The Green House® project at the Clement J. Zablocki VA Hospital includes four, 10-bed buildings for skilled care services, each measuring approximately 8,500 sq. ft. The goal of the project was to add palliative care and long-term care components to the existing VA Zablocki campus. Working in collaboration with the VA and NCB Capital, the design intent of these small houses was to follow Dr. Bill Thomas’ Green House® model for skilled nursing care relative to operations and design. Three buildings are strictly used for palliative care and LTC needs, with one building for OIF/EIF. Further coordination was necessary due to the buildings’ location on a historical site.