leadingage ny richard rosen, aia leed the growin… · upmc ireland 5/8/2017 jdh 1 leadingage ny...

UPMC Ireland 5/8/2017

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LeadingAge NYMeeting the Growing NeedsFor Memory Support

24 May 2017

Richard S. Rosen, AIAPrincipal

Richard Rosen, AIA LEED AP

PrincipalPerkins EastmanNew York, NY

Rita MabliPresident & CEOUnited HebrewNew Rochelle, NY

Daniel A. ReingoldPresident & CEORiverSpring HealthBronx, NY

Herbert H. FriedmanExecutive Vice PresidentGurwin Jewish Nursing and Rehabilitation CenterCommack, NY

SPEAKERS

PROGRAM CONTENT

As more seniors remain in their homes as long as possible, the transition to a care facility is occurring at more advanced ages. These older adults often exhibit symptoms of memory loss/dementia or Alzheimer’s disease. Many health care providers, recognizing the increasing demand for memory care support services, have begun to convert portions of their traditional medical model skilled care or traditional assisted living buildings into a neighborhood model for memory support. This panel will illustrate recent design strategies to convert several traditional skilled care facilities and a wing of a traditional assisted living facility into innovative memory support neighborhoods. Directors of each of these sponsors will share the critical decisions leading to these conversions and the challenges and opportunities of construction and licensing, as well as issues of renovation within an operating facility.

FIRM OVERVIEW


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100+ industry citations for excellence

20 principals committed to senior living

600+ completed projects, 90% of which integrated architecture and interior design services

60,000+ independent living apartments

30,000+ assisted living apartments

35,000+ skilled nursing rooms

500+ clients over 25 years

500+ master plans for senior living communities

30 AIA Design for Aging Awards, including the 10-Year Award for Woodside Place and Sun City Yokohama

We wrote the book on senior living design: Building Type Basics for Senior Living Design (John Wiley & Sons)

PERKINS EASTMAN RESEARCHResearch has shown that physical environments impact:

● quality of life

● job performance

● the healing process

● one’s ability to learn

● many other psychological and physical experiences

This led to the creation of a research collaborative dedicated to serving our clients and improving our staffs’ knowledge and abilities.

The firm conducts and applies research so designers and clients can make more informed decisions during the design process.

SENIOR LIVING TRENDS& MEMORY CARE

1. Aging IN Community2. Creating PARTNERSHIPS3. Serving the MIDDLE INCOME4. Embracing the power of EXPERIENCE5. Cultivating WELLNESS6. Design for RECRUITMENT and

RENTENTION7. Convergence of the LONG-TERM CARE

model8. The future of MEMORY SUPPORT9. Living SUSTAINABLY10. Responding to DISRUPTORS

SENIOR LIVING TRENDS FOR 2017


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No one wants to forget or to be forgotten.

The Future of MEMORY SUPPORT1. Engaged wandering2. Acknowledge privacy and community3. Flexible rhythm and patterns4. Small group5. Alternative way-finding systems6. Independence with security7. Residential qualities8. Focused and appropriate stimulation 9. Family and caregiver participation10.Respectful dignity

PRINCIPLES OF MEMORY SUPPORT

SPECIALIZED MEMORY SUPPORT: ASSISTED LIVING

Woodside Place | Oakmont, PA

MONTECEDROMEMORY CARE HOUSEHOLD


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ABE’S GARDENMEMORY CARE HOUSEHOLD

SPRING LAKE VILLAGEMEMORY SUPPORT HOUSEHOLD

GOODWIN HOUSEMEMORY CARE NEIGHBORHOOD

JSL ROCHESTER WOLK MEMORY CARE


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LINKED NEIGHBORHOODMEMORY CARE

Less autonomy of households

Maintain clarity of separate sleeping and living spaces

Strong central kitchen with distinctly separate dining

SPECIALIZED MEMORY SUPPORT: CLUB PROGRAMS

● Integration with structured programs

● Evolution into day care programs

Club Program in Independent Living

SPECIALIZED MEMORY SUPPORT: GUEST CARE & RESPITE

JSL Marian’s Place | Rochester, NY

SPECIALIZED DEMENTIA DESIGN FOR COGNITION

House for Betty®


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HOGEWEY DEMENTIA VILLAGE*

Architect: Dementia Village Advisors (The Netherlands)

*Not a Perkins Eastman project

PRIVATE ROOM REINTERPRETED

Screened visibility increases privacy at bed

Good visibility from bedroom to toilet

HOUSEHOLD CLUSTERS


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UMHNJ The Shores at Wesley Manor JGS Ruth’s House

DINING ROOMS

HSL NewBridge on the Charles JSL The Lodge at Wolk Manor

KITCHENS

Abe’s Garden Abe’s Garden

LIVING ROOM / GREAT ROOM

Jewish Senior Services at Bridgeport UMHNJ The Shores at Wesley Manor

DEN / ACTIVITY ROOMS


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St. Andrew’s Village Presbyterian Village at Hollidaysburg

STAFF WORKSPACES

Covenant Village Covenant Village

SPA BATHING

USVA Community Living Center at Danville JSL Marian’s House

OUTDOOR SPACES

Renovation Examples


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MEDICAL MODEL SKILLED CARE TRANSFORMATION TO HOUSEHOLDS

Sarah Newman| Mamaroneck, NY

SMALL HOUSES 4 & 5

(First Floor Pavilion / Weinberg)June 2017 – April 2018

DR

DR

LR

Den

Den

K

12 Bed House8 Bed House

Small House 48 residents


Beauty

Ofc

ReceptionDesk

Wintergarden

PavilionEntrance

WeinbergEntrance

SMALL HOUSES 6 & 7

(Second Floor Pavilion)April 2018 – April 2019

DR

K

DRLR

LR

KDen Den



Pavilion Renovation

First Floor5 Private8 Shared 13 Residents

Second Floor11 Private14 Shared25 Residents

Third Floor – North19 Private6 Shared25 Residents

63 Total Residents in Pavilion(14 Residents with fully compliance ADA bathrooms - 9 of 18 new bathrooms)

The ExistingPavilion Entrance to be designated as the newMain Entrancefor the campus;Renovations include covered drop-off and new reception

Walter’s Gardens

South Small House13 Residents

6,095 gsf(excludes Elevator, lobby and stairs)

Gardens

Weinberg Building

PAVILION FIRST FLOOR & LOBBY


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Pavilion Renovation

First Floor - South5 Private8 Shared13 Residents

Second Floor11 Private14 Shared25 Residents

Third Floor19 Private6 Shared 25 Residents

63 Total Residents in Pavilion(14 Residents with fully compliance ADA bathrooms - 9 of 18 new bathrooms)

Weinberg Building

PAVILION THIRD FLOOR

MEDICAL MODEL SKILLED CARE TRANSFORMATION – SEQUENCING

MEDICAL MODEL SKILLED CARE TRANSFORMATION -EXISTING


MEDICAL MODEL SKILLED CARE TRANSFORMATION - RENOVATION



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RiverSpring Health

Founded in 1917 in Harlem as a shelter for aging immigrants

Non-profit, non sectarian senior care organization

Moved to Riverdale in 1951

2017 marks our Centennial Anniversary

ABOUT THE HEBREW HOME AT RIVERDALE

Located on a sprawling 32-acre campus along the Hudson River


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BEYOND OUR RIVERDALE CAMPUS● The Hebrew Home is part of a larger

organization, RiverSpring Health

● RiverSpring Health provides care to over 12,000 older adults throughout New York City daily

●Programs and services include:

● Nation’s first elder abuse shelter

● Managed long term care

● Assisted living

● Independent living

● Low-income housing

● Short-term Rehabilitation

● Home Care

● Care Management

Opened the first senior day care program that runs overnight for community members with Alzheimer’s and dementia

Created the Balance app to help caregivers of Alzheimer’s patients schedule appointments and track changes in behavior in real time

Created the first sexual expression policy in a long-term care setting to support intimacy among consenting residents including Memory Care

AN INNOVATIVE APPROACH TO MEMORY CARE

Created Yankees Dugout and NY Giants End Zone exhibitions to foster memories among residents

Sports is used thematically in poetry groups, art classes, and music groups

SPORTS AND MEMORY CARE


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ART AND MEMORY CARE MEMORY CARE AT THE HEBREW HOME

HEBREW HOME AT RIVERDALE

Before: Skilled Nursing After: Assisted Living/Memory Care


Before After

Core gets smaller

Resident rooms get bigger

Prioritize living space


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Before After

Decentralize common spaces


Before:Double occupancy

After:Single occupancy

Enhance resident rooms & make fully accessible

Gurwin- Fay Lindner Residences

GURWIN – FAY LINDNER RESIDENCES


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GURWIN – FAY LINDNER RESIDENCES GURWIN – FAY LINDNER RESIDENCES


Before:Assisted Living After: Assisted Living/Memory Care

Before:AL/Memory Care


Remove apartments to augment and integrate common areas


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Convert 1 BR to Studios

Before: 1 BRs After: Studios

United Hebrew-Willow Gardens

Our comprehensive campus of care includes:

• United Hebrew Skilled Nursing & Rehabilitation

• Willow Towers Assisted Living

• Willow Gardens Memory Care

• Soundview Senior Housing

• Meadow Lane Senior Housing

• Home Care [CHHA & LHCSA]

• Geriatric Case Management Program

UNITED HEBREW WILLOW GARDENS

Westchester's first non-profit assisted living residence devoted exclusively for people with Alzheimer's and related dementias

Licensed for 51 beds

Triple licensure; ALR, SNALR, EALR

Renovated our vacant nursing pavilion into a dual-use building with separate entrances for memory care assisted living and independent living.

Features include: secure courtyard

UNITED HEBREW WILLOW GARDENS


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WILLOW GARDENS

Original 1955 Skilled Nursing BuildingGutner Pavilion

Renovated BuildingWillow Gardens

WILLOW GARDENS

Before Renovation – Main Lobby After Renovation – Main Lobby

WILLOW GARDENS

Before Renovation – Main Dining Room After Renovation – Main Dining Room

WILLOW GARDENS

Before Renovation – Resident Room After Renovation – Resident Room


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WILLOW GARDENS

Before: Skilled Nursing1st floor

After: Memory Care1st floor

WILLOW GARDENS

Before: Skilled Nursing2nd floor

After: Memory Care2nd floor

WILLOW GARDENS

Before After

Redistributeand combine resident rooms

2nd floor 2nd floor

1st floor 1st floor

WILLOW GARDENS

Before After

Decentralize and add common space

2nd floor 2nd floor

1st floor 1st floor


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WILLOW GARDENS

Before: Studio w/ Shared Bathrooms

After: 1 & 2 BR w/ Seating Areas

Combine resident rooms

DISCUSSION/QUESTIONS

THANK YOU

leadingage ny richard rosen, aia leed the growin… · upmc ireland 5/8/2017 jdh 1 leadingage ny...

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