The Difference
An Avalon by Otterbein Small House Is Different
| Areas of Difference | Traditional Nursing Home | Avalon by Otterbein |
|---|---|---|
| SIZE | 120-plus beds, divided into 20 to 40 bed units. | 10 Elders |
| PHILOSOPHY | Focus on medical services for frail patients. | Focus is on home and living to fullest. It is a home for people who just happen to require medical services. |
| ORGANIZATION | Steep bureaucracy where nurses control all unit activity. | Direct care staff are empowered with nurses visiting the home to provide skilled services. |
| DECISION MAKING | Made by the organization. | Placed as close to the elders as possible. House councils plan menus, activities and routines. |
| ACCESS | Space belongs to the institution. Elders often given limited access to spaces. | Space belongs to the elders, access to all areas of the house. |
| OUTDOOR SPACE | Often challenging to access, especially without assistance. | Easily accessible, fenced, shaded and in full view of the hearth and kitchen, allowing staff observation. |
| LIVING AREAS | Most commonly double bedrooms and shared baths. Lounges and dining rooms often at end of long corridors. | Private rooms with private baths. A central hearth is adjacent to the open kitchen and dining area with short distances to walk. |
| KITCHEN | Off limits to elders and visitors. | Elders and visitors have access and may participate in cooking. |
| NURSES STATION | In center of most units. | None. Medication and supply cabinets in each room for nurse visits. |
| DINING | Large dining rooms with many elders. | One dining table for home-style meals. |
| STAFFING | Departmental. Tasks are divided among several people. Average 75 percent turnover rate. | Elder assistants (CAN) take care of all tasks needed, such as direct care, laundry, housekeeping and cooking. Average 10 percent turnover rate. |
| VISITORS | Limited ability to participate. | May take part in meals, meal preparation and activities. Elders often host family celebrations. |
Avalon by Otterbein
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