Nonhome-based long-term care sustainable living arrangements for elderly people with Alzheimer's is presented. Characteristics contributing to sustainability are discussed. The ultimate goal in sustainable design for older adult communities is a people-centered model of care in environments that improve their quality of life. Without sustainable healthcare models, trying to design and build a facility that will operate efficiently over time is impossible. From the onset of care, design professionals must understand the operational function and the care modeling goals.