Culture change (CC) is an innovation that aims to improve resident quality of life while valuing staff. The implementation of CC in nursing homes has been occurring rapidly. Previous studies have found a relationship between nursing home characteristics and CC implementation. However, inconsistencies in how CC is measured make the interpretation of findings inconclusive. Using 2015 Ohio Biennial Survey of long-term care facilities ( n=964), this cross-sectional study performed Exploratory Factor Analysis (EFA) and identifies two underlying domains of CC: resident autonomy (RA) and staff empowerment (SE). Using weighted least squares regression, the study identifies the provider characteristics that are significantly associated with RA and SE in Ohio. Predictors of higher RA included: providers who are not a part of Continuing Care Retirement Community (CCRC) (p<0.01), the lower Medicaid proportion (p<0.05), and greater CNA hours per resident/day (p<0.05). A multiple regression analysis determined that the higher occupancy rate (p<0.05), the lower Medicaid proportion (p<0.0001), providers who are not a part of CCRC (p<0.05), and a sense of competitiveness among providers (p<0.05) were significantly associated with higher staff empowerment. Overall, this study identifies two measures of CC that are valid and reliable and identifies provider characteristics that are significantly associated with CC implementation in Ohio nursing homes.