Environments for Aging - Fall 2016 - 40

Left: Resident rooms at The Terraces at San Joaquin Gardens are arranged in proximity to a household-dedicated common room, pictured here. Part of the continuing care retirement community of the American Baptist Homes of the West, the buildings opened in 2014 and were designed by Douglas Pancake Architects. Below: Resident rooms at The Terraces at San Joaquin Gardens feature a wireless charting center, media wall, built-in personal storage, and wheelchair storage. expected to open in winter 2020. The 20-story high-rise, designed by Perkins Eastman, will have 11 floors with 22 Green House homes-two households per floor-to accommodate a total of 264 residents. In each home, 12 private bedrooms will surround a great room showcasing a living room, an open kitchen, and a dining room, the latter boasting a dining table large enough to seat all 12 residents plus guests. Five other floors with a total of 150 beds-90 private and 60 semi-private-will be devoted to short-term rehabilitation. Details, details 40 EFAmagazine.com * Fall 2016 doors feature a doorbell, providing a simple residential association right from the start. "The exterior door is locked in the household model," Simonetti says. By comparison, in a traditional facility, particularly a larger one, "people walk in and walk the halls; everything is public." That sort of visitation, he explains, "conveys a sense of entitlement." Instead, in a household model, "the whole home becomes [the residents']," he says. "Visitors act differently: You wait in the foyer until you are acknowledged. That's perfect." The up-and-coming residential emphasis in skilled nursing facilities includes public spaces filled with natural light and windows offering strong visual connections to outdoor settings. But a more obvious example of the model's person-centered features is an all-private bedroom layout that includes a private bathroom. "In all of my experience over the past decade or more, even in the medical model, the [private] bathrooms are being put in the bedroom," says Douglas Pancake, president of Douglas Pancake Architects. "It's terribly undignified to be wheeled down the halls." Where semi-private bedroom allocation occurs, half-walls should be used to define respective sleeping spaces, with each bed having a resident-dedicated area and direct window access, Pancake says. In some scenarios, two residents may express a desire to have a shared bedroom-spouses, partners, siblings, good friends. Even so, a patient-centered shared space in this arrangement consists of two areas: either two designated bedrooms or one bedroom and a living room space, with each configuration divided by a solid partition wall with a door that closes. "From an ideal perspective, everybody deserves the option of a private room unless you want to share," Calkins says. Striking a balance Still, a natural tension exists between creating a residential environment and supporting the inherent clinical nature of skilled nursing. "You have to design for both," says Martin Siefering, principal with Perkins Eastman (Pittsburgh). State requirements introduce necessary features that are institutional in aesthetic: mounted boxes to dispense latex gloves or soap, for example. PAUL MULLINS When it comes to interior approaches for SNF households, the individual needs of residents come first, says Debbie Wiegand, a project guide with The Green House Project. "We ask, 'Would it belong in your home?'" regarding color, furnishings, and other design elements. If not, it's excluded from the design mix. "We want to get rid of institutional cues; we just want to make sure we're creating something residential." Small houses in the Sarah Neuman campus of The New Jewish Home in Mamaroneck, N.Y., feature a large, open kitchen/ dining room/living room area that includes a hearth. The combined space conveys "home," right down to each kitchen's granite countertops; refrigerators look like residential models, yet they're commercial grade for durability. Perkins Eastman designed the small houses; three of which are open and a total of seven are planned as part of a phased renovation, from 2014 to 2017. Residential cues guide interactions at The Cottages at Garden Grove, a SNF in Cicero, N.Y., as well. SWBR Architects designed The Cottages, 12 8,400-square-foot units, each having 13 private bedrooms and all containing private bathrooms with showers. Front 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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