Amid skilled nursing sell-off, these CCRC leaders are keeping options open

From Senator Ed Markey to select board chair Art Smadbeck, a mix of high-level politicians and local figures broke ground in Edgartown on the 70-bed, $68 million Navigator Homes elderly housing project intended to replace the Windemere Nursing & Rehabilitation Center on the Vineyard. “This is going to be a place that really helps families, and that cares for their loved ones in a way that is almost family-like,” Markey said.

“A small but growing group of nursing homes are already implementing these changes. Collectively called ‘household models,’ these nursing homes have generated enthusiasm among diverse stakeholders and long-term care experts. Because of its scale and consistency across homes, the Green House approach has been the most frequently studied household model.”

“Alternatives to traditional nursing homes for older adults who cannot remain in their own homes has prompted interest in smaller, community-style facilities such as the Green House model. Staff are used more flexibly in the Green House model, and work with small clusters of residents; the model’s success, especially during the COVID-19 pandemic, has attracted interest as an alternative to traditional nursing homes.

“The Center for Innovation and its Green House Project is promoting government incentives that support construction of modern, person-directed facilities through targeted grants or Medicaid rate increases. Providers in Arkansas and soon Ohio, for instance, receive Medicaid rate add-ons for private room nursing care.”