Rekindling Connection and Joy: How Technology is Transforming Memory Care in Rural Nebraska

April 28, 2026

In a memory care community in rural Nebraska, a simple yet powerful idea is reshaping how older adults living with dementia connect with the world around them: meeting people where they are—with tools designed to spark recognition, joy, and human connection.

Building on its longstanding partnership with the Consumer Technology Association Foundation, Lutheran Services in America has secured funding for member organization Eventide, formerly Tabitha. Eventide at Prairie Commons in Grand Island, Nebraska, a pilot program supported by grant funding in partnership with Lutheran Services in America and the Consumer Technology Association Foundation, is using interactive digital technology to enhance connection and quality of life for older adults living with dementia. Through Lifeloop’s iN2L (“It’s Never Too Late”) system, approximately 75 residents, staff, volunteers, and family members are engaging with personalized content—music, videos, and games—designed to spark recall of pastime memories and foster meaningful interaction of older adults and visiting family members. By meeting individuals where they are cognitively through this innovative tool, the program addresses a critical need in memory care: reducing isolation, anxiety, and communication barriers. 

Since implementation in early 2026, about 75% of residents are using the system regularly, with staff reporting improved moods and reduced agitation—especially during challenging periods like sundowning. The mobile touchscreen allows staff to bring activities directly to residents, increasing accessibility and participation. Families are also benefiting, using the platform to connect with their loved ones in new and engaging ways, helping to ease visits that can otherwise feel difficult or uncertain. 

The impact is best seen in the moments it creates: a resident recalling the names of her horses after watching a video, another rediscovering joy through virtual casino games, or individuals finding calm in simple interactive activities. These experiences show how personalized, accessible technology can restore connection, dignity, and joy—even in the face of cognitive decline. 

“Even in its early stages, the program makes one thing clear: when thoughtfully applied, technology can humanize care, bridging communication gaps, easing emotional distress, and creating meaningful moments between residents and those who care for them,” said Jon Riewer, CEO of Eventide.

As rural communities navigate workforce shortages and limited access to specialized services, innovations like this offer a promising path forward—blending compassion, creativity, and technology to support aging with dignity.

“Sometimes, all it takes is a familiar song, a shared laugh, or the memory of a beloved horse to remind someone—and everyone around them—of who they are,” said Alesia Frerichs, president & CEO of Lutheran Services in America.

Rural Voices Shaping Transformation (and Better Policy) for Older Adults

April 16, 2026

Rural older adults navigating both Medicare and Medicaid face some of the most complex challenges in our healthcare system, and Lutheran Services in America went directly to the source to understand why.

In July 2025, Lutheran Services in America launched Rural Voices 2025: Elevating the Resilience of Rural Older Adults Navigating Medicare-Medicaid, in partnership with The SCAN Foundation. This human-centered initiative reflects Lutheran Services in America’s longstanding leadership in rural aging, and its belief that the people closest to a problem hold the most important insights for solving it. Drawing on our network’s Rural Aging Action Network and in partnership with Lutheran Social Service of Minnesota and Lutheran Social Services of South Dakota, Lutheran Services in America engaged dual-eligible older adults across rural Minnesota, North Dakota, and South Dakota — communities that are too often invisible in national policy conversations yet disproportionately burdened by access barriers and system complexity.

Working with Public Policy Lab and The People Say, Lutheran Services in America conducted in-depth, human-centered interviews with 16 rural older adults whose stories now contribute to a growing national archive of firsthand insights. These are not data points. They are detailed, lived accounts of what it actually takes to age in place in rural America: navigating fragmented care, confusing benefits, workforce shortages, and policies that weren’t designed with them in mind.

The findings are now available, and urgently relevant. Lutheran Services in America’s newly released e-report, “Rural Voices Shaping Transformation,” translates these experiences into a clear roadmap for change: simplifying eligibility and enrollment, reducing administrative burden, improving benefit communication, and modernizing policies that inadvertently penalize rural older adults with farm-based assets. At a moment when federal policy affecting older adults is shifting rapidly, this report offers policymakers, providers, and advocates concrete, community-grounded direction.

To extend the reach of these findings, Lutheran Services in America hosted the webinar “From the Ground Up: Using Rural Voices to Build Better Policy for Aging Americans,” the recording of which is available. Together, the report and webinar equip anyone working in aging, rural health, or policy with the evidence and tools to act.

Lutheran Services in America is actively sharing these findings with policymakers, faith and aging partners, and advocates nationwide. The goal is clear: systems that honor the dignity and complexity of aging in place, wherever someone calls home.

Read the report. Watch the webinar. Join the effort. To learn more or explore partnership opportunities, contact Regan McManus.

Regan McManus, Director of Aging Initiatives at Lutheran Services in America.

Whole Communities, Whole Families: How Cross-Sector Collaboration Moves Results

October 20, 2025

This month, teams from the Family Stabilization Initiative (FSI) and the Rural Aging Action Network (RAAN) came together in Billings, Montana, to strengthen how we support whole families and whole communities. Leaders from across sectors aligned around one result: giving children the opportunity to grow up in safe, stable, permanent families, and ensuring older adults and caregivers have what they need to thrive. With representation from 10 communities across six states, the gathering was designed for practical learning and concrete action.

We are in the work of transformation, not transaction. Our focus is on creating lasting change, not just checking boxes or exchanging resources. Collaboration begins with relationships and grows through belonging and shared accountability.

When organizations coordinate around shared outcomes, communities feel the difference: children become safer and more connected; parents and caregivers gain stability and hope; older adults access coordinated, dignified support; and community trust in local organizations grows. That understanding is why we brought partners together in Billings — to strengthen relationships, align around shared results, and lay the groundwork for actions that can move us toward those outcomes.

What We Did Together

On Day 1 we used data, community voice, and a shared results framework to move from coordination to collaboration.

To surface the stories behind the numbers, we began with a Data Walk. The goal was simple: see patterns, spot gaps, and lift up bright spots we could build on. We asked, “What had changed — and what could change — for families, older adults, and caregivers? What root causes were we seeing across age ranges?”

From there, paired FSI and RAAN teams compared their Results-in-the-Center charts to find overlap and leverage, moving from intention to action. Using plain-language concepts adapted from the Collaboration Multiplier, teams surfaced shared root causes and practical opportunities to act together. Throughout, we listened for how lived experience and community voice were engaged in design and decision making.

We closed with Team Time and action commitments. Each team documented a near-term roadmap detailing goals for the next 6 to 12 months, owners and partners, timelines, and the feedback loops they would use for course correction.

Day 2 offered an opportunity for FSI and RAAN to focus on their respective models and priorities. The RAAN collaborative spent the day diving deep into their data — exploring what the numbers reveal about their communities, identifying trends, successes, and areas for growth to strengthen their work in serving rural older adults and family caregivers. Each RAAN also took part in a storytelling session, sharing personal stories that highlighted the impact of their efforts to support older adults and mobilize their communities. The day concluded with meaningful discussions on managing compassion fatigue and a leadership development session that underscored the unique gifts each leader brings and the power of collaboration in advancing this important work.

In parallel, FSI focused on systems change and the practice shifts needed to improve family outcomes. We highlighted the Community Building and Mobilization Framework we developed with Chapin Hall, a shared language for how communities lead and how organizations resource what already works. In Montana, partners brought the framework to life by sharing their story and organizing a Fall Family Festival that met families in trusted spaces, elevated lived experience, and activated cross-sector support on the ground. Teams also examined their current efforts, traced their “story of change,” and identified the next tests of change to carry forward.

The Leadership Stance We Modeled

We knew that support that lasts requires more than a new initiative; it requires adaptive work. We let go of “how we have always done it,” challenged assumptions, tried new approaches, and learned in the open. We built shared accountability across organizations and sectors and centered lived expertise and community voice as non-negotiables. We did not script perfection at the front of the room; we modeled authentic learning so teams could mirror that same openness at their tables.

A Note of Thanks

We could not have created this container for change without our partners, who helped us dig deeper. Their support stretched our learning and leadership and demonstrated what is possible when local vision is resourced and respected. We are grateful for partners investing in the long game — community trust, equitable outcomes, and stronger families. And last but certainly not least, a special thank you to our host organization, St. John’s United, for their generous hospitality, beautiful meeting spaces, and thoughtful support throughout our time together. Their team’s care and attention to detail helped create an environment that encouraged collaboration, reflection, and connection.

Together, we showed that when organizations lean into community partnerships and elevate family voices, families thrive and systems shift.

Renada Johnson is Senior Director of Children, Youth & Family Initiatives at Lutheran Services in America. Regan McManus is Director of Aging Initiatives at Lutheran Services in America.

Rural Voices 2025: Accelerating Equitable Policy Change for Older Americans in Rural Communities

August 19, 2025

Lutheran Services in America has launched Rural Voices 2025 from a generous investment from The SCAN Foundation. The project expands on Lutheran Services in America’s longstanding commitment to rural aging and its national Rural Aging Action Network.

Rural Voices 2025 kicked off at the end of July in rural South Dakota and Minnesota — two states where older adults are underrepresented in policy and disproportionately impacted by provider shortages, limited infrastructure, and fragmented healthcare systems. In partnership with Public Policy Lab, Lutheran Social Service of Minnesota, and Lutheran Social Services of South Dakota, human-centered interviews were conducted with older adults who are dual-eligible (receiving Medicare and Medicaid) to learn what rural older adults need to age in place, the barriers they face in navigating healthcare systems, and how faith-based nonprofit services contribute to their wellbeing.

This initiative uplifts the lived experiences of low-income, rural older adults by gathering firsthand insights to inform national policy and improve systems of care. Findings will be shared with policymakers, advocates, faith and aging partners to advance solutions that honor the dignity of aging in place regardless of where someone calls home.

For more information contact Regan McManus.

Regan McManus is Director of Aging Initiatives at Lutheran Services in America.

Showcasing the Innovative Rural Aging Action Network Model at ASA’s On Aging 2025

May 16, 2025

Regan McManus, director of aging initiatives at Lutheran Services in America, recently highlighted the work of the Rural Aging Action Network (RAAN) at the 2025 On Aging annual conference, hosted by the American Society on Aging—the nation’s largest multidisciplinary conference on aging.

In two well-received sessions, Regan joined three RAAN leaders to share rural-relevant strategies for improving health outcomes in rural and frontier communities. Their presentations emphasized the importance of building cross-sector partnerships and expanding investment to drive sustainable, equitable solutions for older adults in these underserved areas. In a third session, Regan partnered with the National Council on Aging to explore practical approaches for overcoming barriers to partnership collaboration in rural communities.

In addition to presenting, Lutheran Services in America hosted an afternoon roundtable for RAAN members to reflect on the past three years of the program and to collaboratively plan for the future. The day concluded with a group dinner, celebrating connection, collaboration, and progress.

We were pleased to see RAAN leaders from Lutheran Social Service of Minnesota, St. John’s United, Immanuel Living, Missouri Slope and Lutheran Social Services of South Dakota join Regan in attendance.

With a growing focus on family caregiver services and supports, this next phase of RAAN promises to deepen its impact across the RAAN network.

Supporting
Our Neighbors,

TOGETHER.

Our shared Lutheran tradition of service to our neighbor is more vital than ever.

Join us as we work to ensure our network continues delivering essential services to all in need.