The Truest Cyborg I Know: A high-tech home built specifically for people living with ALS offers a new way to conceive of independence.

As part of the Green House Project, a network of clinicians and caregiving executives who are creating (or restoring) high‐quality environments and services for older adults, Berman understood immediately the importance of the idea. The two worked together to find the philanthropic funding, the architects, and the software engineers to bring Steve’s vision to life. Those years of planning were difficult; “smart” home appliances had yet to come to the mainstream market. But Saling House opened its doors in 2010; in 2016, a second residence followed.

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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.”