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| Senior Living Today | |
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| State of the Industry | |
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| Demographics tell part of the story | |
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| The Aging Process and Design | |
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| Biological Aging | |
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| Social Passage | |
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| Programming & Planning Guidelines Understanding the Marketplace Programming Space Guidelines | |
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| Community Based Options | |
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| Introduction/types of users | |
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| Types of Sponsors/settings and Payment/reimbursement | |
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| Geriatric Outpatient Clinic | |
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| Adult Day Care | |
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| Nursing Homes/Long-Term Care | |
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| Hospice: Introduction/types of users | |
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| History of Hospice | |
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| Assisted Living Residences | |
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| Residences for Persons With Alzheimer's and Dementia | |
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| Independent Living with Services | |
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| Continuing Care Retirement Communities (CCRCs) | |
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| Active Adult Communities (AACs) | |
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| Issues, Trends & Challenges for the Senior Living Industry in the Next Decade | |
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| Demographic Trends | |
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| Growth in the Number of Seniors | |
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| Staying healthier Longer and/or accessing community services | |
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| Ethnic and Cultural Diversity | |
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| Privacy | |
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| Choice | |
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| Value | |
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| Noninstitutional Environments | |
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| Security | |
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| Integration into Existing Communities | |
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| Changes in Lifestyle | |
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| Fitness and Wellness | |
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| Lifelong Learning | |
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| The Existing Stock of Senior Housing and Care Facilities | |
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| Changing Staffing Patterns | |
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| Squeezing Operating Costs Through Sustainable Design | |
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| The Greenhouse Project and Small House Movement | |
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| Cultural Change | |
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| Affordability | |
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| Project Process and Management | |
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| Planning, Design, and Implementation Process | |
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| Strategic Planning and Preliminary Definition of Need | |
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| Feasibility Analysis | |
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| Selection and Organization of the Project Team | |
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| Programming and Predesign | |
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| Schematic Design | |
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| Obtaining Public Approval and/or Financing | |
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| Design Development | |
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| Construction Documentation | |
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| Selection of the Construction and FFE Installation Teams and Purchasing | |
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| Construction and Installation | |
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| Occupancy | |
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| Common Problems and Cautions | |
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| Failure to Plan | |
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| Unclear, Overly Timid and/or Unrealistic Goals | |
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| Inadequate Client Leadership | |
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| Selecting the Wrong Project Team for the Wrong Reasons | |
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| Ineffective Project Management | |
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| Tackling Issues Sequentially Rather Than in Parallel | |
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| Poor Management of the Public Approval Process | |
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| Placing Too Low a Priority on Quality | |
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| Failure to Plan a Facility for Staffing Efficiency | |
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| Poor Cost Management | |
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| Failure to Plan for Maintenance | |
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| Conclusion | |
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| Site Planning/ Parking/Access | |
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| Site Size | |
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| Relationship to Adjacent Land Uses | |
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| Vehicular Circulation | |
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| Parking | |
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| Landscape Design | |
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| Introduction | |
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| Codes | |
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| Federal Codes and Regulations: State Codes and Regulations | |
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| Local Codes and Regulations | |
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| Reference Standards | |
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| Energy Codes and Sustainable Design Standards: LIFE SAFETY | |
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| Fire Safety | |
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| Environmental Safety | |
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| Elimination of Hazards | |
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| Space Standards | |
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| Appropriate Building Systems and Construction Practices Public Policy | |
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| Historic Preservation | |
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| Energy Conservation and Sustainable Design | |
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| Accessibility | |
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| Enforcement | |
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| Fiscal and Bidding Controls | |
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| Land Use Policy | |
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| Obtaining Waivers from Existing Codes | |
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| Conclusion | |
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| Sustainability | |
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| Definitions | |
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| Compelling Reasons | |
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| Calculating Cost Benefit | |
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| Strategies for Sustainability | |
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| Create Sustainable Sites | |
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| Building Orientation | |
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| Lighting / Day Lighting | |
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| Alternative Energy Sources | |
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| Attention to Indoor Environmental Quality | |
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| Other Considerations and Strategies | |
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| Incorporating Sustainability into the Development Process | |
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| Structural Systems Considerations | |
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| The Program and Concept | |
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| Applicable Codes | |
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| Potential Code Changes | |
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| Flexibility | |
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| Impact on Finished-Ceiling and Building Height | |
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| Material Delivery and Construction Timing | |
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| Local Construction Industry Preferences and Capabilities | |
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| Ease of Construction and Schedule | |
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| Life cycle cost | |
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| Cost Impact on Other Systems | |
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| Appearance and Aesthetics | |
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| Structural System Types | |
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| Wood-Frame | |
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| Structural Metal Studs | |
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| Masonry Bearing Wall | |
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| Steel Frame and Concrete Plank | |
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| Composite Steel (Steel and Poured-Concrete Deck) | |
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| Precast Concrete | |
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| Concrete Frame | |
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| Mechanical/Plumbing/Fire -Protection and Electrical Systems | |
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| The Interior Environment and Comfort for an Aging Population | |
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| Mechanical/HVAC | |
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| Plumbing | |
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| Fire Protection | |
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| Program and Concept | |
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| Applicable Codes | |
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| Mechanical/HVAC | |
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| Plumbing | |
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| Fire Protection | |
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| Electrical | |
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| Potential Code Changes | |
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| Program Impact in System Selection | |
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| Ease of Construction and Schedule | |
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| Cost/Life Cycle Cost | |
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| Cost Impact on Other Systems | |
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| Appearance and Aesthetic Considerations | |
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| Noise and Vibration | |
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| Controls | |
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| Mechanical/HVAC System Options | |
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| Packaged terminal air conditioning units (PTAC?s) | |
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| Packaged rooftop units | |
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| Air-to-air Heat Pumps | |
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| Water Source Heat Pumps | |
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| Geo-thermal Heat Pumps | |
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| Variable Refrigerant Volume (VRV) Systems | |
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| Fan Coil Systems | |
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| Dehumidification Systems | |
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| Ventilation | |
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| Fresh air requirements | |
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| Filtration | |
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| General Exhaust | |
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| Kitchen exhaust/grease ducts | |
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| Laundry/lint traps | |
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| Plumbing | |
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| Special fixture/fitting considerations | |
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| Hot water distribution | |
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| Metering | |
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| Rain water | |
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| Fire Protection | |
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| Fire pumps and backflow preventers | |
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| Wet systems | |
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| Dry systems | |
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| Electrical Distribution | |
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| Transformers | |
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| Switchgear | |
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| Metering | |
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| Emergency Power | |
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| Fire Alarm | |
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| Lighting | |
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| Communications and Low Voltage Electrical Systems | |
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| Emergency Response/Nurse Call | |
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| Wander alert (elopement prevention) | |
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| Access Control | |
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| Visual Monitoring | |
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| Telecommunications | |
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| Television | |
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| Internet Access | |
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| Data Systems and Networks | |
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| Wireless Distribution Systems | |
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| Audiovisual | |
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| Point-of-Sale System | |
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| Operations Systems | |
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| System Recommendations | |
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| Influence on Design of Other Systems | |
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| Influence on Programming and Architectural Design | |
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| Influence on Operations | |
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| Trends/Key Issues/Other Factors | |
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| Special Technologies | |
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| Special Technologies Role and Objectives | |
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| Remote biometric monitoring systems | |
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| Web portals | |
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| Virtual reality therapy | |
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| Remote learning | |
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| Circadian lighting | |
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| Products & Equipment | |
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| Product Selection Criteria and Choices | |
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| Medical Equipment | |
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| Accessories of Universal Design | |
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| Mobility Devices | |
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| Food Service Options | |
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| Adult Day Care | |
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| Long-Term Care | |
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| Assisted Living | |
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| Independent Living | |
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| Special Care/Dementia | |
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| Kosher Preparation | |
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| Bathing Equipment | |
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| Tubs | |
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| Showers | |
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| Employee Learning and Training | |
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| Acoustic Control | |
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| Introduction | |
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| Common Acoustical Considerations | |
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| Noise Reduction Coefficients (NRC) | |
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| Sound Transmission Class (STC) Values | |
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| Design Guides and Recommendations for Specialized Spaces | |
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| Lobby Areas | |
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| Dining Areas | |
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| Multipurpose Spaces, Spiritual Areas and Auditoriums/Media Theaters | |
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| Bathing Areas and other Hard-Surfaced Spaces | |
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| Indoor Pool Spaces | |
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| Mechanical and Electrical Systems and Mechanical Rooms | |
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| Hearing-Impairment Guidelines and Code Requirements | |
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| Lighting Design | |
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| Introduction | |
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| Light Levels, Light Reflectance Values, and Glare | |
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| Lamping Options | |
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| Linear Fluorescent Lamps | |
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| Compact Fluorescent Lamps | |
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| Halogen Lamps | |
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| Other Lamp Types | |
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| Windows and Daylighting | |
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| Design Guides and Recommendations for Specialized Spaces | |
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| General Guidelines | |
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| Commons | |
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| Corridors | |
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| Resident Living Spaces | |
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| Assisted Living Residential Unit | |
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| Independent Living Unit | |
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| Conclusion | |
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| Interior Design | |
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| Introduction and the DESIGN PROCESS | |
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| Trends | |
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| Designing to Different Levels of Care | |
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| Kitchen | |
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| Bathroom | |
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| Color Theory | |
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| Way Finding | |
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| Materiality | |
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| Interior Design Guidelines | |
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| Flooring | |
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| Alternative Floor Coverings | |
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| Wall Coverings | |
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| Windows and Window Coverings | |
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| Furniture and Furnishings | |
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| Introduction | |
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| Definition | |
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| Process | |
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| Already Included in Above Sectionsinterior Details | |
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| Renovation/Restoration/Adaptive Reuse | |
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| Cosmetic Renovation | |
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| Moderate Renovation | |
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| Major Renovation | |
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| Twelve Key Questions to Consider | |
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| Adaptive Reuse | |
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| Seven Key Questions to Consider | |
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| International Challenges | |
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| Service Development Challenges | |
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| Programming and Design Challenges | |
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| Service and Socialization | |
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| Process Challenges | |
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| Global Aging at Home | |
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| Unique Country Issues | |
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| China | |
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| Japan | |
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| Operation and Maintenance | |
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| Introduction | |
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| Operations Costs Overview | |
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| Running and Maintenance Costs | |
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| Durability, Useful Life, and Replacement Costs | |
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| Design for Operational Efficiency | |
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| Cleanliness, Operations Quality, and Design | |
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| Cost Management | |
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| Introduction | |
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| Cost-Management Process | |
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| Relative Costs | |
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| Other Factors that Impact Costs | |
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| Local Construction Industry Concerns | |
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| Lack of Bidder Interest Raises Costs | |
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| Being Green | |
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| Value Engineering and Life-Cycle Cost Analysis | |
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| Finances, Fees, and Feasibility | |
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| Ten Steps to Financing | |
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| Preliminary Feasibility Planning and Analysis | |
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| Identify Potential Capital Structures and Sources of Financing and Equity | |
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| Selection of the Financing Team and Method of Financing | |
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| Evaluation of Government Approvals | |
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| Determine Level of Financial and Market Feasibility Study Required | |
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| Engage in the Underwriting Process with Financing Sources | |
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| Preparing for Closing | |
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| Closing | |
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| Monitoring Project Costs and Covenants | |
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| Ongoing Reporting of Performance and Covenant Compliance | |
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| Financing Variations For Senior Settings | |
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| Assisted Living | |
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| Skilled-Nursing Facilities | |
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| Independent Living | |
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| Continuing Care Retirement Communities | |