Nursing Homes During the COVID-19 Pandemic—Resident and Staff Cases and Deaths

Green House homes are perhaps the ideal setting in which Elders live meaningful lives, where staff are empowered to provide high quality care, and given their physical design and focus on quality and data, the ideal setting to reduce the transmission of infectious diseases. Preliminary analyses here indicate that residents fared better in Green House homes, compared to traditional nursing homes (but not staff). Legislation at the federal and state levels could be introduced to incentivize the development of additional Green House homes–even encouraging their construction as the industry standard–including higher Medicare and Medicaid reimbursements and lifting the moratorium on new nursing home construction (in states like Florida, for example) exclusively for Green House home construction.

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  • There’s already a waiting list for Navigator Homes, which will be the Island’s first care facility to follow the Green House Model of Nursing Home Care. At Navigator Homes in Edgartown, the five buildings surround a central green space, where landscaping plans include walking paths connecting the residences. The U.S. Department of Agriculture is financing the buildings’ construction. 

  • Evidence-based culture change partners provide professionals with supportive, interdisciplinary training.  “We need as many Green Houses as possible and households or buildings to be built with wise investment of public and private dollars,” Anne Montgomery said. “The EINSTEIN Option calls for this to happen and lays out a blueprint for it.”

  • “If we’re going to elevate the resident’s voice, we’ve got to include residents,” said Laci Cornelison, interim director of the Center on Aging at Kansas State University and coalition member, during her session at Pioneer Network and The Green House Project’s 2024 Conference on Wednesday. “We really wanted to take an approach where we’re looking at things through the lens of culture change and person-centered care. We focus mostly on quality of life rather than clinical needs.”

  • “At a time when hospitals continued to push more post-surgical patients straight to home care, Londonderry Village in Palmyra, PA, decided to invest in six Green House homes with 10 beds each. ‘We believed in that culture and that quality of care,’ said President and CEO Jeff Shireman. ‘People have great experiences in that environment.'”