Green House® Availability

The Green House model of care provides the same services and level of care as other nursing facilities in a small, home-like setting. Evidence supports the model and has found that residents of these facilities were less likely to be bedridden or to have pressure ulcers and had better outcomes during COVID-19 relative to larger facilities. States can incentivize the development of these facilities. This Scorecard provides Innovation Point credit to those that do, as well as states that have the highest number of Green House residents. 

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This innovation point gives credit to states that show significant investment and support for small house nursing homes, commonly known as Green Houses. There were three criteria reviewed for scoring. States receive credit for meeting one or more of these criteria. AARP Public Policy Institute and the Green House Project collaborated to identify the inclusion criteria and the states meeting the criteria for this category.

The three scoring criteria are:

  1. State financial investment in Green Houses
  2. State policy that supports Green Houses (e.g., certificate of need moratorium carveouts)
  3. High-reach Green House States (>200 beds available or in development statewide)

Green House Project: Email correspondence (January 2023)
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