Green House Blog

California Senate Committee approves a new nursing home licensing category that would allow Green House homes in the state


“It puts the ‘home’ back into nursing home.”  That’s how California Senator Elaine Alquist (D-San Jose) described SB 1228 when addressing the Senate Committee on Health this week.

The bill would create a new health facility licensing category for a small house skilled nursing facility that is either a standalone home or consists of more than one home providing skilled nursing care in a noninstitutional setting.

David Pierce of Mt. San Antonio Gardens, a continuing care center in Pomona, explained that his organization has been pursing approval to build a Green House home for years.

Find out what needs to happen next for full approval in California and let us know what you think!

Conference in California Today, Changing the Physical Environment of Nursing Homes: Addressing State Regulatory Hurdles

Partnership is key to any innovation. Robert Wood Johnson Foundation’s CEO and President – Risa Lavizzo-Mourey recently expressed why Green House homes are crucial to California’s aging services in an opinion piece for The Sacramento Bee. Today, regulators, legislators, advocates, providers and other leaders in the field come together for a day-long conference by Chi Partners and The California Health Care Foundation to discuss the changing landscape of long term care in California.

Much has changed this year to encourage providers to implement upgrades to their physical environment, and culture change practices:

• OSHPD’s new “Household” regulatory model for nursing homes allows providers to create a more home-like environment for their residents.
• Two small home (The Green House® Project) projects are working their way through the regulatory process, creating a blueprint for addressing key regulatory challenges to this type of model.
• Important Life Safety Code changes for nursing homes have been made by NFPA with the assistance of Pioneer Network that support the implementation of culture change.
• Some states (like Michigan and Arkansas) are successfully overcoming regulatory challenges and are now instituting legislation that supports providers in building new small home and culture-change models providing lessons learned for future changes to California’s regulations.

Leaders such as Pioneer Network CEO, Peter Reed, Director of Arkansas’ Office of Long-Term Care, Carol Shockley, The Green House Project, COO, Susan Frazier, join California regulators to discuss the value of partnering to change the physical environment of skilled nursing homes to support the quality of life and quality of care for the elders and staff in California.