Skilled Nursing News December 10, 2025
The GUIDE (Guiding an Improved Dementia Experience) model is proving difficult to implement for some providers who initially were excited about it, with one large nursing home provider already exiting the program.
An official with the Centers for Medicare & Medicaid Services (CMS) said that lessons learned from early experiences in the program will inform changes.
“CMS remains committed to working with all types of health care organizations to refine the GUIDE Model based on real-world implementation experience,” CMS Press Officer Christine Mahoney told Skilled Nursing News.
GUIDE officially launched in July 2024 and is slated to run through 2032. The model provides wraparound services for those caring for dementia patients – respite care in a nursing home is considered...







