Efnisyfirlit

• 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 M
• Appendix J: Freestanding 75-Unit, 3-Story Assisted Living Facility with 20-Bed Memory-Support Neighb
• 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 Win
• 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