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Jun 27, 2008 -- Green Houses could be new model for nursing home care

A recent AARP poll found that 99% of people do not want to be in a nursing home during their senior years. That's because nursing homes tend to be very impersonal institutions. Sure, some offer great care, but that's more the exception than the rule.

Interestingly, the demand for beds in nursing homes is less than demographers predicted. Americans have instead made allowances to care for aging relatives at home. But such an arrangement is not always possible or practical.

So what's the alternative? The Wall Street Journal recently had a write-up on "Green Houses," a new vision for elder care being advanced by a man named Dr. Bill Thomas. These home-like facilities house only 10-12 residents -- instead of hundreds.

Thomas teamed up with the Robert Wood Johnson Foundation to create more than 40 such Green Houses in a select number of states. The eventual goal is to have them in all 50 states.

As you can imagine, the nursing home industry is trying to block the Green House movement with the help of state regulators. They perceive it as a direct revenue threat. But when 99% of your potential customers don't want to do business with you, you know something is wrong!

Clark once served on the board of a non-profit nursing home, and he knows that the difficulties in running a facility are enormous. So he plans to follow the Green House movement with interest. Baby boomers are aging and there will be a wave of elders seeking nursing home care in the next 10 years.


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What others are saying

  • paying for nursing home care
    My mother is 86 and in fair health. She has some money but mostly land. Instead of a nursing home having access to her land and financial resources, my brother and I would prefer to purchase the land and handle any necessary sales to pay for potential long term care. Clark did wrote an article in the AJC a year or so ago on this alternative. Does anyone remember it? We have no green houses in her area.
  • Green House featured on the News Hour
    The Newshour on PBS did a great segment on the Greenhouse a few months ago:
    http://www.pbs.org/newshour/bb/health/jan-june08/nursing_01-23.html
  • Green house
    Not a bad idea. However how about economy of scale? If you have less patients per facility won't this have an upward pressure on prices?
  • Nursing Homes/Assisted Living
    My Grandfather was in an assisted living facility in GA. The cost of services can vary by individual, he is fairly capable and was paying approx 3000.00 monthly. We often encountered issues of understaffing, the meal plans left something to be desired and did not support low sodium/low sugar, etc.. as suggested. I have yet to encounter a facility in our area where it wasn't about the money. Last summer we moved my grandfather home. He gets individualized care and loves it!
  • Green Houses for retirees vs. nursing homes
    My mother was recently in a nursing home and has now moved to an assisted living facility. The staff turnover at both places is very high and the quality of the lower-skilled caregivers is not very good, particularly at the assisted living facility. Maybe a smaller facility would be better at retaining staff and have fewer layers of (expensive) management. For the money Mom is paying, I am very disappointed.
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