
Record 149 · Housing · 1997
50%97.149.D
Action Pact Household Model
Action Pact
“A consulting-and-building model that broke nursing homes into real households.”
Action Pact (Steve Shields and others) spread the Household Model: small groups, a kitchen, consistent staff — cousin to Green House, born in existing buildings.
Culture change you could retrofit, not only new-build.
- Household neighborhoods in existing SNFs
- Consistent assignment
- Kitchen-centered living
The household, not the unit.



