Special Projects Fund

Project Title

Mouth Care Without a Battle: Improving Oral Health Care for Older Adults in Nursing Homes

Grant Amount


Priority Area

Special Projects Fund

Date Awarded

April 4, 2017


Capital Region

Central NY

Long Island

Western NY


In Progress



Poor oral health—which is linked to pneumonia and can lead to hospitalization, intensive care, or death—is a rising issue for elderly people living in nursing homes.

In particular, nursing home residents with dementia experience limited quality and frequency of oral health care because nursing home staff often feel that they are not adequately prepared to manage difficult behaviors that typically arise during care of these patients. Mouth Care Without a Battle (MCWB) is an evidence-based approach to daily mouth care (e.g., tooth brushing, flossing, care of the gums, and denture care) for people with cognitive and physical impairments. Combining best practices in dementia care and oral hygiene, the pilot program has shown improvements in health and overall quality of life for this population. In 2017, NYSHealth awarded Foundation for Quality Care (FQC) a grant to scale up MCWB so as to improve oral health care for nursing home patients with dementia.

Under this grant, FQC will implement and enhance MCWB in 24 nursing home facilities in Syracuse, Buffalo, and Long Island, as well as establish an advisory board of oral health experts and stakeholders. Specifically, FQC will recruit and train dental hygienists to work with all participating nursing homes on the program’s implementation, data collection, policy and procedure development, and sustainability. In addition, FQC will establish and train a team of medical and nursing home staff at each facility, who will then train the rest of the staff on how to properly carry out MCWB. To disseminate the program’s results and resources and plan for further replication, FQC will host a statewide conference in partnership with the Schuyler Center for Analysis and Advocacy. FQC will also collaborate with the University of North Carolina at Chapel Hill to conduct an evaluation of the program, with expert guidance from the advisory board.