Beatrice | Downtown Hospital

BEATRICE ARCH 510 | HDR STUDIO

by Neely Sutter

CHAPTER 1 RESEARCH

BEATRICE, NE Beatrice was originally founded when the steamboat Hannibal was stranded in 1857 near Kansas City on the Missouri River. A group of passengers formed the “Nebraska Association� and set out to establish a settlement within one the pre-established territories in Nebraska. Along the journey the group split, one headed toward Nebraska City and the other traveling south. It was the southern group that founded Beatrice where the DeRoin trail crossed the Big Blue river.

Beatrice continued to grow through the railroad, farming, and and industry that was able to use the Big Blue river as a power source. Beatrice is also the location of the first Homestead through the Homestead act and the current location of the Homestead National Monument.

Homestead National Monument 1862 County Seat of Gage County 1857

founded in

1857 4

Beatrice, NE

5

COUNTY NETWORK POPULATION RATES Many small towns in southeast Nebraska relies on a network of communities for survival. Beatrice is a crucial piece of that network as a hub or resource.

However, the city of Beatrice has a unique position with both influx from surrounding communities and outflow of its own residents to the larger city of Lincoln.

As an outflow community, being close to Lincoln is both a strength and a weakness. Being within 45 miles of the capital city is an attractive feature for residents that want a small town lifestyle but still want quick access to the amenities of a larger city. The close proximity to Lincoln allows workers within the Lincoln workforce to commute from Beatrice. However, being so close to Lincoln is also a weakness for the community of Beatrice. Many residents of Beatrice travel to Lincoln for retail, entertainment, and work instead of shopping and working local. The close proximity to Lincoln makes it difficult for economic growth and business recruitment. Beatrice is also outside the bubble of growth that currently surrounds Lincoln. While Beatrice’s population has remained stagnant over the past 20 years many communities that are closer to Lincoln have grown rapidly.

As an influx community, Beatrice is able to attract business and workforce numbers from smaller neighboring communities. This allows the city of Beatrice to have amenities available for not only its own residents but also the residents the encompassing network. While this is a strength for Beatrice it is also becoming a weakness. The network that relies on Beatrice as a hub is outside of the growth bubble that surrounds Beatrice. This means that the influx to Beatrice is getting significantly smaller. The decrease in network population has put a strain on the businesses in Beatrice that relied on the incoming business.

(1996 -2016)

34.02% Lincoln

24.39% Crete

35.49% Adams

0.11% Beatrice

-10.65% Wymore

-22.89% Diller

-8.72% Fairbury

6

Lincoln

Crete Firth Hallam Adams Cortland Wilber

Clatonia

Tecumseh

Dewitt Princeton Filley

Plymouth

Beatrice

Fairbury

Pawn

Wymore & Blue Springs Diller

Odell

Barneston

Hanover, KS

Marysville, KS

Seneca, KS

7

8

POPULATION

15TH

12,750

largest city in state of Nebraska

12,500

12,362

12,250

2016

2015

2014

2013

2012

2011

2010

12,000

POPULATION BY AGE 21.1% 0-17

18.7%

25.3%

18-34

35-54

POPULATION BY RACE

22.9% 55-74

12.0% 75+

94.0% White

2.6% 3.4% Hispanic Other

9

ECONOMY The economy of Beatrice has been improving in the past couple of years, but is still below the national average.

The average income per capita of Beatrice was $25,521 in 2015, compared to $48,006 for Nebraska and $39,740 for the United States. There is a similar trend for average household income in 2017 (see chart below).

Beatrice is currently working to improve their economy through the Gage Area Growth Enterprise (NGAge) which is an economic development group for Gage county.

This group is currently working to grow the community and increase economic opportunities. Further, Beatrice exemplifies economic development readiness and is NE Communities Economic Development Certified through the Nebraska Diplomats.

$25,521 avg. income per capita in 2015

AVERAGE HOUSEHOLD INCOME $42,707 Beatrice

$52,997 Nebraska

$53,899 United States

10

3.0%

US UNEMPLOYMENT

The unemployment rates in Beatrice have fluctuated over the past 20 years. The chart below, shows an increase in unemployment in 2006, peaking over 6.5% in 2009. The unemployment pattern in Beatrice is similar to the pattern of the United States, due to the Great Recession of 2008.

unemployment rate for Nebraska

10

7.5

5.0

After 2009, Beatrice has brought unemployment down to 3.1% in 2017. The decrease is encouraging but many people have had to settle for lower paying jobs.

4.3%

2015

2010

2005

2000

2.5

unemployment rate for United States

BEATRICE UNEMPLOYMENT 10

7.5

5.0

3.1% 2.5

2017

2016

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

0

11

WORKFORCE 6,161

employees in beatrice in 2015

GENERAL EDUCATION LEVELS No Schooling

Less than High School 9.1%

High School or GED 34.3%

Bachelor Degree or Higher 19.3%

Some College or Associates Degree 33.8% 19.3% Beatrice

Nebraska

United States 25%

12

50%

75%

100%

MALE WORKFORCE IN BEATRICE 1. Manufacturing 2. Retail & Trade 3. Healthcare

21%

of Male workforce in Beatrice is in Manufacturing

+ Husquvarna - closed in 2010 •

In Beatrice since 2004

•

lost 400 jobs

+ Store Kraft - closed in 2014 •

In Beatrice since 1916

•

lost 150+ jobs

•

‘It’s a part of Beatrice history, and now it’s gone’

+ Several other manufacturing companies in town have had smaller scale employee cuts since 2014

13

4

mental health facilities New Beatrice Community Hospital

8

assisted living facilities

24 Hour Fitness Husker Health Rehab Center Blue Valley Behavioral Health Center

3

Dorsey St.

BCH locations

Old Beatrice Community Hospital Medical Center

Beatrice State Developmental Center

PEO Home Lincoln St.

3

wellness/ workout facilities

YMCA

Paddock Kensington Assisted Living

Flowing Springs Retirement Community Good Samaritan Society

Beatrice Community Hospital Assisted Living Home

14

Mosaic Development Center

FEMALE WORKFORCE IN BEATRICE 1. Healthcare & Social Assistance 2. Retail & Trade 3. Education

40%

of Female workforce in Beatrice is in Healthcare & Social Assistance

The Beatrice workforce has a large percentage of Healthcare and Social Assistance jobs. However, this section of the workforce represents both the highest level of income, around $200,000, and the lowest income level, around $20,000, in the community.

The Healthcare workforce in Beatrice is unique in that a large percentage of the jobs are for nursing techs, which does not require a bachelors degree. A large number of the workforce is hired at livein facilities. These include the 4 mental health facilities (BSDC, Mosaic, Blue Valley Behavioral Health, & Good Samaritan Home) and the 8 senior assisted living facilities.

$23,200 avg. income for nurse technician

$180,100 avg. income for family physician

15

11% 13%

of Male (11%) and Female (13%) workforce in Beatrice are in Retail & Trade

The core area of downtown Beatrice, which was established in the 2016 Downtown revitalization plan, can be organized into 7 main categories of businesses:

19

owned storage buildings

36

vacant buildings

General retail - new clothing, antique & consignment, furniture, home goods, tools, automobile...

Service-based retail - photographer, seamstress, Realtor, lawyer, banking, carpenter, fast-cash...

Food and entertainment - restaurant, bakery, bar & pub, movie theater, community players theater...

9

antique/ consignment stores

Public schools - middle school, alternative school, administration building Government services - public works, police & fire station Historical buildings or museums - Gage County History Museum, Carnegie Library Industrial business - scrap processing (junk yard) , elevator, baking company...

16

Beatrice Scrap Processing Co.

15

(1 block south of Court St)

industrial business in DT core

VACANT BUILDINGS STORAGE BUILDINGS RETAIL BUILDINGS FOOD & ENTERTAINMENT BUILDINGS INDUSTRIAL BUILDINGS BEATRICE PUBLIC SCHOOLS BUILDINGS PUBLIC BUILDINGS RELIGIOUS BUILDINGS RESIDENTIAL BUILDINGS

17

SUCCESSFUL BUSINESS IN DOWNTOWN CORE

18

SUCCESSFUL BUSINESS OUTSIDE DOWNTOWN CORE

19

AMENITIES Amenities are crucial to a “successful” community. They are important to attracting young people to return or move to their city. However, what qualities are needed for a healthy community? According to the Center of Regional Development several traits are associated with communities that provide a high quality of life for residents. These traits are organized in the “Seven Community Capitals” and include: Natural, Cultural, Human, Social, Political, Financial, and Built. One capital is not more important than another. The goal is to balance these capitals evenly. However, for many small communities it would be impossible to simultaneously invest in all the capitals. Each community must focus on the unique strengths and needs of their city. The Seven Capitols can be identified in Beatrice.

Natural Capital is the landscape, geographic location, natural resources, and natural beauty of a city and the opportunity for citizen access. In our analysis, Parks and Open Space represents the natural amenities of the area.

Cultural Capital is the common fabric and includes common language, beliefs, resources and values of a community. This can include art, music, and museums. In our analysis, Recreation and Entertainment and Restaurants represent cultural capital.

20

Human Capital is the investment in the welfare of residents. In our analysis, the human capital has be identified by both Education and Healthcare.

Social Capital is the “glue” that holds a community together. This often represents economic growth and community services. This capital is very broad and is hard to identify on a physical map, however it is a part of several in the categories of the analysis.

Political Capital is the local balance of public and private resources in the community. The most basic form of this capital is the local government. Government Service represents the political capital in our analysis.

Financial Capital is the resources and economic opportunities that are available to the community. A stable city is dependent on the availability of financial institutions (banks, credit unions, etc.), retail and trade, wealth creation, and a stable economy. This is represented by Retail & Trade and Government Services & Public works in our analysis.

Built Capital is the roads, bridges, airports, buildings and public works functions that are available to a community. Our analysis could represent the built capitol is the Airport, Government & Public Works and the road systems that are shown.

Parks & Openspace Recreation & Entertainment Retail & Trade Restaurant & Fast Food Healthcare (general population) Airport Education (preschool-community college) Government Service & Public Works

Dorsey St.

Lincoln St.

Court St. Court St.

21

Future Housing Development Zones

1 2 3 4 5 6 7 8

22

Redevelopment Zones (1-8)

Adopted Zones

DEVELOPMENT ZONES & HOUSING Beatrice has developed a Tax Increment Financing program that will assist in financing eligible public improvements of redevelopment zones over a 15 year period. The city of Beatrice has identified 8 redevelopment zones and adopted Redevelopment zone #6 in 2016, Redevelopment zone #7 and Redevelopment zone #8 in 2017. These three redevelopment zones were selected as top priorities due to the current poor conditions in the areas.

structures. The existing use of the land is mostly vacant at 61.4%. These vacant land is grouped into open land or existing farmland and an unsuccessful development neighborhood. Sun Ridge Development has appropriate streets and infrastructure but many of the lots remain undeveloped. The future of redevelopment zone #7 is to continue developing the area for single and multifamily housing and rezone the agricultural district to R-2 single family residential.

Redevelopment zone #6 is in the southern section of town and was selected as priority of to do a high amount of blight and substandard. This zone has a main land use of residential with almost 80% of the zone being vacant. These vacant spaces are currently large, undeveloped tracts of land, that are currently economically obsolete and lack the support needed for development. The built environment is also weak in the area with 42% of buildings classified as dilapidated.

The average residential building age is over 76 years and commercial building age was around 40 years.

46% of the 26 parcels were on a street in fair condition and 35% of front on a gravel surfaced streets. The future zoning of redevelopment area #6 is planned to provide redevelopment of single and multi-family dwelling types.

Redevelopment zone #8 is near the center of the city of Beatrice. Currently redevelopment zone 8 is made up of public/quasi public and single family residential uses and includes the former Beatrice Community Hospital, Gage County Medical Clinic and the Blue Valley Behavioral Health Center. Of the buildings in zone 8, 88% are over 40 years in age and the average age of residential buildings was 66 years.

A large portion of the buildings can be categorized as deteriorated. The future of the redevelopment zone #8 is to improve the current single-family housing and to have new development on new single family and duplex housing in the area. This development should be focused on the site of the former Beatrice Community Hospital.

Redevelopment zone #7 is in the eastern section of Beatrice and is partially outside of the corporate limits of Beatrice. Redevelopment zone #7 has overall average quality structure systems. Of the 111 structures identified in this zone, 27% were classified as deteriorated with minor to major defects. Many of the structures were located in Hannibal park and included park shelters, play equipment, and field

The focus of all 3 adopted zone is on the development of new single and multi-family housing. The Downtown Revitalization Plan has also identified the improvement of current and development of new housing in the downtown core. Downtown housing development will be focused on apartment and condo housing.

23

24

Beatrice seems to be a typical small town in the Midwest...

What does the community think?

25

SURVEY Beatrice 26 | Other 14

40

18 - 25 years 30 | 25+ years 10

people responded to survery

10

8

The survey was sent out all ages and focused on gathering opinions from current and former Millennial residents of Beatrice. Millennials from other small towns were also surveyed to understand how people from other communities view their hometowns.

Questions in the survey focused on why people were leaving and if they were planning to return to Beatrice. The survey also asked people, in their opinion, how Beatrice was successful and unsuccessful.

6

4

2

1 (very low)

Beatrice Residents Other Community Residents

26

2

3

4

5 (very high)

How much opportunity is there in your hometown for young people (18-30 years)?

10

10

8

8

6

6

4

4

2

2

1 (very low)

2

3

4

5 (very high)

How much opportunity is there in your hometown for young families?

1 (very low)

2

3

4

high) 5 (very(very high)

Do you think you would be successful in your career if you moved back to your hometown?

27

Beatrice 26 | Other 4

SURVEY

40

18 - 25 years 30 | 25+ years 0

people responded to survery

20

Would Not move back...

15

+ No job opportunities + Not forward thinking or innovative + Want to find their own place/experience + “moving back would seem like backtracking”

10

Would move back... + to be closer to family + good place to grow up & want to raise their families + friendly community + “Family is important to me and all of my family lives back in my hometown”

5

Beatrice Residents

Yes

No

Would you move back to your hometown? Why or why not?

28

What qualities of you hometown make it a desirable place to live? + Family oriented + Good location (close to Lincoln, Omaha, KC) + Small town feel (not too big, not too small)

“Community. Community. Community. There is so much support growing up. I also like that I can pretty much know every person.”

+ Friendly community + Low-cost of living

“Small size, good schools, family and friends, close to bigger communities”

What qualities of your hometown are NOT desirable? + Lack of Job Opportunities + Lack of Night Life or entertainment + Increasing Crime and Drug use

“Limited job opportunities, limited shopping, few entertainment venues, rise in crime...”

+ Lack of resources/shopping/restaurants + Lack of diversity/progressive views

“Drug abuse, teenage pregnancies, apathy, bad food options”

29

OTHER FACTORS TO DECLINE 3

10TH

RD

most ÒghettoÓ city in state of Nebraska

most dangerous city in state of Nebraska

CRIME RATES

3,753 Beatrice

/100,000 people

2,516 Nebraska

/100,000 people

2,860 United States /100,000 people

COUNTY EXCESSIVE ALCOHOL & SMOKING RATES Excessive Alcohol

Excessive Smoking

20.0%

Gage County

18.0%

Gage County

17.0%

20.0% Nebraska

Nebraska

12.0%

14.0%

United States

United States 30%

30

30%

COUNTY SUICIDE RATES

TEEN PREGNANCY RATES

17.6%

9.8%

Gage County

Beatrice

13.4%

3.6%

Nebraska

Nebraska

13.0%

4.8%

United States

United States 30%

10%

50%

FREE & REDUCED LUNCH RATES Free and reduced lunch rates in Nebraska is through the National School Lunch Program (NSLP). In order to qualify for free lunch in Nebraska a household of 4 must have an annual household income lower than $31,980. In order to qualify for reduced price lunches in Nebraska a household of 4 must have an annual household income lower than $45,510.

The NSLP qualification system is organized by number of people within the household.

Other factors to consider are divorced or single parent homes.

40%

30%

20%

10%

Beatrice Public Schools

Norris Public Schools

Seward Public Schools

Nebraska City Public Schools

York Public Schools

Blair Public Schools

31

KEY WEAKNESSES

-

Community perception | both outside and within the community

-

Crime Rates | Growing crime rates and dangerous city rating

-

Dependence & Depression | High Alcohol, Smoking and Suicide Rates

-

Struggling Downtown Core | Vacant, Dilapidated, and Underused

-

Proximity to larger cities | Residents will travel for amenities and retail

32

Apathy (n.) lack of interest, enthusiasm, or concern.

Apathy has been studied in cities and small towns, but has mostly focused on how citizens respond to local government and politics. Anthropologist Ruth Benedict believed that apathy and that “psychological attitudes and patterns of thought said to characterize the whole society”. This statement is true in the impact citizen apathy has had on the community of Beatrice as a whole. Apathy has effected the people of Beatrice, especially the younger generation, and has led to a lack of direction or motivation.

Survey response on Apathy:

“Many people in my hometown that

purchase property with no intent to improve which is very upsetting for some neighborhoods and especially our downtown

”

“Not as nice as other surrounding area Community perception and involvement

Apathy

Downtown vacancy and lack of property improvement

towns, becoming more run down. Clean up the town, become a more progressive town instead of just letting things remain as they always have

”

“Reputation I guess?... seems like when

I talk to people they think it’s full of low income druggies. Not sure how it actually compares to other small towns...

High crime rates and community reliance on drugs/alcohol

”

33

KEY OPPORTUNITIES

+

Family Oriented | Close to family & good place to raise their own family

+

Small Town | Beatrice is able to offer a certain lifestyle & values

+

Low-cost of Living | Able to live the “American Dream� on a budget

+

Amenities | Offers all the amenities needed for healthy lifestyle

+

Public Schools | Small size and good quality make BPS desirable

34

Millennials put having a family as a goal.

In a survey by the College Board, 77% of students say “raising a family” is “essential”, only 59% said the same in 1977. Although Millennials are getting married later in life, that is not stopping them from wanting children. When Millennials do have children they tend to move out of the city.

Millennials want to raise their families in friendly environments that are close to their family and friends. Over 50% of millennials think it’s “very important” to live close to their friends and family.

Compared to only 29% of baby boomers and 40% of Gen X’ers, this is an important factor that will help guide millennials in where they settle down. Where millennials parents are makes a large impact, with over 50% of all millennials living under 18 miles from their parents.

77%

of Millennials think raising a family is essential

Survey response on Family:

“Close knit, family oriented” “Small community, family oriented, good

public school system, job opportunities as an Speech Language Pathologist, low cost of living

”

“Family centered community”

34%

would return home due to family

35

36

What spatial and programmatic solutions will be able to address both Beatrice’s opportunities and weaknesses?

37

38

CHAPTER 2 PROGRAM DEVELOPMENT

39

CRITICAL ACCESS IN DOWNTOWN Placing a critical access hospital in the downtown core of Beatrice could have many effects. The positives would be to increase traffic and bring new life into the area. It also allows for many different program types to be combined in order to best serve the community as a whole. Through our research, we know that Beatrice currently has an apathy and perception problem. Many people in the community are uneducated on the possibilities that are available to them. Further there seems to be a lack of social and physical activities for people in the community.

Physically apathy is evident in the downtown of the city.

Many buildings have good bones but have been allowed to be run down, sit empty, or sit as storage.

The critical access hospital can address many of these issues by adding active areas (river access point, park, SCC wellness program) that promote physical activity, healthy food options and education (restaurant, SCC Culinary & dietetics program) and a civic lobby that can serve as a gathering place for the whole community. The addition of additional education resources and a vocation middle school program will also be able to boost the availability of education. These types of education has the potential to help the youth see the many options and the potential career success they could have within the small town of Beatrice.

Critical Access Hospital SCC Healthcare

Civic Lobby

Park

Restaurant

Vocational School Career Academy SCC Culinary

Residential

40

River Access Tourism

41

Critical Access Hospital Park

SCC Healthcare

Civic Lobby

Vocational School Career Academy SCC Culinary Restaurant

The critical access hospital was placed in the middle of downtown Beatrice on the block between 4th Street and 5th Street and Ella Street to Market Street. This placement is adjacent to many currently successful businesses and recently renovated streetscape. This block is also close to programs that promote a healthy lifestyle such as a potential river access point, bike trail, and public track and field. Additionally, the Beatrice Middle School is within a block which is an important link for the vocational school program.

42

Park Residential

Public Track & Field

Beatrice Middle School

Fire Station Police Station River Access

Potential Parking Bike Trail

Potential Parking

43

USE WHAT IS WORKING...

Located within the heart of downtown.

• Opportunity for new growth • Existing successful businesses & restaurants • Block west of HWY 70

44

3

Retail buildings

2

Storage buildings

5

update upper level current buildings

VACANT BUILDINGS

RETAIL BUILDINGS

STORAGE BUILDINGS

FOOD & ENTERTAINMENT BUILDINGS INDUSTRIAL BUILDINGS PUBLIC BUILDINGS

45

USE WHAT IS WORKING...

Oppurtunity to link to bike path & river access point

Within the core of Downtown/ encourage re-route of HWY

46

Several successful businesses already call block home.

47

Original Massing 48

Entry points to buildings and alley parks

Radiating lines from entry points

Building mass from radiating lines 49

Critical Access Hospital Park

SCC Healthcare

Civic Lobby

Vocational School Career Academy SCC Culinary Restaurant

Park Residential

50

51

medical clinics

critical access hospital

civic

52

clinics

hospital

school

hospital

school

hospital

Street Level Plan

Second Level Plan

housing

housing

housing housing housing

school

housing housing housing

restaurant

retail

retail retail retail

civic lobby

school

hospital entry

Third Level Plan 53

A PLACE TO GATHER AND GROW

With no current community center, Beatrice is in need of a space that can bring the city together. This development will become a place for the community to gather, celebrate, and grow. This development will be the catalyst to such growth. Focusing on recreation, preventative health, and education creates a space that will move Beatrice’s forward. The recreation components will to boost community involvement and reduce apathy

54

A

o

cti

Se

n xo nA

within the community. The education components, such as the middle school vocational program, will further heighten the Beatrice Public Schools systems and attract younger families to locate in the area. The SCC career academy and culinary programs will allow an alternative path for the younger community in Beatrice that do not see college in their future.

55

IGNITING THE DOWNTOWN Linking the north and south block and drawing them together will help to invigorate the streetscape and encourage walkability and community gatherings in downtown. Redeveloping the streets to be narrower and more pedestrian friendly will push the downtown towards progress. Further, renovating current buildings for residential and retail will help to modernise downtown while also maintaining its character. The current downtown has potential but is stagnant.

This development can serve as the push to update and reinvigorate the downtown as a whole.

Se

cti

56

on

Ax on

B

North Elevation

South Elevation 57

58

59

60

61

62

63

64

CHAPTER 3 DESIGN

65

PATIENT CENTERED DESIGN

+

Sense of Community | the design should remove negative perceptions

+

Apathy within Healthcare | healthcare is often avoided due to the effort

+

66

with connections to community events

required, the design should make it easier to access healthcare services Discretion | the design should be open to the public, but also allow privacy for patients

North Elevation scale: 1” = 50’-0” 67

CREATING A COMMUNITY SPACE Design choices for the critical access hospital in downtown Beatrice were based around the elements discovered for patient centered design: sense of community, apathy in healthcare, and discretion or privacy.

After a better understanding of these elements, it became obvious that the civic lobby would not serve as a space for other programs to empty into. Instead, the lobby needs to connect and respond to all of the different programs within the development. The shift to a flexible lobby creates an interior boulevard that can serve as community space. A long “street-like” lobby allows for change between programs and can serve as “wayfinding” and a privacy shield.

Civic Lobby

Civi

c Lo bby

68

69

Vocational School Career Academy SCC Healthcare

Critical Access Hospital

River Access

tourism/recreation point

Park

Restaurant

SCC Culinary

Residential Park

70

Civic Lobby

CAH Hospital | 35,135 square feet INPATIENT BEDS | 7700 square feet skilled nursing/ transitional care | 14 units - 7700 square feet DIAGNOSTIC & TREATMENT | 15425 square feet emergency services - 3600 square feet laboratory | 750 square feet pharmacy | 275 square feet radiology/medical imaging | 4,200 square feet rehab services | 400 square feet inpatient surgery | 2 units - 6200 square feet OUTPATIENT | 4300 square feet clinics | 7 units | 3500 square feet physician offices | 4 units - 800 square feet ADMINISTRATION | 3015 square feet administration | 3 units - 825 square feet business offices | 2 units - 320 square feet conference room | 400 square feet data processing | 2 units - 320 square feet human resources | 2 units - 320 square feet infection control | 160 square feet information services | 160 square feet medical records | 2 units - 360 square feet medical library | 150 square feet SUPPORT | 4695 square feet admitting/waiting/registration | 2 units - 320 square feet (located in restaurant/civic lobby) central sterile processing | 2 units - 1400 square feet employee - staff lounge/lockers/showers | 500 square feet engineering services | 1300 square feet food services - kitchen | 1250 square feet (located in restaurant/civic lobby) food services - dining | 625 square feet (located in restaurant/civic lobby) housekeeping/environment services | 375 square feet linens (clean/soiled) | 300 square feet material management/purchasing | 500 square feet

71

Vocational School Career Academy SCC Healthcare

Critical Access Hospital

River Access

tourism/recreation point

Park

Restaurant

SCC Culinary

Residential Park

72

Civic Lobby

Civic | 4,700 square feet

Education | 9,750 square feet

LOBBY | 2200 square feet river access point/tourism point | 200 square feet flexible event space | 2000 square feet

SCC HEALTHCARE | 2000 square feet general classroom | 600 square feet healthcare science multi-use lab | 1400 square feet

RESTAURANT | 3000 square feet Dining room | 1500 square feet kitchen (w/ area for SCC culinary) | 1500 square feet

SCC CULINARY | 2400 square feet culinary arts lab | 2400 square feet *use of restaurant kitchen

RESTROOMS | 500 square feet

Parks | flexible

SCC CAREER ACADEMY | 2550 square feet general classroom | 2 units - 1800 square feet computer lab | 750 square feet VOCATIONAL SCHOOL | 2200 square feet entry check point | 200 square feet middle school vocational lab | 2000 square feet

Residential (renovations) 413 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 415 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 417 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 421 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels)

73

GENERAL MASSING GUIDES After the site selection process has been completed it is important to understand how the site will be used to create the most efficient massing.

Considerations used on the site include existing buildings, pedestrian and vehicular traffic, and adjacencies. All of these considerations are important to understand the strengths and weaknesses of the site.

The site being used for this development is within the downtown core of Beatrice and serves as opportunity for circulation through the site.

Main street is a natural place to concentrate pedestrian traffic and because of linear adjacency to a current bike path it encourages bicycle traffic throughout the community.

These studies will help to develop a general massing on the site.

74

Existing Buildings

Pedestrian Circulation

When building in an urban setting it is important to understand and be conscious of the current buildings on your site. This development should boost these other businesses and buildings, not detract.

The critical access hospital in downtown will work to bring more foot traffic into the downtown. Due to this it is important to designate pedestrian zones and pathways within the site.

Biking Circulation

Parking Circulation

A major aspect of the recreation component within the critical access hospital is the encouragement of bike circulation within the site and the link to the existing bike path located 2 blocks east.

Many of the visitors to downtown and to the critical access hospital will arrive in vehicles. Due to this it is important to identify vehicle drop offs and parking areas to understand how these will work with the pedestrian circulation.

75

Vocational School Career Academy SCC Healthcare

Critical Access Hospital

River Access

tourism/recreation point

Park

Restaurant

SCC Culinary

Residential Park

76

Civic Lobby

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FINDING FORM Finding form on the site was an important step in the design and massing process. This form was driven by engaging the block cores and alleys to create larger areas of community space within downtown. This move is to encourage a public gathering space, something that is missing in Beatrice. The form must link the north and south blocks to connect the different programming and engage main street.

The form was developed from the multiple entry points that open up to block cores. Multiple entry points are present at the current alley entries. There are also two openings on main street to the southern block, due to two buildings that are being removed. Engaging the entry points can create radiating lines that will encourage movement through the blocks.

The radiating lines that are created from the entry points will serve as a guide for the building massing and circulation, both interior and exterior.

Original Massing

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Original Massing

Entry points

Radiating lines from entry points

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Vocational School Career Academy SCC Healthcare

Critical Access Hospital

River Access

tourism/recreation point

Park

Restaurant

SCC Culinary

Residential Park

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Civic Lobby

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LEVEL ONE CAH Hospital

Civic

Education

DIAGNOSTIC & TREATMENT emergency services pharmacy

LOBBY river access point/tourism point

SCC CULINARY culinary arts lab

RESTAURANT kitchen (w/ area for SCC culinary)

VOCATIONAL SCHOOL entry check point middle school vocational lab

OUTPATIENT clinics ADMINISTRATION administration conference room SUPPORT admitting/waiting/registration housekeeping/enviro. services linens (clean/soiled)

Residential (renovation) 413 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 415 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 417 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 421 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels)

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Level One scale: 1” = 50’-0” 83

LEVEL TWO CAH Hospital

Civic

Education

INPATIENT BEDS skilled nursing/ transitional care

LOBBY flexible event space

SCC HEALTHCARE healthcare science multiuse lab

OUTPATIENT clinics physician offices

RESTAURANT Dining room kitchen

SCC CAREER ACADEMY general classroom computer lab

ADMINISTRATION business offices data processing human resources infection control information services medical records medical library

RESTROOMS | 500 square feet

SUPPORT | 4923 square feet admitting/waiting/registration employee - staff lockers/showers employee - staff lounge food services - kitchen food services - dining

Residential (renovation) 413 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 415 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 417 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 421 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels)

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Level Two scale: 1” = 50’-0” 85

LEVEL THREE CAH Hospital

Residential (renovation)

DIAGNOSTIC & TREATMENT laboratory radiology/medical imaging inpatient surgery

413 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels)

SUPPORT central sterile processing engineering services

415 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 417 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels) 421 COURT ST. APARTMENTS renovated retail (street level) apartments (upper 2 levels)

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Level Three scale: 1” = 50’-0” 87

Site Plan scale: 1” = 70’-0” 88

ON THE SITE...

Putting the development on the site had several important considerations. The first was the access to emergency vehicles and emergency vehicle storage. This solution was simple with both the police station and the fire station (where emergency vehicles for the city of Beatrice are currently stored) within a block of the development. The emergency access point will be located on the north west edge of the site to allow for the easiest access along the Ella street, which is a one-way to the west.

By taking advantage of an open lot and existing parking areas a second natural entry for the Critical access care hospital came from the block to the west. This western entry will allow for a vehicular drop off and will keep the Court street as a mainly pedestrian zone. The parking and western entry will also link up to a walking and bike path that will begin at the heart of the development and will link up with a river access point and an existing bike trail. This trail will also enter and exit the site from the west. Additional parking will be provided a block southeast of the development and can serve as parking for the other program elements and the residential.

Public Track & Field Beatrice Middle School Fire Station

Police Station

Parking to river/bike access

Parking

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EMERGENCY

The exterior circulation path moves from east to west through the hospital block of the development. This path serves as the western entry to the site and hospital. This circulation path will link with the vehicle drop-off zone and parking to the west of the site.

VEHICLE DROP OFF

EXTERIOR CIRCULATION

EXTERIOR CIRCULATION

This path will serve as an entry, but also as a link to a walking and bike path, the river access point, and existing bike trail. Connecting to the trail will link the site with the entire community and allows for easily accessible recreation for hospital and community programs.

Site Plan scale: 1” = 70’-0” 90

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MIDDLE SCHOOL ENTRY

With several entry points into the building, the interior circulation has the possibility to become a web of paths. To provide “ w ay f i n d i n g ” and encourage movement to community spaces a strong interior circulation path needed to be created.

The interior circulation path will move across the site from north to south and will function as the “civic lobby”. This space will wind through the various programs and spaces and serve as the unify area within the building. Circulation is encouraged on this path through several way finding techniques, such as colors, graphics, paving and ceiling patterns.

INTERIOR CIRCULATION

INTERIOR CIRCULATION

HOSPITAL ENTRY CIVIC ENTRY

OUTPATIENT ENTRY

CIVIC ENTRY

Site Plan scale: 1” = 70’-0” 92

No rth Civ ic Lo bb y

Ma in Str ee t

en try

Ed uc ati on lou ng e

En try

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WAYFINDING & COLOR INSPIRATION With a wide variety of programs and people visiting this development the traditional colors for healthcare did not create a good fit. This project took inspiration from more emotionally based colors and the work of Mexican architect, Luis Barragan. The main colors used are a soft pink and a vibrant orange/red with blues used as accent colors.

Incorporating these colors will encourage movement and wayfinding and will bring a new energy to the hospital environment.

PINK Pink is known to be a neurologically calming color and a balance to the bright orange throughout the building. The pink is used to encourage people to stop and relax and is used on the floor and walls of the gathering spaces, common areas, and the civic lobby.

ORANGE A bright orange was incorporated into the interior spaces to serve as a vibrant pop of color that can be seen both inside and outside the building. Orange is also known to inspire movement and was used along walls and stair cases to encourage movement from the street into the building and upstairs to common areas and the civic lobby.

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SOUTH ENTRY

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CIVIC LOBBY

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NORTH COMMON AREA

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MATERIALS Along with color, the material choices of the building became an important element. Material choice was important in the aesthetics and the programming of the building. Just as the pink and orange interior finishes work to create spaces and entice movement the exterior envelope was developed around private and public spaces.

The private spaces (Diagnostic support, radiology, inpatient surgery, etc.) needed to be sealed off from the public zones of the site.

These spaces were wrapped in solid brick or brick with a slight amount of opacity. This facade contains the program from the exterior view but also allows for some light into the space.

The semi-private areas ( Staff, Inpatient rooms, clinics, etc.) were areas that needed views to the exterior, but limited views within the spaces to allow for some privacy and discretion. This was important for many of the healthcare program areas. The envelope for these spaces includes a very porous brick, fritted glass, and tinted windows on the second level.

The public areas (civic lobby, dining room, common spaces, entry points) are open to the streetscape and encourage interaction between inside and out. These spaces are present in most of the interior walkway of the building.

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WHY A HOSPITAL DOWNTOWN? This research project was focused on re-imagining two things.

The first is looking at how a small downtown can be revitalized and what a “thriving� downtown should look like in the future.

The second was looking at how healthcare, a critical access hospital, could act as a catalyst project, to give struggling downtowns, and entire communities, the boost they need to survive. It is through this process that we can also re-imagine what hospital is and how health care can serve a community.

Placing a critical access hospital in the core of Beatrice would have many positive effects on the physical and commercial health of the downtown. Inversely, this unexpected placement would also have positive effects on the hospital. By placing the hospital in the downtown you are putting it within the heart of the city and place that has the potential to be a gathering and community space. This can carry over into the walls of the hospital, making it a friendly center of the town, rather than a place of fear. This can help to encourage a more preventative healthy lifestyle within the community and reduce the stigma of what a hospital is.

Placing a critical access hospital in the downtown core of the Beatrice, Nebraska provides an opportunity for the community to take back the main street. It also allows for the community to grow around a new type of healthcare and a new type of hospital.

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ARCH 510 | HDR STUDIO FALL 2017

by Neely Sutter

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