The 10 essential elements for transforming nursing homes into households are: (1) The household is each resident's home and sanctuary; (2) Residents direct their own lives individually and collectively; (3) Residents' boundaries and privacy within their home are respected.

1. ESSENTIAL ELEMENTS
OF HOUSEHOLDS

2. Summary of Essential Elements
from In Pursuit of the Sunbeam
by Steve Shields and LaVrene Norton
The following 10 elements are necessary to
transform Nursing Homes into Households
• The Household is each resident’s
1 home & sanctuary
• The People who live here direct
2 their own lives, individually and
collectively.
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3. • The boundaries of the Person
3 and his/her home are clear and
respected as a matter of course
• Grace, a shared sense of what is
sacred about the house and its
4 people, is deeply
valued, consciously created &
preserved.

4. Essential Elements
• The people who live are loved and
served by a responsive, highly valued
5 self-led service team that has
responsibility and authority.
• Leadership is a characteristic, not a
position. Leaders support and are
supported by values driven, resource
6 bearing principles and practices as a
way for each person to actualize his
or her full potential.

5. Essential Elements
• All systems, including treatments, exist
to support and serve the
7 person, within the context of his or her
life pursuits.
• We build strong community with one
another, our family, our neighbors and
8 our town. Each household is part of a
neighbor-hood of houses, dedicated to
continuous learning

6. Essential Elements
• The physical building and all its
amenities are designed to be a true
9 home.Institutional creep in design and
culture is treated as a wolf at the door.
• The establishment of a healthy and
sustainable home comes through the
integrated balance of resident-driven
10 life, leadership, organizational
structure, physical environment and
financial sustainability.

7. For more information on Households
or how Action Pact can assist your
organization in transforming its
culture
Visit our website:
www.culturechangenow.com