Culture change has been the movement that has transformed institutions, professions and practices which have influenced and improved the 'quality of care', resulting in 'Improved Quality of Life’ for Centers for Medicare and Medicaid Services (CMS) Participants. The transformation of ‘facility’ into a ‘home’,’ a ‘resident’ into a ‘person’,’ and a ‘schedule’ into a “choice” as stated in "The Pioneer Network Dining Standards Practice".