The document discusses culture change in long-term care facilities. It defines culture change as honoring residents' individuality, creating a home-like environment, and focusing on the person rather than tasks. It discusses reorganizing work, renovating the physical environment, implementing smaller living environments, permanent staff assignments, and dismantling routines to give residents more freedom and choice. The document also notes that regulations and codes need to evolve with innovations in care to better support quality of life and person-centered care.