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Resources

Resources » Articles » Green House model AARP report

For many years, families have been concerned about placing loved ones in traditional nursing homes and have sought alternatives. The Green House model, begun by The Green House Project in the early 2000s is one that has been adopted across the country and has provided a real-home alternative.

The AARP report found key differences with the traditional “hospital-like” model of care:

  • Green Houses communities are typically a cluster of small houses occupied by small numbers of residents
  • The overall goal: a better quality of care and quality of life for residents, and higher satisfaction rates among staff and families
  • A person-centered approach that includes giving residents choice regarding aspects of their day-to-day activities such as choosing the types of services they want and their level of interaction with other residents

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A Green House community in West Orange, New Jersey. 

The staffing model is also a defining feature vs. traditional nursing homes:

  • Certified Nursing Assistants (CNAs) “do it all” so to speak and are empowered regarding resident quality of care and quality of life
  • CNAs self-manage, have a wide range of responsibilities and can respond to resident needs immediately
  • CNAs’ specialized training includes dementia care and culinary education and CNAs broadly support residents with services such as personal care, meal preparation, laundry and housekeeping 

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Green House Home stats:

  • There are currently 300 licensed Green House homes in 32 states housing 3200 residents
  • 87% of homes are licensed as skilled nursing facilities; 37% are located in rural areas; 63% are located in urban areas; 82% are not-for-profit; 18% are for-profit; 89% are active in the Green House Project peer network 
  • The majority of residents receive nursing care and pay out of pocket, while 45% are covered by Medicaid 

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Interaction and engagement are key social factors in Green House communities.

Studies provide evidence of improved outcomes for residents since the first Green House home was built in 2003 in Tupelo, Mississippi. While limited in scope, the studies document better clinical outcomes for Green House residents vs. traditional nursing home residents (prior to the COVID-19 pandemic). 

  • A 2015 study found that Green House home residents were 16% less likely to be bedridden, 38% less likely to have pressure ulcers, 45% less likely to have catheters and had lower hospital readmission rates
  • Studies have documented the positive effects on quality of life, quality of care, family satisfaction and staff satisfaction
  • Studies show that Green House homes are faring far better than traditional nursing homes in handling COVID-19, with 2.8 confirmed deaths per 1000 residents through July 2020, compared with 38 deaths per 1000

Read the unedited full report here.

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The Green House® Community 

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What They Say

  • “ Lee, Dwight and I want to express to you and your entire staff how amazed we were at the dignity and care afforded to Dad… I have never had a family member in a nursing home. I count our experience at Vernon Green as one of my greatest blessings! ”

    -- Betsy

  • “ We would like to say “Thank You” for all the care of Ann Mosier!! ”

    -- Gertrude Potash & Ellen Williams

  • “ Thank you so much for everything! ”

    -- Patti Newton

  • “ We cannot thank all of you enough for the care you gave to Annie Gregor. You treated her like family. ”

    -- Lynn & Roy Gregor

  • “ You all went out of your way to attend to my needs and make my stay very pleasant. You never complained about complying with all the protocols when I was in quarantine. Many blessings to each of you as you continue in your ministry of caring. ”

    -- Bill Monroe

  • “ For everything you've done for Larry, for being the special people that you are... thank you so very much. ”

    -- Sue Longe & Family

  • “ My family would like to express our love and gratitude for all the fantastic care you all provided for my mom. ”

    -- Ralph & Family

  • “ I appreciate so much your arranging things for me so that I could get therapy at Vernon Green. My needs were attended to very professionally by your staff. I thank the Lord for your kind and compassionate heart as you faithfully lead the work of Vernon Home. ”

    -- Bill

  • “ The patient and loving way that everyone has is contagious. Thank you all. ”

    -- The Bologan Family

  • “ You are all very compassionate and caring. We appreciate all that you did. ”

    -- Ruth Tripp and family

  • “ They hug me frequently. Those hugs restore life to my soul. That other nursing home in Connecticut was fine but the care here is hundreds of times better. ”

    -- Clara Stone, resident

  • “ As many of you know, my mom is not one to sugarcoat anything… in fact, she can be the first to complain… my mom regularly says that she is so grateful to be cared for by such a loving group of people. ”

    -- Lynna Jackson, daughter of Clara Stone

  • “ I would be grateful if you would express our appreciation to all the staff who made my dad’s stay comfortable and peaceful. Every staff member we encountered made us feel like we were loved, accepted and part of your Vernon family. The care given to my dad was excellent, compassionate and dignified. ”

    -- Rev. Dwight S. Dean

  • “ I was just there for two months following a fractured ankle and the Rehab was excellent. I will also say that the complete staff from all departments were so friendly and helpful I would go back in a minute if I needed that service again. Thanks everyone! ”

    -- Donna F.

  • “ Thank you so much for all the wonderful, loving care you all showed our mom. You all were such a blessing to us as well as to Mom! ”

    -- Leta Wilkinson

  • “ Words cannot say how much we appreciate your loving care for Mom, Grandma, Grammie. You all truly became her extended family. You brought out a social and spunky side of her that would have been missed by so many if we had tried to care for her at home. ”

    -- Mike & Jeanne Mears

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