Our Small Home Concept - "Essentially is a nursing home situated in a residential setting."

About Small House Care

A "Small House" is an intentional residential community of a handful of people who have self-care limitations and who need on-going nursing care; supportive assistance and help with activities of daily living, chronic-disease management, and sometimes dementia care. Small Houses are licensed like nursing homes and a staff of highley trained workers live and work on site. The houses are designed for easy usability by residents with the home-like feel maximized.

The concept of a small, home-like nursing home was developed by Dr. William Thomas and termed a Green House® with the first one built and licensed in Tupelo, Mississippi, in 2003 as an alternative to the traditional institutional nursing home. Since then, this housing and care concept has been replicated as nursing homes, incorporated into assisted living facilities, and built as additions to Continuing Care Retirement Communities. Multiple small houses have been clustered on a defined property; embedded individually in residential neighborhoods; and, in urban areas, an apartment configuration has been utilized. In addition, the concept has the potential to be operated as a cooperative by community dwelling groups.

While all small houses bear some unique implementation aspects, there is a set of design characteristics that define all of them:

  • Each building is:

    • A self-contained house or communal apartment.

    • Accessible - permitting users to move freely and normally.

    • Adaptive - designed for very easy modification in order to accomodate a wide range of disabilities

    • Accommodating and Compatible - yielding, tolerant and amenable to the functional limitations of the user

  • The physical environment is legible - meaning environmental cues are provided that:

    • Enable frail residents to understand their surroundings, retain a sense of place and familiarity.

    • Supply messages and freatures that orient residents, help with way-finding and direction and amplify differences between separate areas of the house.