62°F
weather icon Mostly Cloudy

Nevada’s first ‘Green House’ nursing home to open in Las Vegas

Updated January 17, 2019 - 11:59 pm

Coming soon to Las Vegas: a nursing home where the residents call the shots.

After working as a nursing home executive overseeing institutional care, Michele Goldman decided to downsize.

Now she is working to bring Nevada its first “Green House Project” nursing home — a small residential-style home focused on providing skilled care and independence for the elderly in a less-institutional setting.

“You think of a nursing home and it’s like, ‘Oh, God, it’s the last place you want to be,’” said Goldman, whose project, The Villas at Centennial Hills, is set to open by the end of the year. “It has a lot of stigma in this country, and for good reason.”

Traditional nursing homes often resemble in-patient hospital wards and have recently come under scrutiny from federal Medicare officials after hospital readmission rates began climbing.

“It’s where people are basically going to get a very high level of care … and die,” according to Nancy Bernard, senior adviser for program development at the Robert Wood Johnson Foundation, a health care-focused nonprofit that has promoted the Green House model since its inception.

Goldman hated what she saw while overseeing nursing homes.

“Every time I walked into one of my nursing homes in Texas, my heart sank,” Goldman said. “I just felt like there has to be something different than this.”

The first Green House Project home opened in Mississippi in 2003. The model relies on creating a home-like feeling away from home. Though nurses staff the home 24/7, patients are encouraged to get involved in their own care.

Medication is stored discreetly in a locked cabinet within a patient’s room, instead of being distributed on a cart. There’s no set time for breakfast, dinner or activities. Patients decide what they want to eat and do and when, providing a sense of autonomy that can promote emotional health for those still in good physical shape.

The six-to-12-room homes (Goldman’s project will have room for 12 residents in each of six homes) even allow residents to take care of a house pet, like a dog or cat.

“It’s considered part of the future of nursing home care,” Bernard said. “There is a level of privacy that’s there, and at the same time, there’s a level of community.”

That leads to greater patient satisfaction, she said.

But it has its limitations. Each home can house only a handful of patients, and traditional nursing homes aren’t usually built to adapt to the small-house model.

“Green House is not going to become the dominant model for all skilled nursing care in this country anytime soon,” Bernard said. “But it’s made its mark. It has been successful in lifting the level of quality of care that we should all be striving for.”

The Villas at Centennial Hills has backing from state officials, including Julie Kotchevar, public and behavioral health administrator at the Nevada Department of Health and Human Services.

“One of the trends we’re seeing is traditional nursing home usage is down nationally,” Kotchevar said. “I think that’s more people wanting to stay in community-based settings.”

Goldman said she doesn’t anticipate her model will cost consumers more than other large nursing homes in town, though even the traditional models can empty the pockets of a loved one. AARP estimates the annual median cost for a private nursing home room at $100,000.

But she’s already receiving interest.

“When you start telling people about this new model, I always get the same reaction,” Goldman said. “If they’re older, they say, ‘Save me a room.’ ”

Contact Jessie Bekker at jbekker@reviewjournal.com or 702-380-4563. Follow @jessiebekks on Twitter.

Don't miss the big stories. Like us on Facebook.
Entertainment Videos
Heavier traffic expected from EDC festival attendees
Electric Daisy Carnival attendees began to vacate the Las Vegas Motor Speedway starting before 5 a.m., the majority heading south on Interstate 15.
What it's like to skip the lines and fly by helicopter to EDC
What it's like to skip the lines and fly by helicopter to EDC. (Janna Karel Las Vegas Review-Journal)
DJ Steve Aoki visits Las Vegas comic book store
DJ Steve Aoki visits Torpedo Comics in Las Vegas Friday, May 17, 2019, for a signing for his new comic book series "Neon Future." (K.M. Cannon/Las Vegas Review-Journal) @KMCannonPhoto
Las Vegas Smith & Wollensky opens at The Venetian
After 18 years, the Smith & Wollensky location on Las Vegas’ south Strip closed in 2017, to be re-born two years later with a rib-cutting — instead of a ribbon-cutting — in The Grand Canal Shoppes at The Venetian. (Heidi Knapp Rinella/Review-Journal)
Colin Cantwell, Creator Of Iconic Star Wars Ships Visits Vegas
Colin Cantwell, who created and designed such "Star Wars" ships as the X-Wing fighter, and Death Star, met fans at Rogue Toys in Las Vegas today. (Mat Luschek / Review-Journal)
Beauty & Essex in Las Vegas makes an EDC Wonder Wheel
In honor of the Electric Daisy Carnival, Beauty & Essex at The Cosmopolitan of Las Vegas makes its Wonder Wheel party-worthy. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Giada talks Vegas Uncork’d
Giada De Laurentiis talks during Aperitivo Hour, a Vegas Uncork'd event, at her Caesars Palace restaurant, Pronto, May 10, 2019. (Al Mancini/Las Vegas Review-Journal)
Scenes from Vegas Uncork’d 2019 on the Las Vegas Strip
The 13th edition of Vegas Uncork’d by Bon Appetit brought four days of food, wine, celebrity chefs and parties to town, May 9-12. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Three ingredients Gordon Ramsay can’t live without
Bon Appetit's Andy Baraghani interviews the "Hell's Kitchen" chef during a Vegas Uncork'd event at Caesars Palace, May 11, 2019. (Al Mancini/Las Vegas Review-Journal)
Vegas Uncork’d launches wiith bubbles and a blade
Dozens of chefs representing some of the Strip’s top restaurants gathered Thursday at The Cosmopolitan of Las Vegas to launch the 2019 edition of Vegas Uncork’d by Bon Appetit. (Al Mancini/Las Vegas Review-Journal)
Bunky the Clown at the clown convention
Bob "Bunky the Clown" Gretton talks about his life as a clown and the Clown Convention which was in Las Vegas at Texas Station this week. (Mat Luschek / Review-Journal)
Frying soft-shell crab at Lola’s in Las Vegas
At Lola’s: A Louisiana Kitchen in Las Vegas, soft-shell crab is breaded and fried and served either as an appetizer, po’boy or platter. Heidi Knapp Rinella/Review-Journal
The Stove in Henderson makes Pecan Pie Pancakes
At The Stove in Henderson, chef/partner Antonio Nunez stacks buttermilk pancakes with pecans and dulce de leche and tops them pie crust crumbs. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Vinnie Paul remembered at Count's Vamp'd
The late rocker's favorite table at one of his favorite clubs in Las Vegas. (Jason Bracelin/Las Vegas Review-Journal)
4DX movie experience at Red Rock
4DX movie experience during a demo reel at Red Rock. (Christopher Lawrence/Las Vegas Review-Journal)
What To Do On May The 4th
There are plenty of events going on May the 4th this year around Las Vegas. Celebrate Star Wars and Comic Book Day all at once. The Rogue Toys, the 501st, Rebel Legion and Millennium Fandom Bar are all hosting fun events to help celebrate your geek-dom. (Mat Luschek / Review-Journal)
Las Vegas Water Sports Introduces New Attraction At Lake Las Vegas
Las Vegas Water Sports will debut its new aqua park attraction at Lake Las Vegas Days this weekend. (Mat Luschek / Review-Journal)
Making the Space Invader at Greene St. Kitchen in Las Vegas
Lysa Huerta, pastry cook at Greene St. Kitchen at the Palms in Las Vegas, starts with angel food cake, Fruity Pebbles ice cream and strawberry sorbet to create a space creature engulfed in flashing lights and swirling mists. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Las Vegas Pools
The M, Park MGM and NoMad are just a few great pools in Las Vegas. (Mat Luschek/Las Vegas Review-Journal)
Jose Andres explains Iberico pork
(Al Mancini/Las Vega Review-Journal)
Inside Life is Beautiful
Craig Asher Nyman explains how Life is Beautiful festival is booked and talks about this year's line-up. (Jason Bracelin/Las Vegas Review-Journal)
Tattoo'd America Pops Up In Vegas
Tattoo'd America, a new pop-up attraction on the Linq Promenade, had their grand opening Friday. The attraction is dedicate to the culture of tattoos. (Mat Luschek / Review-Journal)
Jose Andres gets key to the Strip
Chef Jose Andres was presented with a Key to the Las Vegas Strip and a proclamation declaring April 26 Jose Andres Day in Clark County by County Commissioner Tick Segerblom on Friday. The ceremony took place at his restaurant Bazaar Meat in the SLS Las Vegas. (Al Mancini/Las Vegas Review-Journal)
Sadelle’s in Las Vegas makes a grilled cheese with an inverted bagel
Michael Vargas, executive sous chef at Sadelle’s at Bellagio in Las Vegas, inverts an everything bagel and grills it with Swiss, cheddar and Muenster cheeses to make the Inverted Bagel Grilled Cheese. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Learn how to make China Poblano's Salt Air Margarita
Learn how to make China Poblano's Salt Air Margarita (Janna Karel Las Vegas Review-Journal)
Tattoo'd America invites you to have fun and take pictures
Kassandra Lopez at Tattoo'd America invites you to have fun and take pictures. (Janna Karel/Las Vegas Review-Journal)
Prime rib is carved tableside at Lawry’s The Prime Rib in Las Vegas
Dave Simmons, executive chef of Lawry’s The Prime in Las Vegas, which plans special cuts for National Prime Rib Day, demonstrates the restaurant’s service from rolling tableside carving carts. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Making gluten-free pizza at Good Pie in Las Vegas
Good Pie owner/pizzaiola Vincent Rotolo makes his gluten-free pizza.
Rockabilly fans enjoy Las Vegas weather poolside
Viva Las Vegas Rockabilly Weekender runs Thursday, April 18th through Sunday, April 21st with a huge car show on Saturday featuring The Reverend Horton Heat, The Delta Bombers and The Coasters. (Michael Quine/Las Vegas Review-Journal)
Brownie sundae at VegeNation in Las Vegas is completely vegan
Donald Lemperle, chef/owner of VegeNation in Las Vegas and nearby Henderson, NV, makes his sundae with ice cream made with coconut and almond milks, a brownie made with coconut flour and oil and organic sugar and cacao, and fresh fruit. (Heidi Knapp Rinella/Las Vegas Review-Journal)
THE LATEST