Environments for Aging - Fall 2016 - 39

Left: The living room, part of a great room, is adjacent to an open kitchen and dining room in one of the small houses on the Sarah Neuman campus of The New Jewish Home in Mamaroneck, N.Y. Three skilled nursing small houses are open; a total of seven houses are planned as part of a phased renovation, from 2014 to 2017. Below: Each house on the Sarah Neuman campus has its own dining room, open kitchen, and living room, all part of a common area. The homes were designed by Perkins Eastman. quality-of-life improvement for elders in longterm care communities. Today, skilled nursing design is steeped in person-centered care elements such as private rooms with private bathrooms, an absence of centralized nurses' stations, smaller resident wings with dedicated kitchens, easily accessible and visible outdoor spaces, and common areas that integrate staff and resident activities. Despite this progress being made, consumer preference remains with avoiding skilled nursing for as long as possible, which is influencing the resident populations that designs must support. "People are living longer, medical care is improving, and less expensive alternatives such as adult day healthcare, home healthcare, assisted living, and supportive housing are growing," says Tom Gears, principal with SWBR Architects (Rochester, N.Y.). "The typical resident entering a skilled nursing facility is now older and in need of more medical services." Growth in the sub-acute, short-term stay market is also affecting SNFs, Gears says, requiring communities to support not only different diagnoses but traditionally younger residents, as well. To that end, highly flexible environments are preferred. THE NEW JEWISH HOME A household remedy "Our clients are not focusing on an individual population. We're designing for multiple populations and multiple acuity levels," says Rob Simonetti, senior associate and design director with SWBR. "When we focus less on medical diagnosis and more on the whole person, we see that there is a narrower spectrum of differences between people. Environments that support all domains of wellness can serve the vast spectrum of needs and can be supplemented with specific care for the individual." One major design solution being implemented across the country to create appropriate environments for care is the household model. "The smaller household models offer providers the flexibility to address different populations, services, and diagnoses with specialized needs in controlled, intimate environments," says Joseph Hassel, principal with Perkins Eastman (Chicago). "It also offers the provider the ability to expand or contract the program offerings based on market need." This often translates to "neighborhoods" broken down into 24 private rooms or fewer, says Susan Ryan, senior director with The Green House Project (Baltimore). In comparison, traditional models being renovated formerly offered 40-, 45-, or even 60-plusbed layouts, she adds. The Green House Project, founded in 2001, partners with organizations to realize the design and building of small-scale, community-based licensed SNFs, emphasizing a household model and person-directed care. Currently there are 208 Green House homes in 49 communities across 30 states. Examples of the household model in action include The Terraces at San Joaquin Gardens, a community of the American Baptist Homes of the West (ABHOW) in Fresno, Calif., which features a replacement SNF that opened in 2014 and offers three separate households within a one-story building. The project was designed by Douglas Pancake Architects (Irvine, Calif.). The previous site had 88 beds, of which 80 percent were semiprivate; in contrast, the three households each now feature 15 units with 12 private bedrooms and three semi-private bedrooms with two beds. A similar design sensibility is evident in The Living Center of Manhattan, a building initiative of The New Jewish Home in New York City. Groundbreaking for this 376,000-squarefoot SNF is set for summer 2017, with doors Fall 2016 * EFAmagazine.com 39 http://www.EFAmagazine.com

Table of Contents for the Digital Edition of Environments for Aging - Fall 2016

Environments for Aging - Fall 2016
Contents
EFAmagazine.com
Editorial
Show Talk
Bulletin
Community
Bigger in Texas
Exterior Expectations
Personalized Care
High Design
Creative License
Top 10 Remodel/ Renovation Projects
Design Profiles
Product Gallery
Q+A
Environments for Aging - Fall 2016 - Environments for Aging - Fall 2016
Environments for Aging - Fall 2016 - Cover2
Environments for Aging - Fall 2016 - 1
Environments for Aging - Fall 2016 - Contents
Environments for Aging - Fall 2016 - 3
Environments for Aging - Fall 2016 - EFAmagazine.com
Environments for Aging - Fall 2016 - 5
Environments for Aging - Fall 2016 - Editorial
Environments for Aging - Fall 2016 - 7
Environments for Aging - Fall 2016 - Show Talk
Environments for Aging - Fall 2016 - 9
Environments for Aging - Fall 2016 - Bulletin
Environments for Aging - Fall 2016 - 11
Environments for Aging - Fall 2016 - 12
Environments for Aging - Fall 2016 - 13
Environments for Aging - Fall 2016 - 14
Environments for Aging - Fall 2016 - 15
Environments for Aging - Fall 2016 - Community
Environments for Aging - Fall 2016 - 17
Environments for Aging - Fall 2016 - 18
Environments for Aging - Fall 2016 - 19
Environments for Aging - Fall 2016 - 20
Environments for Aging - Fall 2016 - 21
Environments for Aging - Fall 2016 - Bigger in Texas
Environments for Aging - Fall 2016 - 23
Environments for Aging - Fall 2016 - 24
Environments for Aging - Fall 2016 - 25
Environments for Aging - Fall 2016 - 26
Environments for Aging - Fall 2016 - 27
Environments for Aging - Fall 2016 - 28
Environments for Aging - Fall 2016 - 29
Environments for Aging - Fall 2016 - Exterior Expectations
Environments for Aging - Fall 2016 - 31
Environments for Aging - Fall 2016 - 32
Environments for Aging - Fall 2016 - 33
Environments for Aging - Fall 2016 - 34
Environments for Aging - Fall 2016 - 35
Environments for Aging - Fall 2016 - Personalized Care
Environments for Aging - Fall 2016 - 37
Environments for Aging - Fall 2016 - 38
Environments for Aging - Fall 2016 - 39
Environments for Aging - Fall 2016 - 40
Environments for Aging - Fall 2016 - 41
Environments for Aging - Fall 2016 - 42
Environments for Aging - Fall 2016 - 43
Environments for Aging - Fall 2016 - High Design
Environments for Aging - Fall 2016 - 45
Environments for Aging - Fall 2016 - 46
Environments for Aging - Fall 2016 - 47
Environments for Aging - Fall 2016 - 48
Environments for Aging - Fall 2016 - 49
Environments for Aging - Fall 2016 - Creative License
Environments for Aging - Fall 2016 - 51
Environments for Aging - Fall 2016 - Top 10 Remodel/ Renovation Projects
Environments for Aging - Fall 2016 - 53
Environments for Aging - Fall 2016 - 54
Environments for Aging - Fall 2016 - 55
Environments for Aging - Fall 2016 - 56
Environments for Aging - Fall 2016 - 57
Environments for Aging - Fall 2016 - 58
Environments for Aging - Fall 2016 - 59
Environments for Aging - Fall 2016 - 60
Environments for Aging - Fall 2016 - 61
Environments for Aging - Fall 2016 - 62
Environments for Aging - Fall 2016 - 63
Environments for Aging - Fall 2016 - Design Profiles
Environments for Aging - Fall 2016 - 65
Environments for Aging - Fall 2016 - 66
Environments for Aging - Fall 2016 - 67
Environments for Aging - Fall 2016 - 68
Environments for Aging - Fall 2016 - 69
Environments for Aging - Fall 2016 - Product Gallery
Environments for Aging - Fall 2016 - 71
Environments for Aging - Fall 2016 - Q+A
Environments for Aging - Fall 2016 - Cover3
Environments for Aging - Fall 2016 - Cover4
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