The prison system in the United States is represented by a population with diverse cultures, traditions, values, and health beliefs that are often misunderstood by Westerners. Healthcare providers in the prison setting struggle to provide safe, quality healthcare to these patients. The theoretical foundation for this project was grounded in Purnell's Model for Cultural Competency and was used to show how culture and other determinates effect healthcare beliefs. This examination was also guided by the communication framework, taken from Leininger's transcultural beliefs theory. This project used a descriptive quantitative design to assess the level of cultural competence, diversity knowledge, and skills of the healthcare staff in a 2,600 bed adult male prison setting. Data were collected with a questionnaire to assess employees' (n = 25) level of personal understanding of cultural values and biases and skill set in primary care. Descriptive statistics revealed that most employees rarely thought about personal cultural values and beliefs and were aware of cultural differences and diversity, but either never received specific training or only limited training. All employees acknowledged that their cultural competency and diversity skills were limited. The implications for social change are associated with provision of culturally appropriate healthcare and education about prevention, maintenance, and promotion of health behaviors to decrease costs and improve overall inmate health. Healthcare providers in the correctional environment will use the information to develop healthcare delivery practices that will yield improved culturally sensitive outcomes and contribute to reducing healthcare disparities.