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Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, Mississippi

Originally Published:
Key Point Summary
Key Point Summary Author(s):
Angela Boyle
Key Concepts/Context
The Green House design should be considered as nursing home resident numbers are growing. Early experiences with the “pod-like” structure show positive effects on residents, families, and staff.
Describe and discuss implications from the first Green Houses in Tupelo, Mississippi.
This was not a research article. However, the discussion centered around the relocation of 40 residents from a 140-bed nursing home to the Green Houses. Green Houses are “small, self-contained houses” for ~10 elders. Each has a private room and bathroom and shares communal space. Multiple Green Houses make up a nursing home.
Design Implications
The Green House “pod” design should be considered as the nursing home resident numbers are growing. These pods include 7-10 rooms; each resident is provided a private room with communal dining and social spaces.
The sponsor has noticed positive results for residents, families, and staff. Mississippi Methodist’s Green Houses have experienced lower staff absenteeism and turnover compared to their other facilities. Also in terms of staffing and cost, it was found that resources are redistributed, rather than using more resources.
There are not any limitations in this study. 
Design Category
Adjacencies/department|Furniture, Fixtures & Equipment (FF&E)|Room configuration and layout|Unit configuration and layout|Building Envelope|Building location/site optimization
Residential healthcare facilities
Outcome Category
Organizational outcomes|Patient / resident health outcomes|Patient / resident satisfaction and comfort|Staff satisfaction
Environmental Condition Category
Patient Satisfaction and Comfort|Physical proximity/density
Key Point Summary Author(s):
Angela Boyle
Primary Author
Rabig, J.