Building The Long-Term Care System Of The Future: Will The COVID-19 Nursing Home Tragedies Lead To Real Reform?
Replace aging and outdated facilities, particularly in low-income communities. Moving forward, nursing homes and other institutional settings should be smaller, with single-occupancy rooms and low staff-to-resident ratios (see, for example, the Green House Project). Environments that offer a more homelike setting can help with infection control and can lead to better health outcomes for residents with Alzheimer’s disease and other dementias. These efforts can be accelerated by strengthening federal and state standards on nursing home size, room occupancy, and minimum staffing ratios.