A radical departure from traditional nursing homes

THE GREEN HOUSE® Project represents a revolution in long-term care, creating small homes that return control, dignity, and a sense of well-being to elders, while providing high-quality, personalized care.

A Green House home differs from a traditional nursing home in terms of facility size, interior design, organizational structure, staffing patterns, and methods of delivering skilled professional services. Green House homes are designed from the ground up to look and feel like a real home.

At the center of The Green House model are skilled nursing assistants called shahbazim who manage residents' care, with support from nurses and therapists—a reversal of the traditional nursing home model. 

The results of The Green House Project are simple and profound: elders are happier and healthier. RWJF support is helping to spread The Green House model across the United States. More than 260 Green House homes in 32 states are open or under development.


The Green House Project

2011 Crystal Drive
Arlington, Virginia 22202

(703) 647-2311

Operating costs of a Green House are equal to those of a traditional nursing home.

Source: The Green House Project


David Farrell

David Farrell

Remarks from David Farrell, THE GREEN HOUSE® Project Director

It’s been 20 years since federal laws passed and significantly improved the quality of care in America's nursing homes. Physical restraint use, pressure sores and other serious deficiencies have all declined dramatically. So, we must ask ourselves why then do people still dread the thought of being admitted to a nursing home?

Leading the list of fears is that these places feel institutional—and that they’re isolating and take away our loved ones’ sense of dignity and privacy. In other words, they don’t look or feel anything like a real home. Through our evidence-based model, THE GREEN HOUSE® Project has mitigated those fears entirely by radically changing the physical environment and how staff work together to ensure that elders receive excellent care and enjoy the great quality of life they deserve.

THE GREEN HOUSE® Project is carving a new path for nursing care—by finding a way to deliver long-term care in a small, home-like setting, while still meeting the same federal regulations and costing about the same as traditional facilities. Someday elders will stop asking their kids to promise them that they will never put them in a nursing home. THE GREEN HOUSE® Project will be a big reason why.

Green House Project Videos

A radical departure from traditional nursing homes, the Green House is a place where elders can receive assistance and support with daily living and clinical care without the assistance and care becoming the focus of their existence.

More grantee videos

Related Research and Policy Briefs

The Green House Research Collaborative

Investigators from various disciplines such as economics, nursing, social sciences and statistics are conducting evaluations under several coordinated Robert Wood Johnson Foundation grants. The collaboration is meant to ensure a comprehensive set of evaluations that provide information on the implementation and impact of The Green House long-term care model from different perspectives.

Read the report >

Health Policy Brief: Can Culture Change Offer Viable Solutions to Meet Increased Demands for Long-Term Care?

Until recently, long-term care meant placement in an institution such as a nursing home. The “culture change” movement is transforming long-term care by promoting more home-like facilities and providing more options for consumers to receive care how and where they want it, in their communities. These models typically include new types of physical environments, organizational practices, and workforce features that benefit consumers and direct care workers while remaining cost-effective.

Read the brief >


Learn more about how @GreenHouse_Proj is developing a holistic, elder-centered home care model.