Between January 2016 and September 2017, COH conducted oral health screenings on 2,372 older adults in California. Screenings were conducted at 36 skilled nursing homes and 51 community sites that included congregate meal sites, adult day care centers and senior centers. COH used the Basic Screening Survey developed and standardized by the Association of State and Territorial Dental Directors for this study, which includes protocols for basic examination of key oral health indicators. Assessments in both settings were intended as observational to provide an overview of oral health needs of older adults. Screeners collected data on various indicators including tooth loss, condition of natural teeth (mobility, root fragments), presence of dentures, ability to chew, tooth decay, gum (gingival and periodontal) health, dry mouth and suspicious oral lesions. Demographic information collected included age, gender, race/ ethnicity, and whether the participant was in a rural or urban location.