Site Location

Many ageing advocates argue that RLTC settings are in locations that sever connections between residents and their community, make inward and outward visiting harder, and make it difficult to integrate the setting with the community.

The current practice of building nursing homes on green field sites outside villages and towns cuts residents off from community life and social interaction, and isolates those residing in them, thereby lessening their quality of life.

(Alone, 2018).

Anderson et al. (2020) note that a RLTC setting located within a residents’ home community may help with a continuity of self through continuity and connected-ness with place or community (Reed et al., 1998). Moreover, according to Christie (2020), a ‘sense of connectedness’ supports resilience in older people, particularly those living with dementia. This highlights the importance of location and connection to family, not only in terms of social interaction, but also in terms of a resident’s resilience and their ability to adapt to adversity.

Nothing easy about COVID and nursing homes! I live 10 away so initially when 2-5km rule was in place, I wasn’t able to visit my mother.

- Family member

We live within easy drive or walk if we’re stuck.

- Family member

The setting is located in [large town], which is approximately 25-30 minutes from [large city]. Families found the distance from [large city] long at times particularly if there is an elderly spouse driving. However, it is very convenient if you live locally.

- Staff

Key Findings


Being located near to/within communities makes it easier for family members and visitors to access the setting; as such, it is important to consider site location when planning for and constructing new RLTC settings.


Locating RLTC settings within existing communities, allows for easier inward and outward visiting, enabling residents to more easily access local amenities and strengthening settings ties with the local community.


More research is required to examine personal preferences of residents (in terms of their going out and about) and how site location can offer meaningful opportunities for improved engagement with the community.