The concept of patient-centered care—care delivered in accordance with the needs and desires of patients—is starting to gain traction in health care, including the field of long-term care. When Congress passed the Omnibus Budget and Reconciliation Act of 1987, new standards for nursing home quality were put in place, giving resident-centered care a statutory basis and stimulating a handful of providers and long-term care professionals to think creatively about how nursing homes could be transformed.