Inclusion Criteria:  Both profit and non-profit long-term care homes in Ontario and Alberta. Homes must have a minimum of 70 residents to participate ; there is no maximum home size for participation. For both control and intervention homes, resident eligibility (and study cohorts) will be determined via the RAI-MDS 2.0 database.  Exclusion Criteria:  Residents identified as having end-stage disease, who are comatose, receiving hospice or respite care and who have an expected short stay (90 days or less).