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The World’s Oldest Nursing Home? A 1,600-Year Legacy of Eldercare

The World’s Oldest Nursing Home? A 1,600-Year Legacy of Eldercare

Neil Stern |

How cool is it to catch even a glimpse of what might be the first‑ever known health‑care facility in recorded history?

No — the image you see above is not the mosaic itself. Due to copyright restrictions, we’re unable to post the original picture here. Instead, we’ve included a direct link to the actual discovery at the end of this article for those who’d like to view it firsthand.  

Archaeologists working at Sussita (ancient Hippos) near the Sea of Galilee recently uncovered a mosaic that may mark the entrance to the world’s oldest known nursing home. Dating back to the late 4th or early 5th century CE, the site offers the earliest tangible evidence that organized eldercare was part of community life centuries ago.

The mosaic itself is stunning — filled with fruits, cypress trees, Egyptian geese, and vessels. But its most powerful feature is the inscription in Greek:

“Peace be with the elders.”

Historians believe this points to a facility dedicated to the care and dignity of older community members, a social institution separate from family homes. According to the University of Haifa’s Michael Eisenberg, this is “living proof that care and concern for the elderly are not just a modern idea.”

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From Hippos to Today: The Evolution of Eldercare

While the mosaic gives us a glimpse of eldercare 1,600 years ago, the U.S. story took its own path:

1. Colonial Almshouses — Early American care for the elderly was tied to almshouses, institutions that also served the poor and infirm. Conditions were often harsh.

2. Religious & Charitable Homes (Mid-1800s) — Groups such as *The New Jewish Home* (founded 1870 in NYC) and *Isabella Geriatric Center* (1875) pioneered facilities dedicated specifically to aging populations.

3. Municipal Innovations — By the late 1800s and early 1900s, cities built homes for the aged and infirm, including the Cambridge Home for the Aged and Infirm (1928), a forerunner of modern nursing homes.

From the first almshouses to purpose-built senior residences, these institutions carried forward a consistent theme:

Society recognizing its responsibility to provide dignity, structure, and care for elders.

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A Shared Thread Across Centuries

What’s striking is how the message carved into that ancient mosaic resonates today. Whether in a Byzantine-era city or a 21st-century facility, the same truth emerges: eldercare is not an afterthought. It’s a reflection of who we are as a society.

Just as that mosaic reminded a community 1,600 years ago of their duty to care for elders, today’s facilities face the same challenge: balancing dignity, resources, and compassion in the modern system. The story is ancient — but the responsibility is timeless.

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Check out the 1,600 Year Old Mosaic

Looking Ahead

At SupplyLine Medical, we’re proud to support the mission of today’s facilities by providing the supplies, equipment, and flexibility you need to continue that legacy of care — without contracts, at sharp pricing, and with logistics you can count on.

📌See how SupplyLine can support your team:
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Because 1,600 years later, the best message we can leave is still the same: 
Peace be with the elders.