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Housing Options

Alternative Housing Options for Long-Term Care

Article Highlights

  • Learn more about long-term care options
  • Non-profits offer alternatives
  • Staying at home

En español | Options for long-term care were once very limited when it came to independent, assisted and nursing home living. Because 90 percent of Americans prefer to stay home as they age, communities and organizations have been cropping up around the United States — and internationally — to aid them in that goal. There are naturally occurring retirement communities (NORCs) that cater to those who don’t want to leave their home or community as they age. Eden Alternative is another innovation in the world of aging, where the focus is on de-institutionalizing long-term care. These two, along with a number of other organizations and care facilities, are making life for the aging adult more pleasurable — focusing on growth in these later years as opposed to declining health and well-being. Learn more about these long-term care options.

See also: Long term care calculator.

Alternatives to Long-term Care
Eden Alternative:
Focused on changing the atmosphere and experience found in long-term care facilities, the Eden Alternative is a not-for-profit organization with 300 registered homes in the U.S., Canada, Europe and Australia. Their focus is on bringing life and wellness into institutional-like elder care settings. Often, these facilities are blooming with plants, are home to many pets and encourage children to visit, which they believe will help stave off the emotional and mental breakdown that can come along with loneliness and helplessness. The goal isn’t just to de-institutionalize nursing and long-term care facilities, but also to renovate the culture and management of each. The Eden Alternative believes that facilities should not be run from the top down, but should incorporate the opinions and ideas of their residents.

The Eden Alternative is also helping older adults stay in their homes as they age with the Eden at Home initiative, which works to de-institutionalize at-home care. To learn more about the Eden Alternative and all of its initiatives, visit their website:

The Green House Project: Much like the Eden Alternative, the Green House Project caters to the life of the older adult rather than to their health needs only. The idea behind this project is to provide our loved ones with an excellent quality of life enriched by relationships with qualified staff who choose to work in an environment focused on enriching the life of the older adult. Taking the sterility out of long-term care, the Green House Project provides a warm environment with a focus on community, relationships, well-being and happiness — where there is a true "heart" to the home. With only six to 10 residents per home, Green Houses provide each person with a private room and bathroom that can be decorated to each resident’s liking. Each Green House has an open living and dining area, emphasizing the importance of social relationships among the residents and staff. 

There are 50 Green Houses operating in the United States with another 40 under construction and more than 100 in development, funded by the Robert Wood Johnson Foundation. Find a Green House near you. Visit the Robert Wood Johnson Foundation for a list of homes open and those in the planning stages. And for more on the Green House project, visit Green House partner in planning and development, NCB Capital Impact.

Aging in Place
There are organizations popping up all over the country that cater to older adults who prefer to stay in their homes rather than moving to retirement, assisted or nursing facilities. Here are a few examples:

Beacon Hill Village: Boston’s Beacon Hill Village is an organization that caters to a community of older adults who want to stay in their own home for as long as possible. There are 400 members throughout central Boston, 50 and older, who partake in Beacon Hill Village’s services. These include everything from dog walking to geriatric care management. Beacon Hill Village operates on a membership basis, with both subsidized and unsubsidized options available. Members can take advantage of social activities, day trips and exercise classes in addition to the basic services. For more on Beacon Hill Village, visit their website.

Next Page: Additional resources that can help. »

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