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unit

Specific resident room features In current designs Kitchenette Bathroom


includ e:
 A refrigerator that is  A vanity countertop rather
1. Large windows for sunlight with raised off of the floor 10-12 in. to than a wall-mounted sink, giving
low sills for viewing outside reduce the amount of bending and resident space to set grooming
stooping by the 115E1 devices. An open area below the
2. Multiple light sources for reading in vanity countertop for use in a seated
bed or chair, observation by staff (especially  A pantry cabinet with eye position.
skin conditions), night lighting (with floor level storage that is easy to reach
lighting) for easy access to the bathroom  Ivlaintaining space for
 An undercabinet shelf for mobility devices that frequently have
3. Typical furniture provisions; the microwave, to be used with angled fronts, such as a walker, or large
convenient counter space below space red Uirerrients, such as a
 Beds with electric or pneumatic when removing hot items that wheelchair,
controls dimensions should be checked, as must be set down.
beds vary in size and are significantly larger - A small wall-recessed
than standard ones)  An under-cabinet light for cabinet or wall mounted shelf with
illumination of countertop tasks founded corners for toiletries placed in a
 Wardrobe closets with at least convenient location that does not
36" of hanging space_ A dresser and  A removable base cabinet require
nightstand with locking drawer below the sink for accessibility reaching over a sink.

 Grab bars which are 42'in the


side and 241n the rear with fixtures of
appropriate height that

0 - Connection of apartment unit smoke detector to activate alarm devioeand


send signal to staff communication receiver.
services & systems
 Collecting emergency contacts and facility can have calls forwarded to central
communication devices after seconds without response.
Emergency Calf Systems
 Resident activates wireless alarm device- from any  High speed Internet connectivity through campus-wide network.
location in apartment through a personal device that is worn
or affixed to surfaces in locations chosen by staff and
resident Other maintenance services

 Resident activates wall-mounted wireless device  Battery backup for resident unit along with regular maintenance and
pull alarm chord sta tion located in strategic 'risk" areas service,
such as bathrooms, dining roorn,and exercise room
 In-house plumbing and electrical team and other technicians on call.

 Activation of alarm device sends wireless signal to communication receiver carried by staff. The receiver device displays resident name and zone
from which signal was sent (eg., third floor west, etc).

Door alarms stair doors and exit doors) are connected to staff cornmunication receivers to notify that door has been violated.
- House-keeping, laundry and transportation services come under daily requirements of
 'Daily check" button on device for single residents_ residents.

1 1
landscaping

 Indoor-outdoor blend: Porches that extend from the  Outdoor exerciseftherapyl areas, site details, and equipment
building to provide shelter, shade, and art experience for residents who to support appropriate exercise, stretching, and physical therapy.
do not want or are unable to venture from the building, For those with
dementia, spaces that Nei like rooms are more easily understood.

 Paved program area: areas large enough to accommodate


community activities, such as a concert, barbecue, etc.

 Meaningful walk: pathways with things of interest,


including an area for butterflies, bird feeder, benches for resting, water
fountain, etc. A natural walking path that allows for greater exercise and
a fresh experience.

 Landmark/destination: an outdoor structure, such as a


gazebo, that can serve as a small-group activity spot, an enticement to
venture furtheroutdoors, or as a landmark for the returning to the
building from a walk,

 Children's play areas: attractive places for grandchildren to


play while their parents are visiting.
- Accessible outdoor areas for ambulatory residents with Alzheimer's or other
forms of dementia_The ability to walk freely has been found to slow the physical
deterioration that often comes with the disease, and it also reduces agitation.

 Incorporating outdoor areas into an activity program can

Twilight Groves Senior Living Community f Literature Study


be important. Gardening can be a popular activity, reinforcing
memories. Gardens can also be designed to provide. an outdoor
physical therapy area.

 Shade, since an older person is more vulnerable to the skin damage and
vision problems Caused by too much direct sunlight. A mix of
umbrellas, vegetation, and building elements, such as porches and
trellises, provides effective means of in shade.

 Entrances to gardens and the width of pathways should


accommodate walking side-by-side. Seating with backs/am-its near
entrances encourages Socialization,

- Designing low-water-use landscaping, whatever the climate. Especially for


communities on large suburban sites, water use in landscaping can become a
significant cost.

10
admin
Reommended min. areas irrsgft)
trfl dining

Adrrrini5tmt fan  The quality of the food and the dining experience are
kereptgon 150 important features of any well-run facility. Key design parameters
Admisons 200 include:
Administrator 140
Assistant administrator 120  Provide 25-30 sq ft/person for adequate space to meet the
needs of residents in wheelchairs and geriatric chairs.
Human resources director 120
Finance director 120
 When possible, provide multiple dining rooms serving 15-26
Business office suite 500
residents each. Consider providing a "private dining' room for 8-10 for
Adrninlgrative assFstants 100 so ft) 200 family visits, birthday parties, and other special meals.
Conference room 240
Wort-room, copier, supplies 120  creak up large-Kale dining rooms into smaller environments
Subtotal 1910 for better acoustic control, visual privacy, and a more intimate dining
experience.
..oppit,Aareti raft(Arterf far .12.9-2M praple
 Provide an open country kitchen to support the food-
service program and other snacVbaicing activities or provide pantries
that allow aromas to stimulate resident appetites.

healthcare community spaces


Recommended orects i1n se,1
20.25 I persons + escorts. Recommended min. areas fin sqft)
Clink Spaces 2004.
Common facilities
10-15 I exam room
physical therapy 600
General exam morn 110-130 Occupational therapy 500
Procedure room 140-150 °1'N1' office 120
Patient consult/staff meeting, room 140-160 flateribeauq shop 250
Pharmacy IF provided 450+ Arts and actMiles 300
Soiled utility room 50435 Meclitationiqulet area 500
Clean utility room 50-60 Volunteers homeroom 200
Recreation director's office 120
Therapy Spaces
Gift shop 250
Equipment storage 100+
Snack bar 350
Staff obseivatIonAvork area 200-F
Multipurpose room 500
Staff office 120-130
Subtotal 389-0
Patient consultistaff meeting room 100-150
',wpm areo caktkied for 120-200eapli
Patient toilet room (AM 50

Outdoors
 Provide information by using more than one sense, such
as visual and auditory alarms

 Avoid shiny surface's, which reflect light sources and


cause glare

- Prevent excessive background noises that limit reept Ion of Information (see
Chapter 121

 Use tactile information for orientation, such as handrails,


floor and wall textures, and the warmth of the sun
 Provide frequent places to rest in hallways and near
elevators

 Distinguishing repetitivelsyrtr cal spaces


by providing landmarks Objects,
views to the outside) and increasing ulience of important

1
SAMPLE PROGRAM FOR A LONG-TERM RESIDENT NEIGHBORHOOD

TYPICAL CODE OR RECOMMENDED MINIMUM


SPACE MINIMUM AREA (sq AREA (sq ft)
ft)
Dining 25-35 /resident
15 /resident 20-35 /resident
LOLongelactivityiliving
10-15 /resident 250: 1 fixture per IS
room Bathing
(fixture.. tub or 150; 1 fixture per residents not individually
15 residents served
shower) Clean utility
50-75: 1 per 15-20
40-60; 1 per unit
Soiled utility residents
Clean linen 40-60; 1 per unit
60-100; 1 per 15 residents
Nurses' station and 15-25; 1 per unit
wall work area 150-250 15-25; 1 per 15 residents
Medication room 250-500
Resident toilet near 25-40; 1 per unit 50-75; 1 per 15 residents
dining Public /visitor Not required
Recommended
toilet Not required
Recommended
Staff toilet Required
Required
Resident toilet with Required
bathing Staff office 1 per bathing suite
Not required
1-2 per unit for nursing

SAMPLE SUPPORT SPACE PROGRAM FOR A 120-200 BED LONG-TERM CARE FACILITY
SPACE AREA (sq ft}
AREA fig ft}
Fealideefenvirenessetal wok t
Administration 150 Hiclueekelping office 120
%Caption Maintenance shr:ip 240
200
Admotions Central supply 2000
140
Administrator Engneer•va climates caw
120 120
Assistant sdronaastor
120 Recaivescestaging arM 500
Ronan resources director
120 OrtgOn Et0(09. 100
Fiume director
503 Soiled holding room 300
&Ainslie cake suite
200 SiOnlizitmon room 100
Acknirestretve iissertants a 100 Kit
Conference Moen 240 Hovieksocrine squipnent and supplies 120
120 Tried) rocErv'compacsor 240
Work-room, cope.. euppi•s
Subtotal
1,9 - s w a g e 240
10 Central laundry fpsesonal its 350
Health services admirilsirsdas
Morgue 120
()Vector of nureng
Mail room 100
Armame director of mows? 120
Cart wash 100
comics room 100
Subtotal 4,750
Noosing secretary 120
In-oervice director 100 ClInkaVlsealds-eare support
Smiel worker officsAvorlucation 100 born room 120
(may be locoed On nursing Ln0314 CCrosutilK,On room 100
Subtotal 200 Dental and cOtnalmology exam rooms 160
740 ModrcaJ records 200
Common facades
Physacal therapy Medical workstation /d carting 100
Occupational divvy Subtotal 680
Twilight Groves ; Senior Living Community I Literature Study

Ca/PT °Ike S00


Steel support
120 Staff drinnoun9e
Elsrberrbeauty shop 400
250 Lodge' mains 2 0 350 each
Arts and actvntos 700
300 Trasmng room
Meoirtaborkp.ort area 400
500
Subtotal 1,500
Volunteers homeroom 200
Racreabon detector's office 120 Opboossi programs
Gift shop 250 Pharmacy for can caching* 300
Snetk bar 350 Laundry room fluty-serviceli 1500
Multip.rpota morn SO Total so ft required (tncluding optional
Subtotal O progruus) 14.770
Food service 3,8
Kitchen flood prep, storage, off11. 90
clithipot washing, cart meth, sec)

1
Time Saver Standards for Building Types

The selection of an actual site involves the count whether the site Is to accommodate the Design principles
following considerations solely for aged persons : 1.Small, compact and effecient
1 .The topography should be as level as pas- sent orgy a portion of a larger "project" populasi b 2.Fire-proof construction planned for maximum safety
le to minimize the need for steep walks, ramps, or sta irs Relatively level sites encourage 3.Minimise problems that arise form daily activities and
walking-a hignly desirable exercise, housekeping efforts,

2. The site should not be b-ounded on all sides by major traffic arteries It should be possible to 4.livability, pleasantness, effective openess
go shopping or to the park without In very general terms the criteria for planning having to 5.Privacy
cross a major street 6.Careful avoidance of institutional look

3 . Bsential commercial facilities should be close at hand and easily accessible -supermarkets,
cleaners,laundertes, shoe repair shops_ TAKE 1 Atom r~riia tar Types at Howling Attemoinditioni

4. Bask community facilities. such as churches, libraries, health services, end recreational facilites
should also be close at hand.
5. Public transportation should be immecflatefy available, require specialized R a i l WA . 5 e 11

medical attention, Important for obtaining part-time work for housing for 919 Types Living
the tie. of It town Dining Kieerkon 'Fatal
W- eetti ILI
aged iens
iegiat Moira col
iicr rim Ina
4 90-90 40 51/ 50 32x-990
3 B.L-13.1( TO T20-160 54 3554 306-310
6. The site should not be immediately adjacent to a school building or 2 O 103 20 6.0 320
a children's playLeisu re Areas ground. or an active recreation 2 B-L-0.K i01)- 175-200 45-50 35-40 255-200
3 i4 150 75-90 40-50 366-420
area used by teenagers or adults _ The site should be large a 11.1.0,1t. 166.1 go 51:I 40-60 370420
2
enough to permit the development of adequate outdoor areas for
both active and passive recreation.

bedroom balcony
•space for an extra medical Erriek)eocy call-biaton rear the
dresser in. case bed-ridden bed

Tr'

Lacwpk. or

Fop. II T yprkai wharalintil 13.4:44awn —.0r+rh siwabh.

tteiti

Beds shCkild have") provtsioh to be


oriented foT views otitsi,zge The led opare-
'Widow (heips beci,ridden patients) BEMVA IMO, Up op.n
door and
remove Iarineni.
"1Rm-r-AI sirthaV.' wt-
l++wol acne in nprri
CI i door. rornace
gar r nr nt. and put It
FR.

okitchen &dininFilib

Shelves should be no higher than 68 in . from the floor, and no lower


than 12 in .
It'
WALL
Clearance between facing equipment andcounters should be a minimum CABI
of 3 ft for one person To permit two people to work between- counter NET
clearance should be 4,5 ft.

Sliding cabinet doors are preferable to sway doors. Provide an exhaust fan BASE
CABINET
to assure adequate ventilation.

1
IF/a-Magri. Wer• Cerde/S
°I°12!4 Work /enkt.• bedtime.
On.

beet.oe.
Ir.re
Pone
litArigerater lipetcti
Coan-Pet aegl, Ixptit tottleel ...it a d.

Couniat anti base cabs CT emrt i412 r' qtr


Cateler at Lard , si.da
Maw and .4.60 2 4'
1 er 30' 30' I 8' I 5'
71.
71'
1r.
16- _
S-6
*-13"
74-

Pig 24 0.‘ltabl ■ heat .pac. at Ik.11.44..., Fig. IS Flt. - levei fee kitthens end bethree -
b
a
t Allow 21 to 24
h hot
r
o
o
m

a
A min imunia rea of 35 to 40 sq ft is acceptable but, because of the
possibility that crutches or whaelchal may need to be
accommodated, SOU) 60 sci ft is 'Diu recommended.

riith/
The doorway must be 3 ft wide

A lavatory installed at a height of 33 in .is more comfortable to use


Fie. 1 ly • -level Ton • ilot livin g r oom s . Fig. 14 tye i-r evel tor t* ! of dm ing

Ali grab bars and hand holds should be or noncorrosive material,


0.75 to I in in dTarneter, and mounted to withstand a
pull of at least 500 lb. F... 31 MO /Ind Awn,

`Mr piet•AV -et


1


Towel racks and rods should also be strong and securely mounted because older people
sometimes use them as grab bars to steady themselves . SVKIrc and easy

It should be possible to unlock the door from the outside In an emergency. D •.Lr' I , i t+.4' i
i t
r 8, rr___—{rf
1 r ,:- I 1 ma nbtc C.4.0ar-
.-).1 1 'i-A :-'
1-7-7.1 ' •ri. ki-;j 1 *
Other guideline} _referred : Neu ert I . __..I.
.BBL 20i'6; .N.YC 20 i'Ec itildekries for Barrier-free BuN •.. f hvironment
L ---1 •for nisabied an 1Pi4'D fNE,'
--AOITOKT ei...:
Model Guidelines:
Development Regulation of Retirement Homes (2019)
i.4nclusion of the designation of "Re/icernen!
j a i . . M s p 4 1.1 1IL 1.1
e1.Indreathe norms. for ReOreunenS Itionws as frcrlp HomInsi ..nuy I = X : = r
= r '
, W . 4
Sares..s raga; Mr M16. cm IRSINFI. aka 11. 'mt. alma our .msace w da
Horne' as a permissible building taiegory.
pl•FE - slyiltom•s•EADI ,12101.1.31rmunmascrnycl
khlr
NPN,
Under 7tesidentiar f9TYd iJ a# iroitatite 1
+44rMire1 •-'•
locations wIthm itie city/Oar...1,4g area in
tmectiot Ma5terlZortairbocat Area Plaits 1•1 4 I, 1 : 1 ..n.a..ria illd• Per Ddimp..n ag ew id a
sae
Pihattol.—
pos,uitta.41. rAPorigli:
v. Average site of 41virelklog tormarrrOPplaraW, : 11....1.3. .11r.ak ...cok
iM
RIMIIIIIIIIIiiiiiiwagam..hlaas,un,L.a...-
wauegi. ,...krqms. An ..e•Wa..L.S. , ream.,
!rigs aarrbara¢ DonellIng uo.IE SIte inrt•nsmilcs ,r,
1•..11nsn
MOMS 1,sq_rna3_) Pri. . .. rrrS %- ir. 1. 0 Ph . rn rth aT rhn s -•. rn n rw ■ rn rr 514: 1 ,14.. .. .. .
1, 11}1, F.... 1 .,.......,.., Fin , 4....,•.. 1,11 1 4 ....•...m.h. r- sa s ,ms th.
,.. • 7 . . . . ■ m e r . ■ . 1 . k . 1 . R e a 1 1 . .
OW WC. 151
4. Pso: {• w.,rt nor
dam. sw a.a.raptaa.maral any ow
50-93 111 . 7, 185 . . ,, , 1. 1.. .. , l e. . . . 1. 1 31 ai d . . 1 L e e . ' '' '' '
R Y . , . . . l e r a z h . . u ' i r t s r a ; 4. . . 7 , - . . r l
i x • 1. 1 . 7. 1 n . 1

115e oar., pourried of re Ire M.1.0014 n#.rh may warg I rrm SOrx MM. IS
30-A5
rorarmIrrk

-M "-*Inzr.,..,1,- ,
r.1 ;kr, r•4 1 , 1 1:11. 1 110h1 1 .1+*rlo - ua41toorirat5',

41::•{-41
wiL,Niiimagraitrriodoorrilapillimaiaarigrtrimilphorithdlrw.g.caovo.55.h.tio
; p g . . . 1.—ars.m—I-
21.—... I I . - u o d i k—/—.--i-I
..N...... ■ ........ ______________________
.
2 Si•i< . . 1 ■ E . . . 1 Ja la aL ia d s , ■ . . ■ . . . . . . . . . . . . . -
 x-,iirniftu ed.
n, .1 g AMU,.
Notes: I
dd.,. EMI to ilS.3W-I• lo.

1 Recommended Dtvelhivg und sizes ar craarnsenrli. 5,120 ...{{11 OF", In m



V.ri;r■ a■PTal
Fh l m an, 1\
dP nvol fr o m se c tion gA of lie URDP F1 e, 7, 17, 1u men . 1. 1.. . a. 1 ..err
h i m m u l , , o t r o . . 3 LITX & r o w h w a m-.
rahundlizatIon for the Cd-n v Ir.1 Ihnpa, Irnop 1. 1 71, 33 e7 . g m
s u l k . 1 k 4 h h - s , -
higher density devefopment clue to smaller
I s trin an vim pr}rim. r ICC 2% if 11. 11, 1,0 ul n.
House Hold size of sensor cittiens r1, 4, 1 1v11h r .1 nisshmi-zrn s s i fi s m im n I rs w

S. Height resisictrons have been Tveri far a NOD. 1 2,114 Lui4s1 per 11F4.12 r11 a1r ~ U.111
tEHtC #o low rise development cons5dering On

the age related factors of the toilet group ▪ I e a : 1. 1, 1r . a a ■ le . , : aa N . n o r p 1 d, n. ra. m. aa


r.. Fn.q. FF....+1,1..44.1,1441
lansal...1P111. [Siw nth, xac. n, ten'
'senior citizens' and need foe krinItght and ••11, mow,. ro an rivp la rn mA a. rzea fa ra q .4, 1mbns. a3 oa lp
r• IfgrmrrenvImna . ,331.. , .. 3. 3.de clad 1, 1man,. .. -r q.
ventilation.  eaynW
ih - rv n . . . n h • n ab i k s . . Ihisilk. slrywr.
141. 1ffiikOleA 5 •1711. 10, 1, WWW. i
1LXr.r.ri.rl r1. 7+=
1. 1 7. . . . . . . . . 1b Z , o, . . 17 0
kr.nenc.r• I k l i M M I T i Y a m, N o . r r n r

fhadrinn Ramer firm 8alr 11,n RIM


1.p ram .i.... earrla I.. Mots !ma" .1111s h 51., Llamas al

wheel-chair accesibility

A:11 01:1
TOliCH

Spetrhia.
SOU
1-1• 4t
Height of controls GRASP RE

 Height of controls From floor level : 400 - 1200i nrn -

8 Height for switches (power) 400 - 500 mitt ...an Kind!

- Height for switches (right) 900 -1200 mm _b.lIr

- Height of doors handles : 900 - 1000 min


Eherr.. EOM IC
Opening controls for windows 900 - 1000 mm
- Space required under the counter for wheelchair footrest! 3%mm deep 23i

spots

-
7
a rear cha r
f4Adi ,g,I 7

Pas5age for iec.thes oshed by

Linar he 41.60TurVt
Mani,

1
LIN.1
iteOrrii i0Irri. Or mt.
kat.' erxr
66rtro 994 rrn iyal

Cross section of
190:

Er

tiarval• sin! &MI P3f7 of kstr Sig Ran. Disw of Ogsf SUff

rtiJ1.7,, ori

Use by a cane user A 11 &mums:ion in milli moues. ill ..hrmram • mIlim - 1 er

Fop_ J 14 I . . lf T h• IS A ll41,. .. . 1151. 115L1/1

____mi r
"
25 1
5,3 —,
I _______I
100006.6 0 0 0 0 0 0 0 0 0 0 0 0
5130 —1 T651 shall be installed at following places:

L 000000
I— 25 --1
000000
000000
20 a) In open space to orient persons with vision impairment;
b)In front of an area where traffic is present;
c)in front of an entrance/exit to and from a ramp. staircase or multi-level crossing facility;
31B WARNING BLOCKS d)Entrances/EA% at public transport terminals or boarding areas; el Sidewalk/footpath
Al I ihniuNiiira, ru nnIllinverms,
section of an approach road to a building; 1) From a public faciilty to the nearest public
Fic. 31 TACrI I.eG ROUN D St , It.F 14 :1 2 114 DIV ATO•RS .CTCi SD transport station.
31A GUIDING BLOCKS


WELL Building Standards
Wo6 Drinking Water Promotion SOUND
Sol - Sound Mapping
Wo8-11andwashing
A02- Smoke-Free Environment A07 -
( i f)
Operable Windows LQ1 5o3 - Sound

Al2 Air Filtration - Light Barriers 5o4 - Sound

A13 - Active VOC Control Exposure


MATERIALS
and Education LoS- Enhanced Daylight
Xol Fundamental Material
No4 - Food Advertising Access Lob - Visual 13alaric.e Precautions

No5 - Artificial Ingredients Xo2 - Hazardous Material


Lo7 - Electric Light Quality
Abatement
No7 - Nutritional Education Loa - Occupant Control of lighting
Environment X06 - Site Remediation
No8 - Mindful Eating N10-
X09Cleaning Products and
Twilight Groves Senior Living Community f Literature Study

Food Preparation N12 Food Protocol


A

Tol Thermal Performance


b

Production X11 - Long-Term Emission Control


To4 - Individual Thermal Control To6 - MENTAL
Thermal Comfort Monitoring
Mot - Mental Health Promotion Mot
No4 - Food Advertising NoS -
- Access to Nature
Artificial Ingredients No7 -
Mo5 • Stress Support
Nutritional Education 1 o8 -
Mo7 - Restorative Spaces
Mindful Eating

Mob - Restorative Programming


N10 • Food Preparation N12 -
m09 - Enhanced Access to Nature
Food Production

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