To Build the Next Generation of Nursing Homes, Players May Need to Live with Lower Profits

Simpson was in particular discussing the development of cottage-style nursing home developments, a model exemplified by the Green House Project — a non-profit that supports the construction of post-acute and long-term care campuses that feature multiple small buildings housing low numbers of residents, each in their own rooms … The model has gotten increasing attention — and glowing press — during the COVID-19 pandemic, as facilities built on Green House principles experienced substantially fewer COVID-19 infections and deaths than their traditional institutional counterparts.

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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.”