The Nursing Home Reform Act has required every nursing home to provide quality care for their residents since 1987, ensuring they have freedom to make their own choices, the right to self-determination and the right to be treated with dignity and respect. Nursing homes are required to develop a plan of care with input from the resident, family or legal representative, and the resident’s physician to provide him or her with the best care possible and activities to maintain physical, mental and psy- chosocial well-being.