Dementia/Alzheimer’s patients residing in skilled nursing facilities are often housed in memory care or locked units for their own safety and to promote consistency in surroundings and routine. Often times these patients present with complex levels of care due to their cognitive impairments and comorbid health conditions. Health care workers are routinely consumed with assisting residents with basic ADL’s that there is little extra time to promote cognitive and physical stimulation. Creating safe outlets for cognitive and physical stimulation are important in enhancing the quality of life for this population of elderly residents in accordance with the 2020 Healthy People Goals. Utilizing the existing white retention wall approximately 50 ft x 4 ft located in the adjacent gated courtyard accessible by memory care residents,  a large art mural will be created to provide visual and cognitive stimulation. Additionally, concrete flower boxes will be secured on the top of the retention wall to provide a location for growing flowers and vegetables, and an outlet for physical, visual, and cognitive stimulation to residents. Other ideas to create an environment that is conducive to providing stimulation and enhancing quality of life would be: creating colorful spinners that can hang from the roof or sheppard’s hooks outside of the residents’ bedroom windows and in the general courtyard. A local mason will be recruited to design and secure the concrete planter boxes. And a local nursery will be recruited to donate plants for the flower boxes. The goal of this project also has a secondary aim at providing the staff members with role models to emulate in their daily interactions with patients. Evaluating this will be based on the frequency of activity incorporation of the aforementioned stimulating outlets, resident willingness to participate in activities, and community participation.