Bright House

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Nursing Home Business Plan


We offer two services: Assisted Living and Skilled Nursing Care. We will begin providing services in January of next year.

3.1 Service Description

Assisted Living
Our residents in the main building can expect respectful and caring assistance as they go about the daily activities of their own choice—not those of an Activity Director, or nursing home staff. The Elder Assistants, in addition to providing personal care, will also do their laundry, cook all meals (with optional resident assistance), and clean. These residents can expect that their new home will be just that—their own home, shared in community with other residents, who come together to socialize, air grievances, plan activities, and share their knowledge and wisdom with each other and all who choose to visit them. Our residents are welcome to have visitors at any time between 7am and 9pm, and to plan outings whenever and wherever they choose. In return, we expect them to keep us informed of their health, their concerns, their enthusiasms, and their whereabouts, so that we can best assist them.

Skilled Nursing Care
For residents or temporary residents with more demanding health or care situations, our Skilled Nursing Care Facility offers a more closely supervised and assisted lifestyle on the same property—right across the courtyard. Our two full-time and two part-time Licensed Practical Nurses (LPNs) are joined by the full-time Elder Assistants, who perform for our skilled nursing residents many of the same services they do for our Assisted Living Residents.

Residents staying in our Skilled Nursing Care Facility will receive any necessary medications on the schedule determined when they enter the facility, administered by our nursing staff, and overseen by our Medical Director. They will be encouraged to take part in Bright House social life, including physically non-demanding activities in the Bright House garden, to speed their recovery and improve their sense of connection.

3.2 Alternative Providers

The many facilities in our area serving this population offer only hospital-model care facilities. Their strengths and weaknesses are described below, under Topic 4.3 - Service Providers Analysis. Our nonprofit status and our alternative care model allow us to offer more resident-oriented services at a better price, with a more satisfied and team-oriented staff, than these facilities can.

For our privately insured residents, we offer respectful and nurturing care, viewing the resident as a whole person, in a particular stage of their life's journey. For our Medicare residents, we offer a more humane, but still medically-qualified, alternative to the drab prospects of a standard nursing home. And for their families, we offer peace of mind, and the knowledge that outside of in-home, full-time care, their loved ones are receiving the best possible daily assistance in maintaining their preferred lifestyle. 

3.3 Printed Collaterals

Our brochure (attached, 1) describes the services offered and includes "before" and (envisioned) "after" pictures of the Bed and Breakfast-turned-Elder Home.

Our fundraising packet (attached, 2) includes the brochure, Dr. Johnson's resume' and mission statement, and testimonials from prospective residents and Dr. Johnson's colleagues.

Both of these will be reworked in June of next year, to bring donors and potential residents and their families up-to-date on our progress during the first year.

3.4 Technology

In addition to our advanced medical equipment, the main use of technology at Bright House will be the installation and use of our computerized medical record system. The benefits of this system (described in the Start-up Summary, above) are numerous. The system will also allow residents to access their own individual records with a password at will, to ensure that they understand as much as they can about their own situation, and how to maintain their health.

We are working carefully with DigInfoMedTel to ensure that all of our technology meets Health Insurance Portability and Accountability Act (HIPAA) standards before implementation. We will hold a series of HIPAA trainings with the software in mid-December to ensure that our staff is fully-knowledgeable in this area.

3.5 Future Services

We hope that Bright House becomes a model for alternative Elder Care in our area. The local population in this affluent state could support dozens of Elder Care Homes such as ours. In the second year, with our residents and staff established, we plan to explore potential connections with local alternative schools, who have expressed an interest in bi-monthly 'heritage trips,' for their students to take lessons in areas of our residents' expertise, from gardening, to cooking, to fishing, to electrical design (to name just a few of the many skills our current group of prospective residents have to offer).

After our first five years, on a firm financial footing, we would also like to find ways to reduce resident monthly costs to make such care available to families with more modest incomes. We envision using these initial years to gain the experience and teamwork necessary for establishing the best caregiver/resident proportion.