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Journal of Applied Gerontology
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Community Integration of a Rural Nursing Home

Graham D. Rowles

University of Kentucky

James A. Concotelli

University of Kentucky

Dallas M. High

University of Kentucky

Based on an ethnographic case study of Mountain View, a rural nursing home, the stereotype of the nursing home as an environment separated from its community context is challenged. Participant observation and repeated in-depth semistructured interviews with residents, family members, and staff, over a period of two years, and interviews with community officials reveal that the nursing home is historically, economically, socially, and psychologically integrated within the local setting. A high level of community integration is manifest in the permeability of the walls of the facility. Many residents are able to retain strong ties within the community through trips outside the facility and as a result of community involvement in activities at the nursing home. Most important, the community integration of Mountain View allows residents to maintain a temporal continuity in their lives. High levels of community integration may enable nursing homes to play an expanded role in the rural long-term care continuum.

Journal of Applied Gerontology, Vol. 15, No. 2, 188-201 (1996)
DOI: 10.1177/073346489601500204
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