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Real Estate Journal — Fall Preview — September 27 - October 10, 2019 — 5C
M id A tlantic
C ontinuum of C are R etirement C ommunities
By David L. Mammina, AIA, H2M architects + engineers Trends in Continuum of Care Facilities
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throughout the United States. David L. Mammina, AIA is vice president and deputy market director of real es- tate for H2M architects + engineers. He specializes in Assisted Living and has been the architect for more than 20 new assisted living buildings and many senior living hous- ing projects. He has also been the architect for numerous new nursing home buildings, creat- ing thousands of acute care nursing beds. He specializes in varying facets of health care design, including Article 28 programs such as Diagnostic
and Treatment Centers, Dental Programs, Dialysis Facilities, MRI Centers, etc. With over 40 years of experience, he is well known in the industry, and well respected by the New York State Department of Health. He is well versed regarding its codes, rules, and regulations; ADA handicapped access; and NFPA 101 Life Safety Code. He is a member of a committee ap- pointed by the Governor’s office, along with the New York State Department of Health (DOH) for the rewriting of DOH Rules and Regulations relating to assisting living and adult homes.
ue to the aging of the Baby Boomer popula- tion, in the last five
Also being currently devel- oped are Continuum of Care Re- tirement Communities (CCRC). These campuses contain apart- ments for independent seniors, an assisted living facility as a health progression option, and a small nursing home component should that become necessary. Frequently, these three ele- ments might be interconnected in order for the residents to move freely from one part to another, having the ability to visit and enjoy time/activities with other residents. Essen- tially, a CCRC enables someone to completely age in place. This
creates a peace of mind and a logical progression of health care for the resident as well as their family. When designing any facility of this nature, convenience and quality of life are major consid- erations, whether it be Assisted Living, Senior Living Communi- ties or even Nursing Homes. No matter the trend, one thing all designs have in common is that they are driven by residents’ needs and dignity. In 2019/2020, we expect to see these trends and their as- sociated designs to become more popular and consistently expand
y e a r s t h e trend in Con- t i n u um o f Care campus- l i ke seni or communities has grown in popul ar i ty . As a result of this, the
David Mammina
development of Independent Senior Living Housing being constructed on the same campus as Assisted Living Facilities continues to be the option of choice. We are seeing indepen- dent seniors taking a proac- tive approach to long term life planning. As this increases, the need for responsive design and development is apparent. The intent of both types of housing is to offer residents the opportunity to make the same day to day choices regard- ing lifestyle and activities as we are all accustomed to. The Senior Living Housing may of- fer golf, tennis, yoga/wellness, spa treatments, gardening, art classes, etc. While the Assisted Living Facility would cater more towards a less mobile aging population, the intent is to still provide varieties of choice of activities during the day. This essentially differentiates itself from a Nursing Home where there is an active nursing staff. Many residents are bed ridden or wheelchair bound. Their day is typically planned out by the staff of the facility. This would be seen to most people as a de- crease in quality of life. A very active trend in As- sisted Living is the development of programs and exclusive wings for the care of persons with the onset of dementia. Frequently referred to as Memory Care, these building portions attempt to provide activities to both the higher and lower functioning residents. These facilities are designed with the intent of re- sponding to the specific needs of this resident type. Examples include cognitive stimulation through wandering paths that may include wall hangings, large photos, various textures, movie rooms, memory boxes, and music/sound to prompt memories. Outdoor courtyards are provided for recreation as well as gardening utiliz- ing raised beds of flowers and vegetables, these can prompt pleasant memories of youth and being in the “backyard.”
Mid-rise 150 Bed Assisted Living Facility
Independent Combined Senior Living and Assisted Living Facility
Mid Atlantic Real Estate Journal The Best of 2018
LEADING THE WAY IN SENIOR LIVING DESIGN TRENDS
ACEC New York GoldAward
dmammina@h2m.com
866.970.6535 h2m.com
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