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 is always going to be a portion of people who require maybe a more intensive level of care and also always a proportion of people who would prefer to receive care in a communal setting. How are you setting yourself up to be that provider of choice in a market where maybe there’s less global demand for nursing home beds, but people want privacy, people want to really know their caregivers?”

  • “The evidence so far is that the staff is significantly more engaged with residents, avoidable hospitalizations and readmission rates are lower, and family satisfaction is higher. Perhaps most surprising to those who focus on costs, both interventions saw operating margins and market position tick up.”

  • “Most people with ALS want to stay home rather than suffer the indignity of moving to a traditional nursing home. I hope for a world in which the Leonard Florence Center for Living is the standard of care in America.”

  • “We have seen significant positive outcomes with this model of care, and I really think it is the empowered staff and the meaningful life focus that we have at the Green House home that contributes to keeping our staff, having our staff engaged, and really having them feel like they are the key in that relationship.”