MAY 2015CONVERTING TO MEET THE NEED

SNF

AL

3rd Floor - ALIL

The NeedIndependent Living Occupancy Decline

2010 89% to 90%2012 80% to 85%2013 74% to 77%2014 slight increase

Assisted Living Need Increase (formerly the Inn) 2010 99% to 100% with waitlist2012 99% to 100% with waitlist2013 99% to 100% with waitlist2014 99% to 100% with waitlist

In need of secured Memory Care Unit6 residents left campus due to lack of memory care vacancyThe Gardensconvert the existing Inn to secured unit (the Gardens)convert independent living wing to assisted living (the Inn)

lighter acuitysmaller roomsenclosed courtyardnew finishes / operational adjustments only

The ScopeThe Inn (unlicensed Assisted Living)• Convert third floor of the east wing from Independent Living to catered living• Infill atrium floor for new dining / living spa• Infill floor at exterior window and develop protective railing• Convert corner atrium unit to spa, office, country kitchen and barrier free toilet room• Split three units into six units, revised / add mechanical and electrical, nurse call• Refresh balance of units (cabinets, finishes)• Some reworking of interior doors for lift access / barrier free• Add lockable drawer to each unit (medicine drawer)• Revise / replace lighting in corridor• Update finishes in common spaces• Revise unit lighting outside of bathroom, in closet area• Protect existing balcony

Elevator Lobby Enclosure (serving Independent Living and Assisted Living)• Enclose area (in parking garage) between resident hallway and elevator• Renovation of existing electrical and mechanical as required• Revise sloping floors to comply with ADA / Barrier Free standards• New finishes

The NeedIndependent Living Occupancy Decline

2010 89% to 90%2012 80% to 85%2013 74% to 77%2014 slight increase

Assisted Living Need Increase (formerly the Inn) 2010 99% to 100% with waitlist2012 99% to 100% with waitlist2013 99% to 100% with waitlist2014 99% to 100% with waitlist

In need of secured Memory Care Unit6 residents left campus due to lack of memory care vacancyThe Gardensconvert the existing Inn to secured unit (the Gardens)convert independent living wing to assisted living (the Inn)

lighter acuitysmaller roomsenclosed courtyardnew finishes / operational adjustments only

The Move7 Residents stayed in place at secured memory care unit (now the Gardens)15 Residents moved from the Inn (now the Gardens) to the new Inn2 Independent Living Residents moved to the new Inn5 New Residents at the Inn

The new InnThird Floor, no through traffic (separated)Apartment sized units (now longer just studio units)New Serving Kitchen, Spa, Office, Dining, Living Areas, secure BalconyOriginally 18 IL apartments20 units total

ConstructionResidents:

Unit below Kitchen, Spa, Mechanical Areas vacated11 Independent Living residents moved to another IL wing (between two floors)Residents moved into similar units with new finishesRegular resident meetings with contractor / architectPublished construction schedulesElevator lock out (entire third floor of wing off limits)Build resident excitement‘Viewing’ stations in Atrium (while under construction)Minimal shutdown of any serviceLow noise until 9:30am

Before

After

Resident Bathrooms

Before

After

Resident Kitchenette

Resident Rooms

Before – 3 story atrium

After – Dining and Common Space

Atrium / Hub

Before – Fluorescent Light ‘Dome’

Atrium / Hub

Serving Kitchen

Atrium / Hub

Elevator Lobby

Assisted Living LicensureHome for the Aged

(HFA)Adult Foster Care Large Group

(AFC - L)Unlicensed Assisted Living

rules HFA Licensing RulesHFA Public Health Code

HFA Tech. Assistance HandbookMichigan Building Codes

Licensing for AFC Large GroupAFC Technical AssistanceMichigan Building Codes

Michigan Building Codes

corridor minimum 6'-0" minimum (5'-10.1/2" & 5'-5.1/4" existing) CANNOT MEET

no requirement(Michigan Building Code minimums)

no requirement(Michigan Building Code min.)(same as Independent Living)

ventilation our design meets our design exceeds+ toilet room require forced air ventilation

Michigan Mechanical Code min.(same as Independent Living)

laundry likely need to contract this service adequate provisions no requirement(same as Independent Living)

kitchen likely need to contract this service (or set up separate corp. for kitchen at Lodge I)+ janitor's closet required

provide meals - no reference to where prepared

no requirement

generator required with minimum run time no requirement no requirement

Assisted Living LicensureHome for the Aged

(HFA)Adult Foster Care Large Group

(AFC - L)Unlicensed Assisted Living

rules HFA Licensing RulesHFA Public Health Code

HFA Tech. Assistance HandbookMichigan Building Codes

Licensing for AFC Large GroupAFC Technical AssistanceMichigan Building Codes

Michigan Building Codes

corridor minimum 6'-0" minimum (5'-10.1/2" & 5'-5.1/4" existing) CANNOT MEET

no requirement(Michigan Building Code minimums)

no requirement(Michigan Building Code min.)(same as Independent Living)

ventilation our design meets our design exceeds+ toilet room require forced air ventilation

Michigan Mechanical Code min.(same as Independent Living)

laundry likely need to contract this service adequate provisions no requirement(same as Independent Living)

kitchen likely need to contract this service (or set up separate corp. for kitchen at Lodge I)+ janitor's closet required

provide meals - no reference to where prepared

no requirement

generator required with minimum run time no requirement no requirement

lighting + 20 FC - hallways, general resident room, janitor closet+ 30 FC - reading area, bed, hand wash, toilet, shower, staff, laundry, day room+ 30-50 FC - kitchen+ 50 FC - Charting, med+ lens on light in janitor closet

sufficient for reading and other resident activities

typical National Electrical Code

common area sqft (renovations)

15 SF / bed (exceeded) 35 SF per OCCUPANT no requirement

common area sqft(new construction)

30 SF / bed (exceeded) 35 SF per OCCUPANT no requirement

resident room size 80 SF minimum 80 SF minimum no requirement

janitor closet 1 required per floor Michigan Mechanical Code min.

Michigan Mechanical Code min.(same as Independent Living)

code - use group must be reviewed / constructed as an I-2 facility

R-2 is still acceptable

dining A home shall have dining space that can accommodate all residents of the home at the same time.'