Otterbein New Albany and eight additional Otterbein Small House Neighborhoods were designed and built using the Green House model. A not-for-profit organization, The Green House Project began in 2003 to challenge the traditional model of nursing home care. Like our small houses, Green House homes are self-contained houses where elders have private rooms and baths with shared living and outdoor spaces. The Green House Project is leading the transition from institutional long-term and post-acute care to more meaningful, comforting, and satisfying home-like environments.