America’s First ‘Dementia Village’ Set to Open

America’s first ‘dementia village’ set to open in Fitchburg, Wisconsin.

In a bold departure from the clinical atmosphere of traditional nursing homes, the United States is preparing to launch its first purpose-built dementia village, according to WMTV 15 News report.

Led by the organization Agrace, this $40 million development aims to redefine elderly care by prioritizing dignity, independence, and a sense of normalcy for those living with cognitive decline.

A Neighborhood, Not a Facility

Located on Agrace’s Fitchburg campus near Madison, Wisconsin, construction is slated to begin this year, with a projected opening in September 2027. The village will house up to 65 residents across eight home-style residences. Each house will accommodate approximately eight individuals, providing private bedrooms alongside shared kitchens and living spaces to foster a communal atmosphere.

To mirror the rhythms of everyday life, the secure campus will feature a grocery store, restaurant, cinema, and expansive green spaces. Residents will be encouraged to move freely within the perimeter, allowing them to perform daily errands or attend film screenings in a safe, familiar environment.

The Dutch Blueprint: The Hogeweyk®

The Wisconsin project draws direct inspiration from The Hogeweyk® in the Netherlands. Since its 2009 debut, The Hogeweyk® has revolutionized memory care. While often labeled a "dementia village," its founders at Be Advice prefer the term inclusive community, emphasizing the person over the pathology. Today, The Hogeweyk® supports 188 residents across 27 houses.

Authenticity vs. Artifice

The founders are quick to dismiss comparisons to The Truman Show. There are no actors; instead, 200 full-time equivalent staff members—including nurses and doctors—wear civilian clothes to maintain a "real-world" feel. The streets, squares, and supermarkets are functional spaces where residents perform genuine daily tasks, a social approach proven to support active aging and autonomy.

Meeting a Rising National Demand

This model arrives at a pivotal moment. With over six million Americans currently living with dementia—a figure expected to double by 2060—Agrace views the village-style community as a humane alternative to fragmented care. To ensure accessibility, Agrace intends to keep monthly fees comparable to standard assisted living, utilizing a sliding fee scale and an endowment fund.

While the project is not a cure, it offers a vital blueprint for the future: replacing locked wards with open streets and shared routines.

Article source: WMTV 15 News, be advice

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