Most cognitively impaired dementia unit residents are dependent and confined to a safe custodial environment with limited exposure to natural settings. However, the mandatory indoor confinement of dementia residents has been known to increase verbal and physical agitation and use of psychotropic medications. Several studies have reported that having access to unlocked doors leading to a garden or outdoor area may reduce the level of inappropriate behaviors in both residential and long-term dementia care facilities. This study explores the effect of adding a wander garden to an existing dementia unit on inappropriate behaviors of residents.