Culture change is the name given to the the transformation of older adult services, based on person-centered values and practices where the voices of elders and those working most closely with them are solicited, respected and honored. Core values are relationship, choice, dignity, respect, self-determination and purposeful living.Culture change supports the creation of both long and short-term living environments as well as home and community-based settings where both older adults and their care partners/caregivers are able to express choice and practice self-determination in meaningful ways at every level of daily life.