Evidence Behind the Green House and Similar Models of Nursing Home Care

With the rapid expansion of the Green House nursing care model, a review of existing evidence regarding quality of care is essential. As of July 2011, there were more than 100 Green House homes operating across 27 states.

The Green House model de-institutionalizes nursing home care, and provides an intimate and personal living environment. Residents congregate around a communal table for meals, and each has a private bedroom and bathroom. Six to 12 residents live in each home, and are cared for by a self-directed team of staff who are responsible for medical care and supporting activities of daily living.

The article examines existing evidence related to the essential elements of Green House homes and similar models of nursing home care assembled from research conducted in nursing homes and related settings. The results highlight the potential for additional personnel to facilitate structured activities; raise questions about differences in health outcomes for patients; and emphasize the need to assess the financial viability of the model, due to the small size of Green House homes.

With this rapid expansion, an understanding of the impact and benefits the Green House model has on patient care is essential. Their future growth may depend on the evidence that supports or refutes the quality of care they provide.