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North Carolina Culture Change Coalition

Contact Information
Van Bergstrom
(910) 429-7242

Carolyn Hill
(919) 449-0149


The North Carolina Culture Change Coalition (NCCCC) began in 1996 when a surveyor and a nursing home administrator met at an Eden Alternative Associates' training in New York. They returned from the trip determined to bring the Eden Alternative to North Carolina and were successful at doing so. The Coalition has remained the most effective culture change organization in the state by bringing awareness of new and successful innovations to our state's long-term care providers. In addition to our state survey agency and nursing home personnel, membership in the coalition includes ombudsmen, educators, trade associations, and many other long-term care stakeholders. Over the years we have held many successful and well attended conferences and workshops to promote various culture change concepts as well as our own grant programs. The coalition's mission statement is as follows: The NC Culture Change Coalition is a growing network dedicated to transforming care settings into vibrant and vigorous environments thereby improving the quality at life for these residents and staff.

Organizational Structure 
Coalition Officers
Chair - Hillary Kaylor,
Vice Chair - Freda Wright,
Secretary - Becky Wertz,

The goal of the NCCLTCE enhancement grant program is to improve the quality of life for residents in the state's dually certified (Medicare/Medicaid) and Medicaid-only certified long-term care nursing facilities. To achieve this goal, the Coalition funds programs promoting positive environmental and cultural changes within homes that showcase various enhancement philosophies. To be eligible for a grant, a nursing home must be Medicaid-certified. Funding is provided by DHSR through federal enforcement action under the Omnibus Budget Reconciliation Act (OBRA). The number of grants and amounts awarded are based on available funding and the number of qualified applicants.

2014 Accomplishments

  • NCCCC has created a Proclamation to present to Governor of NC that will proclaim "National Culture Change Month." The document has been drafted and awaiting presentation to Governor. We are proposing Culture Change Month in conjunction with National Nursing Home Week in May.
  • Partnered with the Coalition of Activity Professionals North Carolina (COAP-NC) to present their learning sessions throughout NC (Henderson Greenville, & Southern Pines). One subject was "Getting Away from the 5 B's (Bible, Bingo, Beauty Shop, Birthdays, and Bulletin Boards)." Each event awarded Nursing Home Administrator & Activity Professional continuing education hours.
  • Through partnership with CMS, the coalition awarded 12 enhancement project grants to nursing homes across the state. Grants ranged from Computer Technology, "It's Never too Late," Music & Memory, Movie Café', Sensory Gardens, Internet Café.
  • NCCCC partnered with several agencies to provide educational presentations related to culture change/person centered care, grant writing, and membership throughout the year to the following organizations:
a. NC Health Care Facilities Association Tradeshow – Feb 2014
b. COAP-NC – April 2014
c. Leading Age – May 2014
d. NC Ombudsman Triangle J Program – August 2014
  • Developed business cards to be handed out at community events. Revisions to NCCCC brochure and application completed.
  • Created a Grant writing training video that was posted on our QIO's website.
  • NCCCC provides person centered training & Coalition information as a part of new State Surveyors orientation.
  • Membership increased by 30 new members from varies job titles including activity professionals, nursing home administrators, corporate staff, and executive directors.
  • Presented our 3rd Annual Donna McNeil Award to Sally Kohls, a volunteer at Universal Healthcare of North Raleigh.
  • Continue to maintain their Facebook page by posting pictures of events, center enhancement projects, and success stories related to person centered care.
  • The Coalition Connections published 9 articles in 2014. This publication is shared with Coalition members, NC communities, and surveyors.
  • 79% of nursing homes in the state reported that they were participating in some type of enhancement program on the Annual Licensure Report.
  • Participated in the Pioneer Network's coalitions networking calls.
  • NCCCC updated website