Nursing Home

Green House Home

SIZE

140+ beds, divided into 24-34 bed units/wings

10 Elders

PHILOSOPHY

Focus on medical services for patients

Focus is on home and living to fullest It is a home for people who just happen to require medical services

ORGANIZATION

Steep bureaucracy where nurses control unit activities

Direct Care Staff are empowered with nurses visiting the home to provide skilled services

NURSES STATION

Central to the units

None. Medication and supply cabinets in each room for nurse visits

STAFFING

Departmental: Tasks are divided among several people. Average 47% turnover rate

Elder Assistants (CNA) take care of all tasks needed, such as direct care, laundry, housekeeping and cooking. Average 11% turnover rate

DECISION MAKING

Made by the organization

Placed as close to the elders as possible. House councils plan menus, activities and routines

ACCESS

Space belongs to the institution. Elders often given limited access to spaces

Space belongs to the elders, access to all areas of the house

OUTDOOR SPACE

Often challenging to access, especially without assistance

Easy access, fenced and shaded

LIVING AREAS

Commonly double bedrooms and shared baths. Large lounges and dining rooms

Private rooms with private baths. A central hearth is adjacent to the open kitchen and dining area with short distances to walk

KITCHEN

Off limits to elders and visitors

Elders and visitors have access and may participate in cooking

DINING

Large dining rooms with many elders

One dining table for home-style meals

VISITORS

Limited ability to participate

May take part in meals, meal preparation, and activities. Elders often host family celebrations

PETS

House pets are sometimes allowed for visits

House pets, such as dogs, cats, fish, and birds, are allowed; and Elders are encouraged to interact with them