What Kind of Nursing Homes Have Had the Fewest COVID-19 Cases?

The best-known type of nontraditional, small house nursing home is the Green House model, which operates 300 homes across 32 states, each housing only 10 to 12 residents. In addition to their small size, Green House homes also feature consistent, universal staff assignment (meaning the facilities try to assign the same staff to the same residents and that staff perform a wide range of responsibilities in addition to their nursing role, like cleaning and cooking), private rooms and bathrooms, smaller overall space, and a central entry.

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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.”