Local Contact Agencies (LCAs) and will serve as the initial point of contact providing introductory community resource information.

Local Contact Agency Staff Information spreadsheet

Last Updated: 06-13-2013

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