Inclusion in Nursing Homes: Dignity, Connection, and Care for All

When we talk about inclusion, we often think about schools, workplaces, or public spaces—but one of the most important places where inclusion must be prioritized is in nursing homes.

Nursing homes are more than facilities. They are homes to people with rich histories, unique identities, and diverse needs. Inclusion in these spaces is about more than accessibility—it’s about ensuring that every resident feels seen, valued, and empowered to live life with dignity and joy.

A Personal Perspective

My cousin Marianne, who has Down syndrome and now uses a wheelchair, has lived in nursing homes for several years. She just turned 55—defying every expectation, as she wasn’t expected to live past the age of five. Her spirit is quiet but powerful; she loves funny videos, playing with random cards, and sharing laughter with those around her.

Unfortunately, not all of her experiences in nursing homes have been positive. For a time, she was in a facility where she faced neglect—an all-too-common reality for many vulnerable residents. But thanks to love, advocacy, and persistence, we were able to move her into a much better home on April 3. Today, she’s in a place where she is truly cared for and will be included.

What Inclusion Can Look Like

True inclusion in nursing homes isn’t about a checklist—it’s about a mindset and a culture of compassion. Here are a few ways we can foster that:

• Accessible Activities: Not everyone wants to play bingo or listen to the same music. Providing a variety of activities that reflect different interests and abilities allows more people to feel engaged and included.
• Cultural and Individual Respect: Food, language, traditions, and personal history matter. Nursing homes should honor each resident’s identity—not erase it.
• Resident Voices Matter: Inclusion means involving residents in decisions that affect their lives. Resident councils, feedback sessions, and simple one-on-one conversations can be powerful tools.
• Staff Diversity and Training: Staff who reflect the backgrounds of the residents—and who are trained in trauma-informed, person-centered care—can make all the difference.

Inclusion Is a Right, Not a Privilege

Aging, disability, or needing support should never mean losing one’s sense of self. Every person in a nursing home deserves to feel safe, respected, and included. That means listening more, judging less, and creating environments where everyone belongs—regardless of their age, ability, or diagnosis.

We can’t change everything overnight. But we can start by recognizing the humanity in every resident, just like Marianne, and by working to build spaces that uplift rather than diminish.

Because inclusion, at its core, is love in action.

Call to Action: Speak Up, Show Up, Advocate

If you have a loved one in a nursing home, your involvement matters more than you may realize. Here are some practical ways families can help ensure inclusion, safety, and dignity:

1. Visit Regularly

Your presence makes a difference. Frequent visits help staff stay accountable and show your loved one they are not forgotten.

2. Learn the Signs of Neglect or Abuse

Watch for changes in mood, hygiene, weight, or behavior. Trust your instincts—if something seems off, speak up.

3. Build Relationships with Staff

Get to know the caregivers and leadership. Open communication can help prevent problems and create a team approach to care.

4. Ask Questions and Stay Informed

Be active in care plan meetings. Ask about activities, medications, and emotional well-being—not just physical health.

5. Encourage Inclusion

Bring in personal items, books, music, or favorite snacks that make your loved one feel more at home. Advocate for activities they enjoy and can participate in.

6. Report Concerns

Don’t hesitate to bring concerns to administrators or to your state’s long-term care ombudsman. Silence helps no one—speaking up can change everything.

For Nursing Home Staff and Administrators

Take the time to know the people in your care. Ask them what matters to them. Value their individuality. Inclusion means more than compliance—it means creating joy, meaning, and connection every day.

Let’s Create Change Together

Whether you’re a family member, caregiver, community member, or advocate—we all have a role in creating nursing homes that are truly inclusive. Let’s turn awareness into action, and care into connection