1. Be willing to make the commitment. It’s our way of life, our culture.
2. Commit to implement programs that support or enhance the 8 human wellness ecologies as recognized by Vital Life.
3. Be willing to learn from your residents
4. Obtain Board of Directors and staff support and commitment.
5. Be willing to benchmark your programs and share your results with the Vital Life community network online.

6. Find out “where you are” currently. Conduct and Audit. What is your current internal culture?
7. Talk to your residents. Are they Happy? What are their likes and dislikes?
8. Profile all departments and programs and compare to health guidelines and resident requests. Where are you falling short? Where do you need more? Less? Better?
9. Assign Staff and Resident Wellness Advocates to monitor, recruit, and report back to you.

10. Prioritize physical and nutritional health. Ask for help from experts through the Vital Life website.
11. Implement new programs for social connectivity. Create opportunities for socialization via design, events, and activities (scheduled and serendipitous).
12. Promote resident directed activities. What are their passions and overall interests? Have them host events. This supports Occupational Spiritual, Emotional and Social ecologies.

13. Conduct quarterly resident satisfaction surveys. Compile for an annual report.
14. Benchmark your resident satisfaction and participation. Is it growing? Why or why not? Share you results.

15. Use your resident comments to make changes in your programming. Remeasure results. Share changes with the residents. Repeat!

If the pyramid is actualized, your community will achieve measurable results of resident satisfaction. You will have a community of residents who are “fully human and full alive.”