There has been considerable work in this field for a number of years. Lack of payer reimbursement, especially Medicare, has hindered the growth of nursing home telemedicine, preventing it from being a self-sustaining service. As a result, most applications have been grant funded. Medicare is now reimbursing this service for rural communities , and there is a bill in congress which would expand coverage to the entire country without regard to rural designation status.
I have listed below, links documenting the development of telemedicine in nursing homes:
Employing a Wireless Mobile Solution to Bring
Telemedicine to the Nursing Home Bedside
12/14/2008: Medicare will now pay for nursing home patients to be treated by telemedicine
University of Iowa Hospitals and Clinics, Family Medicine Department: Nursing home telehealth system
West Texas Rural Nursing Home Telemedicine Network Project-planned
“Direct Telemedicine in a Nursing Home Setting” Rationale – Innovation - Feasibility. Louis Lareng, Monique Savoldelli, Pierre Rumeau