It is evident that outdated clinical models persist in nursing homes today. These outdated models reflect an institutionalized approach to care. Self-doubt, limited resources and lack of knowledge affect the ability of providers to transition to a person-directed model of care. This study demonstrates the effectiveness of a person-directed care model in multiple long term care facilities. Over a period of five years a selection of data from Signature HealthCare communities was taken to demonstrate the efficacy of a person-directed care model in a nursing home setting on specific metrics to include occupancy rates, return to hospital percentages, finance (EBITDA), and Centers for Medicare and Medicaid Services (CMS) 5-star ratings.