Dramatic shifts in the Minimum Data Set have created new challenges for nursing homes. The Labor Management Project has sponsored collaboratives in which supervisory and direct care staff learn how to use the MDS 3.0 form to improve person-centered care; resident, family and staff satisfaction; Quality Improvement Survey (QIS) results; and financial performance. Participating homes have reduced the use of mechanical alarms, enhanced the dining experience by providing more choice in meal selection, lowered infection and pressure ulcer rates, and significantly improved staff satisfaction.