A 2007 study in the journal Neuroepidemiology estimates that 3.8 million people in the United States have dementia. The progressive decline in cognitive and physical abilities among this population makes it increasingly difficult for both family members and nursing home caregivers to engage with them.

It's been a year since the inception of "Leading by Example," and looking back, we are amazed at the innovative practices taking place in nursing homes across the United States.

As a general dentist, Kristin Outlan routinely saw dementia patients bussed in to her office from nursing homes and left for hours at a time.

No matter one's age, oral health is extremely important. Problems that start in the mouth can negatively affect other conditions and hamper overall wellness. And in an elderly population, often there are already many major health issues to contend with.

Brinton Manor of Glen Mills, PA, knows how to maintain close ties to the community. This forward-thinking facility has teamed with global service organization Kiwanis International, which focuses on humanitarian efforts and strengthening communities worldwide, to found the very first SNF-based "Aktion Club."

This month we continue our discussion with Joyce Ebmeier of Tabitha Health Care Services.

The nursing home industry isn't known for setting trends, but that landscape may be changing.

St. Paul's Towers in Oakland, CA, is a striking facility with its sweeping views of Lake Merritt, lush rooftop garden and cozy atmosphere. But that's not what makes it such a standout. It's like Mom always said: It's what's inside that counts. Nursing Administrator Cherese Holland heads up the enthusiastic and attentive staff.

ManorCare on Rossmoor Parkway in Walnut Creek, CA, is the whole package — with good looks and a proven track record to back it up. The facility has a "homey" feel that is atypical of a skilled nursing facility, while also raising the bar for care.

The Jewish Home of Los Angeles conducted extensive research prior to building its own very progressive dementia care facility. Molly Forrest, CEO & President, shares implementations that made the most impact at her facility.