The Forest at Duke repositioned its campus to meet market expectations by creating a new 90-resident health center using the Small House model of care and adding an independent living apartment building. The health center is designed to connect existing cottages and the main building, integrating healthcare and independent living amenities. Each of the nine households features shared living spaces, and the building maximizes natural light, outdoor access, and wellness-focused environments with gardens, pathways, and private balconies.