Register to learn more about upcoming events, get involved in one or more subcommittees, or volunteer to mentor others in the nursing home industry.

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Become a registered member of the coalition.

Register for information about upcoming events or to get more intimately involved with the coalition. This registration form was designed to help coalition leaders manage participation efficiently and get participants involved in areas where they have demonstrated interest. Please take a few minutes to complete this questionnaire. Make sure to hit the "Submit" button at the bottom of the page when you are done.

Barrier Story

Today's Date *	Contact Name / Title *
Topic of story (Care practice, workplace practice, environment, etc) *
Contact Phone *	Contact e-mail *
Nursing Home Name	Nursing Home Address
Nursing Home City, State, Zip
Nursing Home County	Nursing Home Phone
What has been one of the biggest barriers you've had to overcome as you've implemented culture change or person-centered care practices in your nursing home? Please provide a detailed explanation.
How did you overcome this barrier? Please provide a detailed explanation.
Other helpful information. (List any other barriers you encountered, what your original goals were, how long it took to implement, etc.)
Additional comments
May we share this information on the centeredcare.org website? yes
* = Required