Environments for Aging - Spring 2018 - 30

COMMUNITY

Heightening hospitality
While such approaches sought to deliver a more homelike environment for seniors, other early AL providers pursued
a different track, building on a reference
to fine inns and small European hotels
to create more hospitality-driven settings. Among the trailblazers were Paul
and Terry Klaassen, who adopted the
familiar imagery of a rambling Victorian
mansion as the trademark building style
for their Sunrise Senior Living developments. Larger in scale than the small
house, these communities featured
centralized amenities, such as meals
served in a main formal dining room.
Concierge-style services and a marked
distinction between the common and
30

EFAmagazine.com * Spring 2018

Thoughtful application of universal design principles enhances the ability of this senior living residence to
facilitate aging in place, without diminishing its warmth and residential appeal.

private realms further underscored the
hospitality orientation.
Concurrently, continuing care retirement communities (CCRCs) took off in the
'90s as self-contained campuses offering
all levels of housing and services, where
residents could continue to live while
moving to different care environments
as their needs evolved. As life expectancies increased and seniors' retirement
options grew, providers capitalized on the
attractiveness of resort-style environments
with all levels of care conveniently but
discreetly included on-site.
Historically, CCRCs have tended to
be more exclusive due to the high cost
of entry fees, attracting a more affluent
demographic that's well traveled and accustomed to the perks of
five-star hotels. Consequently, these projects
often draw heavily on
features and amenities
previously found only in
the hospitality industry,
such as fine dining restaurants, health clubs, spas,
and aquatic facilities, which are offered in
centralized areas sometimes referred to as

bespeaks a luxurious lifestyle. The entry
of major hoteliers like Marriott and Hyatt
into the ranks of retirement community
developers further raised the bar, as they
sought to create branded destination
retirement resorts, spurring increased
project scale as well as the hotel-inspired
design of such communities.

Design distinctions
While both home- and hotel-like models offer resident rooms, amenities,
and basic creature comforts, there are
obviously clear distinctions. Small house
and household communities frequently
are home to residents with higher acuity
levels, including AL, memory care, and
skilled nursing. With the need for greater

Early AL providers referenced
fine inns and small European
hotels to create hospitalitydriven settings.

town centers.
Even the imagery of these developments, with their neatly planned campuses, lodge-style architecture, well-appointed interiors, and manicured grounds

levels of care and services comes the
need for certain equipment and design
finishes, such as ceiling lifts, roll-in showers, med carts, and swing-down grab
bars. The presence of these devices and
other less noticeable design features,
such as zero-threshold entrances, lean

COURTESY OF ERDMAN

tended to be smaller in scale, often situated in large, formerly private homes or
purpose-built dormitory-like structures
with a centralized dining room, living
room, parlor, and sunroom.
While differing in layout and amenities
offered, all of these models featured an
environment that was reminiscent of the
dwellings seniors had left behind. Operationally, however, they remained rooted
in a traditional top-down staffing model
driven by the needs of the organization
rather than the individual.
A decade or so later, the culture
change movement emerged and brought
into sharper focus the preferences of the
individual over those of the institution,
making person-centered care part of
senior living. A pioneer in this movement
was gerontologist Dr. Bill Thomas, who
introduced the Eden Alternative in the
early 1990s, before launching The Green
House Project in 2001. The latter aimed
to replace the nursing home model with
more intimate communities for seniors
and caregivers, with 10 to 12 private resident rooms around a homelike hub in a
standalone structure resembling a singlefamily dwelling. The core of the home
contains shared kitchen, dining, and living
spaces, and each house operates autonomously with meals typically shared family style. Although primarily offering skilled
nursing care, the Green House model has
been widely adapted to memory care and
AL communities, as well.


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Environments for Aging - Spring 2018

Table of Contents for the Digital Edition of Environments for Aging - Spring 2018

Environments for Aging - Spring 2018
Contents
EFAmagazine.com
Editorial
Show Talk
Bulletin
Photo Tour
Community
Higher calling
Welcome
2018 jury/award winners and finalists
Style and substance
Life well lived
Leading the way
Making the cut
Pushing boundaries
Project directory
EFA Design Showcase
The Spark
Environments for Aging - Spring 2018 - Environments for Aging - Spring 2018
Environments for Aging - Spring 2018 - Cover2
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Environments for Aging - Spring 2018 - 2
Environments for Aging - Spring 2018 - 3
Environments for Aging - Spring 2018 - Contents
Environments for Aging - Spring 2018 - 5
Environments for Aging - Spring 2018 - EFAmagazine.com
Environments for Aging - Spring 2018 - 7
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Environments for Aging - Spring 2018 - 9
Environments for Aging - Spring 2018 - 10
Environments for Aging - Spring 2018 - Editorial
Environments for Aging - Spring 2018 - Show Talk
Environments for Aging - Spring 2018 - 13
Environments for Aging - Spring 2018 - Bulletin
Environments for Aging - Spring 2018 - 15
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Environments for Aging - Spring 2018 - Photo Tour
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Environments for Aging - Spring 2018 - Community
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Environments for Aging - Spring 2018 - Higher calling
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Environments for Aging - Spring 2018 - Welcome
Environments for Aging - Spring 2018 - 43
Environments for Aging - Spring 2018 - 2018 jury/award winners and finalists
Environments for Aging - Spring 2018 - 45
Environments for Aging - Spring 2018 - Style and substance
Environments for Aging - Spring 2018 - 47
Environments for Aging - Spring 2018 - Life well lived
Environments for Aging - Spring 2018 - 49
Environments for Aging - Spring 2018 - Leading the way
Environments for Aging - Spring 2018 - 51
Environments for Aging - Spring 2018 - Making the cut
Environments for Aging - Spring 2018 - 53
Environments for Aging - Spring 2018 - Pushing boundaries
Environments for Aging - Spring 2018 - 55
Environments for Aging - Spring 2018 - Project directory
Environments for Aging - Spring 2018 - EFA Design Showcase
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Environments for Aging - Spring 2018 - The Spark
Environments for Aging - Spring 2018 - Cover3
Environments for Aging - Spring 2018 - Cover4
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