The Green House project: Developing small community homes as alternatives to nursing homes

Green Houses are an alternative to the traditional nursing home that emphasizes providing elders with an environment that promotes autonomy, dignity, privacy, and choice through both facility design and staff education. The unique architectural design of the home includes a central living room with hearth, and an adjoining open kitchen and dining area. A total of eight to ten residents each have a private bedroom and bath off the main living area. The Green House model incorporates changes to staffing, greater education of direct caregivers, and new patterns of care delivery. The initial grant to the Center for Growing and Becoming supported development of the model and creation of educational materials. The second grant furthered the development of the model, provided technical assistance to new Green Houses, refined training materials, and advocated for the model. This project will be considered successful if a toolbox for architects is designed; the Centers for Medicare and Medicaid Services approve Green Houses for reimbursement for nursing home services; state health departments are educated; education for employees is improved; informational materials on financial aspects are developed; a business plan is created; and the Green House model is advocated as an effective nursing home alternative.

Grant Details

Amount Awarded $249,990.00

Awarded on: 1/6/2005

Time frame: 2/1/2005 - 1/31/2006

Grant Number: 51241


Center for Growing and Becoming Inc.

766 Turnpike Road
Sherburne, 13460-3730


Judith Rabig
Project Director