My Mother Lives in the Backyard: The Granny Pod Evolution

Published In Alternative Senior Housing

If that’s your answer to queries about where your elderly mother lives, you and your mom are part of one solution for the looming problem of how to care for America’s rapidly aging population, which is growing at the rate of some 1.7 million seniors each year.

Maybe your mother lives in a portable self-contained medical cottage in your backyard. Dubbed “Granny Pods,” these pre-fabricated and pre-equipped medical cottages can be installed in a backyard behind a caregiver’s home, zoning laws permitting, and hooked up to the existing sewer, water and power lines.

Inspired Independence Courtyard Cottage


Though some critics see granny pods as little more than storage containers for the elderly, over time these increasingly sophisticated medical cottages have become viewed as viable alternatives to expensive long-term care facilities, one that keeps aging seniors close to families while offering supervision and care when needed, along with the independence seniors desire.

The prototype “granny pod” units cost up to $125,000 installed, have standard safety features like hand railings, defibrillators and first aid supplies, lighted floorboards and a soft floor to minimize damage from falls.

MEDCottage Granny Pod


The high tech units are also equipped with interactive video and devices that monitor vital signs, like blood pressure and blood glucose, and transmit real time readings to caregivers and physicians. Cameras at floor level and sensors alert caregivers to a fall, the toilet seat records weight and temperature, a hammock-like chair lift transports a resident from bed-to-bathroom, and a computer reminds residents when it is time to take medications.

Better Care for Seniors

The Reverend Kenneth Dupin, a Methodist minister from Salem, VA, gets credit for the Granny Pod concept, though that’s not what he called the units. (According to the Washington Post, credit for that goes to a Fairfax County supervisor who equated the pods to storage containers.)

As the story goes, after visiting a depressed parishioner whose family had moved her to a nursing home, Rev. Dupin decided America should do better for its aging population. He founded a company, N2Care, and, working with Virginia Tech Research Center in Blacksburg, VA, designed the MEDCottage, now known as the granny pod.

MEDCottage Granny Pod Layout


Though several versions now exist, the basic MEDCottage is about 12 by 24 feet, or the size of a master bedroom, has vinyl siding, double French doors (to accommodate a wheelchair and hospital equipment) and looks like a small bungalow. Inside, it resembles a hotel suite, with living space, small kitchen and bathroom.

Though the initial cost may seem steep, proponents point out that nursing home care is also expensive, costing upwards of $94,500 a year for a semi-private room, depending on location, and the company will buy back the units when no longer needed.

Granny pods and other auxiliary dwelling units, or ADUs, offer a blend of independence and 24/7 caregiving, plus closeness to family and friends instead of isolation in a distant nursing home.

Helping Meet the Care Need

More practically, these modular medical care units may be essential to providing care for the soaring numbers of seniors, a number the Census Bureau predicts will more than double from 35 million in 2000 to more than 70 million by 2030.

Inspired Independence Courtyard Cottage Layout


Since Genworth, a firm specializing in long-term care and life insurance, predicts that at least 70 percent of the nation’s elderly will require long-term care at some time in their lives, the nation’s current 15,700 long-term care facilities may not be sufficient to meet the need. Something more is needed and these self-contained medical units could meet that need.

The MEDCottage, the original granny pod, may have received the most publicity, but as the auxiliary care unit idea has caught on, others have entered the field. Among the other versions are ASAPs, or Architectural Solutions for Aging Populations, developed by an architectural firm in San Francisco. Fab Cab in Seattle also has a pre-fabricated version, as do PALS (Practical Assisted Living Solutions) in Rockfall, Conn., and ECHOAs or Elderly Cottage Housing Opportunity Additions. Larson Shores, an architecture firm in the San Francisco Bay Area, provides pre-designed in-law cottages that are accessible, affordable, and sustainable, and built on the owner’s property.


Local zoning laws have stalled the growth of the “granny pod” movement in some parts of the country. In 2010, Virginia amended state zoning laws to permit the addition of a temporary health care structure behind an existing home, but with the stipulation that a physician documented the medical need. Other states, including California and New York, followed. (If you are not sure about your area, check with your local agency on aging or the Accessory Dwellings website for regulations by city and state.)

Yet the prefabricated units still encounter some opposition, especially from potential neighbors who worry about overcrowding, and warn that adding seniors and disabled residents will change the character of a neighborhood, increase traffic, and affect property values. Too, some people simply don’t like the idea of “warehousing” the elderly in a self-contained unit, even one that is close to family and friends.

6 thoughts on “My Mother Lives in the Backyard: The Granny Pod Evolution

  1. MartinB

    At, which I co-edit, we’ve got dozens of stories of people aging in place in accessory dwelling units (ADUs), which is what governments tend to call buildings like these.

    However, nearly all of the “ADUs” we’ve seen are conventionally built structures, not prefab units. While it at first appears that a prefab structure will simplify issues of design and construction, in reality that doesn’t seem to be the case. There are several reasons for this…

    First, if the thing is going to be installed on a foundation and hooked up to local utilities, the local government will probably insist that the building follow the local government’s standards for design, placement, build quality, etc. The prefab thing may have to be altered to meet those standards.

    Prefab can be just as expensive as conventionally built. Once you start paying upward of $100K for a backyard cottage, you start wondering why it can’t be built with the custom touches you desire… a window here, a larger kitchen there, etc.

    ADUs come in lots of sizes, shapes, and types. “Granny pods” look especially sophisticated, but readers should know they are just one way of doing it. 🙂

  2. Pingback: MoneyTip$ » Granny Pods

  3. James Zavist

    For the right situation, this could be a great alternative. The two big challenges I see are cost and what happens after “granny” passes on. $125,000+ is a big investment for most people, and I can see these easily being repurposed as non-senior guest quarters or rental units. A better solution might be leasing the units, so there’s less of a reason to keep ’em, plus it would make them more affordable, much like other durable medical equipment.

  4. Toni

    I think this is a fantastic idea, like a mother-in-law apartment. I do think that it needs to be just a bit larger and more like a regular 1 bedroom apartment, not a studio. I think they should only have the specialized equipment that is needed for that particular patient, not necessarily everything that is listed in the article. Some of the equipment should be optional.

  5. Elaine Booker

    This is a great idea and much better alternative than nursing homes, where there is never enough staff to support the number of patients, and no guarantee the elderly will get the quality care they need and deserve. My Mother would have enjoyed such a unit on our property instead of living in the house with us. She had lived alone for 35 years, liked her alone time, and felt as though she had lost all her independence once she came to live with me. Done right, these units can be an asset to property values, and a financial life-saver for the elderly and their families.

Leave a Reply