![]() ![]() Menus are also emphasizing healthy, fresh ingredients, a departure from the more institutionalized cooking served in the past. In recent years, food service in these communities has expanded to encompass different types of cuisines, restaurants, pubs, cafés, and bars, says Cynthia Shonaiya, AIA, director of the senior living studio at Hord Coplan Macht in Baltimore. Residents have access to shared dining venues, amenities for socializing, recreation, and fitness, as well as concierge services such as laundry and housekeeping. Floor plans typically include a full kitchen, living, and dining areas. Independent living covers a wide gamut of building typologies, from cottages to townhouses to apartments, and can range in size from 1,500 square feet to 2,000 square feet. For example, clients operating facilities in multiple states may question why projects cost more in one state than another, says Martin Siefering, AIA, a Pittsburgh-based principal of Perkins Eastman and co-chair of the AIA Design for Aging advisory group.Īlthough recent revisions to the codes and standards have focused on assisted living and nursing homes or skilled nursing, the continuum of senior housing is defined by a progression in the level of care provided, beginning with the most self-sufficient seniors. This lack of consistency across regions can create conflicts over how senior housing is constructed, which materials are used, and how safety measures are implemented. And while 40 states reference some version of the FGI guidelines as a base standard from which to craft regulations, the remaining balance write their own. Though every state recognizes the IBC and Life Safety Code, individual jurisdictions can deviate from the published editions. And NFPA 101, Life Safety Code, updated by the National Fire Protection Association every three years, guides fire officials. Building inspectors use the International Building Code (IBC), which is updated every three years by the International Code Council. The Facility Guidelines Institute (FGI) Guidelines for the Design and Construction of Residential Health, Care, and Support Facilities, published every four years, provides direction on programming in skilled nursing, or nursing homes, and assisted living. Accessibility issues are addressed by the Americans with Disabilities Act (ADA). Several key standards, codes, and guidelines apply to the building and design of senior living. Kevin Weber Natatorium, Brightview Severna Park, in Severna Park, Md., designed by Hord Coplan Macht Moreover, the small household model is particularly suited for people with Alzheimer’s, whose numbers will nearly triple from 5.7 million to 14 million by 2050, according to the Alzheimer's Association. Although the 70 million-plus baby boomers are still about a decade away from the average age at which most people move into these communities-82-their influence can already be seen in the greater choice of amenities, services, and locations available across the continuum of care. As part of the movement, open-plan, residential-scale settings, in which empowered residents and caregivers partner to create nurturing communities, became popular. The concept of person-directed care focuses on the needs of individuals, rather than on those of the institution, and gives them agency in determining how best to fulfill those needs. ![]() In the late 1990s, a movement began to deinstitutionalize senior living and, in particular, nursing homes. Benjamin Benschneider The Summit, at Rockwood's South Campus, in Spokane, Wash., designed by Perkins Eastman ![]()
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