Building Type Basics for Senior Living

Description

Essential information for the design of senior living facilities Building Type Basics for Senior Living, Second Edition is your one-stop reference for essential information you need to plan and successfully complete the design of residential care environments for seniors on time and within budget. Primary authors Bradford Perkins and J. David Hoglund and their Perkins Eastman colleagues―all experts in senior living design―share firsthand knowledge to guide you through all aspects of the design of senior living communities, including independent living and assisted living apartments, and skilled nursing facilities. This edition features new examples of completed projects and is up to date with the latest developments in senior living design, including coverage of sustainable design, renovation and reinvention, international opportunities, operations, and project financing. This new edition offers: Numerous photographs, diagrams, and plansA new chapter on issues, trends, and challenges for the senior living industry in the next decadeA new chapter devoted to sustainability strategies and considerationsUp-to-date coverage of new technologies being implemented in senior living facilitiesNew space programming standards and sample programs Like every Building Type Basics book, this conveniently organized quick reference provides authoritative, up-to-date information instantly and saves professionals countless hours of research. Building Type Basics for: Senior Living Contents Preface Acknowledgments 1. Senior Living Today State of the Industry Demographics Accessibility Solutions Design and the Aging Process Biological Aging Social Passage 2. Programming & Planning Guidelines Understanding the Marketplace Programming Space Guidelines Community Based Options Typical users Sponsors, Settings, Payments, and Reimbursements Geriatric Outpatient Clinic Adult Day Care Long-Term Care Typical Users and Care Sponsors and Owners Settings Program and Design Housing Models Long-Term Care Programs Program and Design Hospice Users and Services History of Hospice Sponsors and Owners Purpose-Built Hospice Care Settings Program and Design Payment, Reimbursement, and Regulation Assisted Living Residences Typical Users Sponsors and Owners Settings Program and Design Resident Unit Unit Features Unit Amenities Planning Approaches Payment, Reimbursement, and Regulation Regulation Trends and Innovations Residences for Persons with Alzheimer's and Dementia Typical Users Sponsors and Owners Settings Program and Design Design Considerations Payment, Reimbursement, and Regulation Trends and Innovations Independent Living with Services Typical Users Sponsors and Owners Settings Program and Design Unit Features Key Planning Issues Payment, Reimbursement and Regulation Trends and Innovations Continuing Care Retirement Communities Typical Users Sponsors and Owners Settings Organization Program and Design Market Considerations Program Components Assisted Living Residences Long¥Term Care Payment, Reimbursement, and Regulation Trends and Innovations Active Adult Communities Typical Users Sponsors Settings Program and Design Payment, Reimbursement, and Regulation Marketing Ownership Summary 3. The Future of Senior Living Demographics Population Health and Services Ethnic and Cultural Diversity Consumers' Expectations Privacy Choice Value Non¥Institutional Environments Security Integration into Existing Communities Lifestyle Changes Future Consumers Fitness and Wellness Lifelong Learning Lifestyle Apartments Service Partnerships Economic Pressures Existing Housing and Care Facilities Evolving Staffing Patterns Sustainable Design Leveraging Assets and Brand New Housing and Care Concepts Green Houses and Small Houses Culture Change Affordability Reducing the Cost of Housing for Seniors 4. Project Process and Management Planning, Design, and Implementation Process Strategic Planning and Preliminary Definition of Need Feasibility Analysis Selection and Organization of Project Team Programming and Predesign Schematic Design Obtaining Approval and/or Financing Design Development Construction Documentation Selection of the Construction and FF&E Installation Teams and Purchasing Construction and Installation Occupancy Common Problems and Cautions Failure to Plan Unclear, Timid, or Unrealistic Goals Inadequate Client Leadership Selecting the Wrong Project Team for the Wrong Reasons Ineffective Project Management Tackling Issues Sequentially, not Concurrently Poor Management of the Public Approval Process Not Prioritizing Quality Failure to Plan for Maximal Staffing Efficiency Poor Cost Management Failure to Plan for Maintenance Conclusion 5. Site Planning, Parking, and Landscape Design Site Size Relationship to Adjacent Land Uses Vehicular Circulation Parking Landscape Design 6. Building Codes Codes and Regulations Federal State Local Reference Standards Energy Codes and Sustainable Design Standards Regulatory Issues Life Safety Space Standards Building Systems and Construction Practices Public Policy Accessibility Enforcement Fiscal and Bidding Controls Land Use Policy Waivers Conclusion 7. Sustainability Market Expectations Calculating Cost Benefit Years to Payback Life Cycle Cost Strategies for Sustainability Create Sustainable Sites Save Water Reduce Use of Fossil Fuels Heating, Ventilation, and Air¥Conditioning Lighting and Daylighting Alternative Energy Sources Smart Use of Materials and Resources Adaptive Reuse Indoor Environmental Quality 8. Structural Systems Considerations Program and Concept Applicable Codes Potential Code Changes Flexibility Soil Conditions Lateral Forces Impact on Finished Ceiling and Building Height Material Delivery and Construction Timing Local Construction Industry Preferences and Capabilities Ease of Construction and Schedule Life Cycle Cost Cost Impact on Other Systems Appearance and Aesthetics Structural System Types Wood Frame Structural Metal Studs Masonry Bearing Wall Steel Frame and Concrete Plank Composite Steel Precast Concrete Concrete Frame Long-Span Structures Pre-Engineered Structures Combined Systems 9. Mechanical, Plumbing, Fire-Protection, And Electrical Systems The Interior Environment and Comfort for an Aging Population Mechanical/Hvac Plumbing Fire Protection Electrical Program and Concept Applicable Codes Mechanical and Hvac Plumbing Fire Protection Electrical Program Impact on System Selection Mechanical and Hvac Plumbing Fire Protection Electrical Finished Ceilings and Building Height Mechanical and Hvac Plumbing Fire Protection Electrical Flexibility Construction Materials Delivery and Timing Local Construction Capabilities and Preferences Ease of Construction and Schedule First Cost and Life Cycle Cost Cost Impact on Other Systems Appearance and Aesthetics Noise and Vibration Controls Mechanical and Hvac System Options Packaged Terminal Air-Conditioning Units Packaged Rooftop Units Air¥To¥Air Heat Pumps Water Source Heat Pumps Variable Refrigerant Volume Systems Fan Coil Systems Dehumidification Systems Ventilation Fresh Air Requirements Filtration General Exhaust Kitchen Exhaust/Grease Ducts Laundry and Lint Traps Plumbing Fixtures and Fittings Hot Water Distribution Metering Rainwater Fire Protection Fire Alarm Fire Pumps and Backflow Preventers Wet Systems Dry Systems Electrical Distribution Transformers Switchgear Metering Emergency Power Lighting 10. Communications and Low-Voltage Electrical Systems Systems Proliferation Emergency Response/Nurse Call Movement Alarms Access Control Visual Monitoring Telecommunications Television Internet Access Networks and Intranets Wireless Technology Audiovisual Point¥Of¥Sale Systems Operations Systems Trends 11. Special Technologies Remote Biometric Monitoring Systems Personal Locator Systems Fall Detection Telemedicine Web Portals Virtual Reality Therapy Remote Learning Circadian Lighting 12. Products And Equipment Medical Equipment Universal Design Mobility Devices Food Service Adult Day Care Long-Term Care Assisted Living Independent Living Special Care and Dementia Kosher Preparation Bathing Equipment Tubs Showers 13. Acoustics Key Acoustical Considerations Noise Reduction Coefficients Sound Transmission Class Values Design Guidelines for Specialized Spaces Lobbies Dining Areas Multipurpose Spaces, Spiritual Areas, Auditoriums, and Media Theaters Bathing Areas and Other Hard¥Surfaced Spaces Indoor Pool Spaces Mechanical and Electrical Systems and Mechanical Rooms Hearing-Impairment Guidelines and Code Requirements 14. Lighting Design Light Levels, Reflectance Values, and Glare Lamping Options Linear Fluorescent Lamps Compact Fluorescent Lamps Halogen Lamps Other Lamp Types Windows and Daylighting Design Guidelines for Specialized Spaces General Guidelines Common Areas Corridors Resident Living Spaces Conclusion 15. Interior Design The Design Process Trends Color Theory Wayfinding Materiality Interior Design Guidelines Flooring Other Floor Coverings Wall Coverings Windows and Window Coverings Furniture and Furnishings Definition Trends Specifications Sustainability Process 16. Renovation, Restoration, and Adaptive Reuse Long-Term Care Facilities Assisted Living Facilities Independent Living Facilities Cosmetic Renovation Moderate Renovation Major Renovation Key Questions Integrated Scenario Planning Adaptive Reuse Key Questions 17. International Challenges Service Development Programming and Design Service and Socialization Process Aging at Home Country-Specific Issues China Japan India Thailand The Americas Europe Conclusion 18. Operation and Maintenance Introduction Operations Costs Ongoing Operating and Maintenance Costs Durability, Useful Life, and Replacement Costs Operational Efficiency Cleanliness, Operations Quality, and Design 19. Cost Management Cost Management Program Relative Costs Value Engineering and Life Cycle Cost Analysis 20. Finances and Feasibility Ten Steps to Financing Preliminary Feasibility Planning and Analysis Potential Capital Structures and Sources of Financing and Equity Financing Team and Method Government Approvals Financial and Market Feasibility Study Underwriting Preparing for Closing Closing Project Costs and Covenants Ongoing Reporting of Performance and Covenant Compliance Financing Variations for Senior Settings Assisted Living Skilled Nursing Facilities Independent Living Continuing Care Retirement Communities Appendix A: Unit Types and Sizes for Senior Living Appendix B: Building Net-to-Gross Factors for Senior Living Appendix C: Geriatric Clinic: Typical Program Components Appendix D: Sample Large Outpatient Clinic Program Appendix E: Sample Enhanced Retirement Community Clinic Program Appendix F: Adult Day Care: Sample Program for 50 Participants Appendix G: Long-Term Care Gross Area per Bed Guidelines Appendix H: Typical Long-Term Care Program Components Appendix I: Sample Program: Long-Term Care, 126 Bed, 4-Story (and Basement) Neighborhood/Household Model Appendix J: Freestanding 75-Unit, 3-Story Assisted Living Facility with 20-Bed Memory-Support Neighborhood Appendix K: Sample Program for 40-person Memory-Care Residence Appendix L: Sample Program for Independent Living with Services Building-150 Units, 4 Stories, 2 Wings Appendix M: CCRC Program Appendix N: Enhanced CCRC Therapy Program Glossary Bibliography and References Index Building Type Basics for Senior Living: A Quick Index to Twenty Essential Questions Supplemental Images