2002 Feasibility Study:
Physical Plant Physical Plant:
(A review of the existing physical plant and the
repairs, improvements, renovations, additions, and/or replacements that
may be required.)
- Maintenance and/or replacements necessary to
maintain the status quo, including associated costs:
Replace roof
- Lyle received an estimate of $250,000 for
the main section of the building (does not include the
wings)
- Tremco�s 5 May 1998 estimate for entire
building was $400,000.00
- Roof replacement should incorporate
renovation changes
Replace or update phone, speaker, and paging
system
- Use pagers instead of speaker system so
as not to disturb residents and prevent possible privacy
issues (quality of life issue)
- Have classical music on speaker system
- Have voice mail
- Have combination of phone pagers to allow
voice communication
Replace old windows with insulated glass
windows
Replace nurse call system
- Some critical parts are no longer
available from manufacturer (Dukane)
- Lyle is trying to obtain used parts as a
stop-gap measure
- Replacement cost utilizing existing
wiring is approximately $100,000.00
- Should be done as part of renovation,
which would most likely involve new wiring
Replace damaged front sidewalk
Housekeeping Department recommends that all
replacement of resilient flooring be seamless
- Additions and renovations required for operations
and programs, including associated costs:
Adult Day Care
Internal or with connecting corridor
Child Day Care
- In association with others
- Independent firm operated on site �
Preferred
- With connecting corridor
- Opportunities for inter-generational
programming
Outdoor smoking room
Outdoor Activities:
- Safe environment.
- Resident population formerly spent more
time outdoors (more alert)
- Enclosed courtyard for dementia residents
- Gardening areas
- Raised planters for resident access
- Dining and picnics with covered area
- Outdoor activities (school concerts,
etc.)
- Areas conducive to rehabilitation
sessions
- Family visiting
- Change lighting so that it does not shine
in bedrooms
Air conditioning for employee areas in lower
level and ventilation of storage areas
- A facility must take care of its staff,
to take care of the residents. Staff satisfaction � key to
quality of care
- Smoke from smoking lounge could be
smelled in non-smoking areas
- Renovations to laundry area may supply
sufficient air and air conditioning to other areas of the
lower level
- Relocate both laundry and staff lounges
to main floor
New lobby and covered entrance
- Create a welcoming environment for
residents and family
- Have a welcome sign and flower garden at
the entrance road
- Have canopy extend half way into driveway
to create a covered area for drop-off and pick-up, and a
by-pass lane beyond the canopy
- Expand the park and garden setting on
both sides of the main entrance and include the center of
the circle
- The existing lounge is very nice but
should be extended through the adjacent office and men�s
locker room
- The wall between the lounge and the lobby
entrance should be removed
- Vault the ceiling in the lobby
- Move the vestibule closer to the driveway
to enlarge lobby
- Create an atmosphere of "Light and Life"
with indoor planter with skylights beside the new vestibule
that is open to the lobby
- New reception desk that is open to the
lobby
- Find a way to hide the view of the dish
room from the lobby and entrance
- Suggested revision plan was reviewed at
the meeting
Solarium or lounge at each nursing station and
in the dining room
- Gathering place for residents and family
Make dining room more attractive
- Create a solarium on the exterior side of
the dining room
- Install new folding partition where old
partition was installed
- Build in versatility into room scheme
(alcoves, smaller areas) to allow multiple uses for space to
meet individual programming needs of population
- Allow for multiple small group activities
to enhance individual choice of programs
- Vault ceiling to incorporate skylights
- Install mood-lighting (chandeliers and
sconces)
- Suggested revision plan was reviewed at
the meeting
Meditation Room
- Does not need windows
- Offers privacy to residents and family
- Meeting place for individual counselors
and pastoral care personnel
Meeting rooms
- Staff
- Community � open facility doors to
community to maintain resident ties with areas of interests
- Could be in clinic/day care addition
- If laundry and break rooms are relocated
to main floor, convert area to air-conditioned meeting rooms
Primary Medical Practice Clinic/Doctors�
offices
- There does not appear to be any need for
independent doctors� offices
- Check with local providers to see if they
are interested in locating a clinic on site
Outpatient physical therapy and pool (CORF)
- An exercise room should be included for
both residents and staff.
- Travel distance could be a problem � we
may require a secondary area for some resident programs
Cafeteria
- Was closed before � staff must support
it, if it is reopened
- Have a "good" coffee machine for break
times
- Should be adjacent to kitchen
- Should be adjacent to break room
- Problem with existing vending machines
(run-out, touchy)
- Increase number of vending machines
Store/gift shop/snack bar
- Should be located near lobby
- Should be located near cafeteria
- Resident access for individual purchase
choices and for family use.
- Create "Community Square" atmosphere,
which recognizes residents as consumers
New lock and key system
Dutch doors in resident areas
Resident bathroom changes
- Offer individual resident access and
services where supplies are readily available to staff in
service area � resulting in more individual attention to
resident needs
- Increase privacy and efficiency of care
- Find way of storing bedpans in resident
bathrooms
- New medicine cabinets that residents can
reach
- Have roll-in showers in each room
- Have lockable cabinet for linen storage
Build at least one new state-of-the-art
resident wing
- Will facilitate renovating of other wings
- Design all rooms large enough to
accommodate sub-acute care � medical gasses could be
installed at a later date.
- Increase size of bedrooms to accommodate
higher acuity resident need and equipment
- Opposite head walls with separate windows
for each resident
- More private rooms
- Behavior related to dementia
- Infection control
- Privacy issues related to mental health
needs and coping strategies
- Individual choice related to lifestyle
patterns
- Privacy for couples
- Private rooms should have roll-in showers
- All resident rooms with roll-in showers
- Some residents may not want a private
room
- All private rooms, with a few double
rooms
- At resident council meeting all residents
who responded preferred private rooms.
- Private rooms with roll-in showers would
save staff time and preserve resident dignity
- Central nurses station and services (like
Green Manor)
- If market study supports 80 adult home
beds, build two new SNF wings and convert existing wings to
adult home
Have nurses station central to unit with all
services in close proximity
- Enable supervision while maintaining
privacy
- Have visibility to every resident door
- Have a break and charting room
- Have head nurse office adjacent to nurses
station
- Ideal layout cannot be achieved with
present wing configuration
- Have larger medication rooms to allow for
cart storage
- Locate solarium adjacent to nurses
station
- Have large storage area for wheelchairs,
stretchers, and other equipment
- Clear nurses station area of staff who
can perform job duties in separate but accessible areas
- Offer supervision without infringing on
resident privacy or creating "institutional environment"
Administration/Business Office
- Enlarge offices by constructing an
addition
- A new Administrator�s Office with meeting
area
- Toilet Room
- Personnel Office
- Separate Personnel Office required
- Locate with business offices
- Locate at new employee entrance
- Separate from main entrance which
should be reserved for residents, families and visitors
- Have interconnecting door with
Administrator�s Office
- Offer private area for staff to address
personnel issues.
- Locate at a distance from resident care
environment.
- Business Office
- Relocate to this office
- Increase privacy for financial
discussions
- Reception
- Create a new reception desk in present
alcove
- Greet families and visitors
- Information center
- Direct visitors
- Security purposes
- Include a way to close up at night
- Close up both reception windows
- Mail/copy/storage room
- Have adjacent to reception room with
one-way decorative mirror
- Maintain secure area for confidentially
of resident information.
- Eliminate staff congestion in front
office area
Separate employee entrance with time clock
- Locate at end of corridor near A-wing
- Relocate locker rooms to this location
- Locate as an addition near service
entrance (preferred)
Medical Service Offices
- Have offices adjacent to resident area,
but separate from resident living area
- Offices to include:
- Medical Director and Physician�s
Assistant
- Director of Nurses
- Assistant Director of Nurses
- Medical Records
- Have adjacent to Medical Director
- Need approximately 400 Sq. Ft. for
record storage and clerk�s desk
- Conference Room
- Space for clerk-typist, copy and fax
machines
- Enables clustering of central medical
service functions
- Enhances communication
- Offers central "spot" for residents
- A more home-like environment
Other resident service offices
- Residents need more direct access to
these services
- Should be separate from Medical Service
Offices
- Should be located adjacent or in resident
area, but separate from living area.
- The following offices are independent,
but may be located near each other.
- Social Service � two offices, or three,
if Adult home is included in renovation.
- Patient Agent � relocate from front of
building to be closer to residents
- In-service/restorative nursing
- Nursing Supervisor
- Create "home-like" atmosphere
Aviary, fish tanks and fireplaces
Nice employee lounge
- A happy staff is a large part of "quality
of life" for residents
- Part of cafeteria
- Should be in an area separate from
residents.
- Should not be in the basement
Decentralize heating system so that a major
problem would not necessitate evacuation
- Retains residents in their "homes"
- Replace old roof top units with gas fired
self-contained HVAC units
- New or renovated boilers to be dual fuel
(oil and gas)
Re-work perimeter hot water heating to have
individual controls in each room
- Have air system temperatures at lower end
of resident comfort range
- Use perimeter heating as re-heat to
increase room temperatures to individual requirements
- Importance of individual choice
- Link to private rooms and lifestyle
patterns
Correct and balance ventilation in laundry
- Enclose dryers and have separate
unconditioned make up air supply
- Rearrange laundry to have a separate
soiled room, and wash room, with each having 10 air changes
of exhaust
- Supply 10 air changes of air-conditioned
air to the clean area, which should balance with the exhaust
air
- Enables better facility control to ensure
resident linen needs is met efficiently and in a timely
manner
Expand in-service training room
- Maintaining quality education and
training needs of staff better insures quality of care for
residents
- Size should be approximately the size of
the existing conference room
- Should have bed set-up
- Should have space for CPR training
- Should have classroom space
- Have folding or stacking chairs
- Size should be approximately 400-500 sq.
ft.
- If in-service training room is located in
the lower level, then a main floor office will also be
required in the resident area of the facility
Replace present fire alarm system with digital
system
Have larger janitor closets
- Have enough room for 3 carts and work and
storage space
- De-clutter facility environment
- De-institutionalize atmosphere
Have large housekeeping room
- Electrical and plumbing
- Storage for supplies
- Storage for equipment and machines
- Locate on main floor
- Housekeeping Office should be adjacent
- Enhance communication to insure
efficiency of service to residents
Material handling
- Ensure more efficient transport of
materials to decrease amount of time and foster a
"home-like" atmosphere
- Increase size of loading dock
- Increase width of doors at end of service
corridor
- Increase the width of elevator doors so
that elevators can handle a pallet
- The costs associated with replacing the entire
facility:
Based on preliminary studies, it does not appear
that replacing the entire facility would be cost effective.
- A comparison and evaluation of the merits of
proceeding with A and B (above), or with C (above).
See the
Report
section for further detail
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