Special Use by Stephanie Melendy

Stephanie Melendy | Special Use Design | Fall 2010

Programming Executive Summary

Analysis of Existing

Analysis of Proposed

Schematic Design Conceptual Framework

Green Guide for Healthcare

Design Development Floor Plans

Focus Areas

Wayfinding

Codes Programming Codes

References Work Cited

Morrison Meadows

Programming Programming

Programming

Melendy Interiors focuses on Sustainable Interior Design. We pay close attention to our designs affect on the natural environment. All of our designs use sustainable buildingmaterialsandconstructionsystemsthatpromotebetterindoorairquality andenergyefficiency.Wecreatecomfortableandhealthyenvironmentsforseniors with a focus on their desire to remain in a residential home-like environment. Morrison Meadows is a Continued Care Retirement Community for adults fiftyfive and older. We have accommodations for Assisted Living and Memory Care. The facility includes a clinic, an administration area, a large garden with an ADA accessible walking path, as well as a public town center. The town center consists of a theatre, library, gym, cafĂŠ with indoor and outdoor seating, beauty salon, post office and computer lab. The location of Morrison Meadows was chosen for its small-town feeling and beautiful surroundings, helping the residents feel more at home.

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Executive Summary Concept Autumn Tranquility: The warm feel of a sunny autumn day

Vision Sustainability is a main focus for the design. Throughout the space daylighting is maximized, energy efficient appliances are used andVOC-free materials are specified. A warm color scheme with accents of vibrant colors brings the concept to life. Sleek geometric shapes are used to incorporate nature and add a modern twist to the space.

Programming

Site Analysis I am going to be designing a Continued Care Facility. This facility will have several nurses on staff to help with residentsâ&#x20AC;&#x2122;daily needs as necessary.The goal is to allow the seniors to live as independently as possible, while still having the help when needed. There will be activities provided both on and off the facility grounds. This facility is located in Morrison, Colorado. There are currently no senior living facilities in the Morrison area, however, there are a few in the nearby area of Lakewood. The climate in this area is the typical Colorado climate, hot and dry in the summers and cold and wet in the winter. Colorado experiences all four seasons and has lots of sunny days. This will be strongly considered when designing the building by incorporating gardens and views that can be enjoyed all year round.

Main attractions include: Morrison natural History Museum; Red Rocks Amphitheatre; and Bandimere Speedway. There are a couple of hospitals nearby, including one in Lakewood that is only fifteen minutes away from Morrison. This site has several opportunities for sustainable design due to its proximity to local water treatment plants and state mines.There is easy access to construction materials such as aggregate and beetle kill woods. Building materials are readily available in near by areas such Golden, Lakewood, Little, Denver andWheat Ridge.

The location feels like a remote mountain town, however it is only thirty minutes from downtown Denver. Within the town are several world-class restaurants and shops on the historic Bear Creek Avenue. Morrison is a historical town known for their pre-historic past and geological nature. People come from all over to visit Dinosaur Ridge and Red Rocks, popular geological tourist spots. There are natural geological rock formations, fossilized remains, hiking, biking and horse back riding trails.

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Analysis of Existing Client Profile The Morrison area has an average income of $64,417, a population of 430 (1.9% Latino and 97.2% White), and an average age of 58.3 (older then the U.S. average) and 58.4% of the population are families.The average demographics for surroundingareasarearound $55,000 income,populationofaround130,150with an average age of 38.8 and around 60% of the population are families. This facility will be designed for clients that are fifty-five and older, who need help with everyday tasks. I will be designing for individuals and couples alike with a typical income of around $40,000. This area will draw clients from the nearby cities of Lakewood, Wheat Ridge, Golden, Denver, Englewood and Littleton. The appeal of Morrison is the small mountain-town feel that many people love.

Programming

Resident Quality of Life Stimulating the mind • Activities that encourage active lives socializing, and friendly competition Bingo, card games, book club, backgammon Special room for these activities • Maximize outdoor activities Seating, walkways • Celebrate birthdays and holidays Create a communal atmosphere • Green House Project for a more at home feeling

Case Study Senior Heather & Wellness Center, Eugene, Oregon

• In operation since 2000 • Provide patient-focused care through an interdisciplinary team model • Researched for three years before building the facility Including interviews (450+) with patients, caregivers and families • Participated in an Institute for Healthcare Improvement consortium project • Address patient medical needs, psychological, social and spiritual needs • Encourage patient empowerment to get them to be more independent • Organized group hikes and tours on weekly basis • Have craft and activity rooms around the center • Encourage family participation in the care process • Have ongoing staff development workshops

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Analysis of Proposed Nurse Stations Focal Point • Entry into the reception area • Provide first contact with family and visitors • One central nursing station If facility is large, small work stations should be used throughout the space • Semi-enclosed area • Most critical patients closest to any nursing station • Enclosed formal meeting area • Create more of a home environment/ get rid of the sterile hospital feel

Case Study Presbyterian Home, Evanston, Illinois

• Many nurses stations are based on a hospital model, does not serve nursing home needs • Redefined the nurses station by giving it a completely different look •Developedthedesiredresidentialenvironmentwhileremaininganefficientspace for staff by having a separate room behind the scenes for the staff to work • Remodeled nurse station to look like a home dining room by replacing the typical • Desk/counter with a table Residents have a place to sit Activities are held there • Residential light fixtures to create familiar visual environment

Programming

Snoezelen/ Rummage Rooms Multi-Sensory

Promote pain relief, self-expression, guided imagery, relaxation and meditation through design Helpseniorswithdisabilitiesandlimitingconditionsbyprovidingspecifiedseating Use a wide range of sensory items Improve communication and build trust between patients through the layout of the room itself Create an environment free of expectations and pressure

Case Study Goodwill Columbus , Columbus, Ohio

Offer therapeutic experience for individuals with mental retardation, autism and dementia One of 600 rooms in the United States based on the Snoezelen philosophy Uses sensory items Lights, fans, bubbles, scents, sounds and vibrations Creates a relaxing and stimulating experience Uses specified chairs that vibrate to music Light machines, such as disco balls, were used to increase sensory exposure On site residence program provides daily living skills, training and assistance

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Analysis of Proposed Sustainable Senior Living Sustainable environment for the facility Create dignified homelike settings using residential materials Use technology to enhance senior living Expand urban options, passive solar usage and maintain air quality Maximize natural ventilation Water and energy conservation Provide an active social community versus living alone People-centric models to improve quality of life

Case Study Sustainable Fellwood, Savannah, Georgia Community driven project Mixed income moderate density redevelopment with open space and healthy buildings Use water and energy conservation Maximized natural ventilation Organic community garden Healthier eating habits In the LEED-ND pilot program Maintain air quality to improve patient health

Programming

Ergonomics 1. Safety and Well-Being

Security • Specify area in each resident room for medications to be locked up. • Resident’s rooms to have lock sets. Lighting Quality • Provide windows wherever possible. • Specify high quality lamps. • Residents to control light levels in their units. • Provide tall windows. • Provide closet lighting in each resident room.

2. Comfort and Sense of Choice and Control

Privacy • Provide a private bathroom in each resident room. • Resident rooms to be private. • Provide acoustical privacy for each room. Assisted Living • Provide break area for 24-hours staff. • Provide wireless call technology via bracelet to those residents who want them. • Specify appliances with large easy to read numbers. • Specify chairs that have attached arms. Memory Care • Provide a rummage room for residents with memory loss. • Create wandering paths outside that loop back to the start. • Provide unique scents for the different areas of the facility for memory recognition. • Provide a music room for residents. • Locate as few dead-end corridors as possible. • Provide memory boxes at the entry to each resident room.

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3. Ease of Use

Mobility and Functional Abilities • ADA - All entries to be accessible. - Provide elevators for those who can not use the stairs. - All counters to be ADA height. • Universal Design - Provide wide door frames for easy wheelchair and walker access. - Provide grab bars in all bathrooms. - Specify as few transitions as possible at entries. - Provide lever type hardware for all doors. - Provide access to thermal control in all resident rooms. - Provide walk-in bath tubs for all residents. • Anthropometrics - Specify clear floor space in kitchen area. - Provide easy-open drawers on all cabinets and mill work. Way Finding Strategies • Make all signs large and easy to read with great color contrast. • Use color coding for different areas of the facility. • Create unique scents for different areas of the facility. • Provide reference maps throughout the facility. • Do not use reflective surfaces to reduce glare. • Place landmarks throughout the facility, nature related when possible. • Provide lit walk-ways.

Analysis of Proposed

4. Productivity/ Performance Staff • Provide comfortable chairs for staff. • Provide a larger reception area for staff. Resident Daily Activity • Provide room for organized activities. • Provide a game room for interaction between residents. • Provide a lounge area away from the resident rooms. • Provide nurse stations throughout the space for easy access to resident rooms when needed. 5. Aesthetics Color • Design with rich/ vibrant colors. • Provide a natural feeling environment, not a sterile hospital feel. • Avoid dull colors and finishes that appear muddied to the aging eye. Contrast • Specify textured fabrics and materials. • Avoid shiny finishes that create glare. • Use contrasting colors on signs to make them easy to read. • Use contrasting fixtures to create a comfortable environment. • Avoid loud/ busy patterns. • Do not use loose rugs. • Design with residential furnishings as much as possible. Lighting Quality • Provide windows in the activity rooms. • Maximize windows in all private rooms to allow as much day lighting as possible. • Provide dimmer switches on electrical lights for more control. • Provide patios when possible to resident rooms. • Do not use ceiling fluorescents. 15

Programming

Research Based Design My analysis for Dottie is that she needs a warm and friendly environment to live in that has plenty of room for her family to visit. Since she was recently in an accident, she should a fully accessible, per ADA living space.The lighting should be high quality and consist of as much daylighting as possible to compensate for her impairedvision.Theconceptofautumntranquility,whichincorporatesdaylighting and warm color schemes with accents of vibrant colors, will help to lift her spirits and motivate her to be more active.

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Analysis of Proposed Design Strategy ThedesignstrategiesthatIwanttoincorporateintothisresident’sroominclude, but are not limited to:

• Specify tall windows to let in as much daylight as possible. • Storage incorporated into the furniture, such as drawers in the bed frame. • Warm and vibrant colors for the fabrics. • No loose rugs. • Residential-looking fabrics. • ADA height mill work in the small kitchen area. • Locking door to the resident room. • Provide a walk-in tub with a seat so that she can easily bathe herself without any help. • Wide door frames so that she can easily move through the rooms in her wheelchair. • Closet lighting so that she can easily pick out clothes even with her age- related vision problems.

Designstrategiesthatwouldworkinotherareasofthefacilitythatwould benefit Dottie include, but are not limited to:

• Large space to layout scrapbooking projects and organized materials. • Large visiting area so her large family can easily visit. • Large walking path through an outdoor garden to keep her busy and active. • Wayfinding with symbols, easy to read words and contrasting colors so that Dottie can see them without any trouble even with her age-related vision problem. • Elevators so that she can easily go from floor to floor while she is in her wheelchair. • Lounge in the main area open to everyone to support interaction with other people.

Schematic Design

Criteria Matrix Town Center 1. Entry 2. Reception 3. Lobby 4. Restrooms

Adjacencies 2, 3, 4, 5, 6, 7, 8, 9 1, 3, 4, 6, 7, 8, 9, 10 1, 2, 4, 9 1, 2, 4, 5, 6, 7, 8, 9, 10

visual

High

Privacy acoustical

Medium

Plumbing

Daylighting

Public vs Private

Special Equipment

Square Footage

Yes

Pub

250

Yes

Pub

250

Yes

Pub

494

Yes

Pub

200

Yes

Pub

n/a

5. Garden

1, 2, 4

6. Library

1, 2, 4, 7, 9

High

Yes

Pub

544

7. Beauty/ Barber

1, 2, 4, 6, 9

High

Yes

Pub

375

8. Physical Therapy

Medium

650

Yes

Pub

494

10. Janitors closet

1, 2, 4 1, 2, 3, 4, 5, 6, 7, 8, 10 1, 4, 9

Yes

11. Post Office

1, 2, 3, 4, 6

Medium

Low

Pub

128

12. Computer Lab

1, 2, 4, 6

Medium

Pub

234

13. Theatre

1, 2, 3, 4, 9

High

Pub

9. CafĂŠ

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High High

High

Yes

120

680

Notes

sink

large screen tv, speaker system

Conceptual Framework

Administration/ Clinic 1. Private Entry 2. Executive Office 3. Assistants Office 4. Social Worker 5. SW Assistant 6. Wellness Director 7. Activity Director 8. Break Room 9. Staff Restrooms

Adjacencies 2, 3, 4, 5, 6, 7, 10 1, 2, 4, 6, 8, 9, 10 1, 2, 5, 8, 9, 11 1, 2, 5, 6, 7, 8, 9, 10 1, 3, 4, 8, 9, 11 1, 2, 4, 7, 8, 9, 10 1, 2, 4, 6, 8, 9, 10 2, 3, 4, 5, 6, 7, 9, 10, 12 2, 3, 4, 5, 6, 7, 8 10

visual

Privacy acoustical

Medium

High

HIgh

Plumbing

Daylighting

Public vs Private

Special Equipment

Square Footage

300

Yes

299

198

Yes

299

198

Medium

High

Yes

299

Medium

High

Yes

299

High

Yes

462

High

Yes

200

High

Yes

280

10. Conference Room

1, 2, 4, 6, 7, 8, 9

11. Copy Room

3, 5, 12

12. Storage

8, 11

100

13. Reception

8, 14, 15, 16, 17

Yes

Pub

320

14. Public Restrooms

13, 15, 16, 17

High

Yes

Pub

200

15. Doctor's Office

13, 16, 17 13, 14, 16, 17, 18 13, 14, 15, 16, 18 16, 17

High

Yes

299

180

High

Yes

High

Yes

16. Nurse Stations 17. Exam Rooms 18. Laundry

Medium

High

Yes

350

180 220

Notes

projector

exam tables, sink

Schematic Design

Criteria Matrix Assisted Living 1. Resident Rooms 2. Living Room

Adjacencies 2, 3, 4, 5, 6, 7, 9, 10 1, 3, 5, 7, 8, 9, 10

Privacy acoustical

Plumbing

Daylighting

Public vs Private

High

Yes

728

Medium

Yes

Pub

352

High

Yes

Pub

640

High

Yes

266

High

Yes

300

Low

High

Yes

312

visual High

Special Equipment

Square Footage

3. Dining Room

1, 2, 5, 8, 10

4. Private Dining

1, 5, 7, 8, 10

5. Kitchen

1, 3, 4

6. Laundry

1, 10

7. Family Suite

1, 2, 4, 9

Medium

Yes

500

8. Restrooms

2, 3, 4, 9

High

Yes

Pub

200

9. Garden

1, 2, 7, 8

Yes

Pub

n/a

10. Shabaz

1, 2, 3, 4, 6

195

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High

Notes

Conceptual Framework

Memory Care

Adjacencies

visual

Privacy acoustical

Plumbing

Daylighting

Public vs Private

Special Equipment

Square Footage

High

Yes

728

Medium

Yes

Pub

352

High

Yes

Pub

640

High

Yes

266

High

Yes

300

Notes

3. Dining Room

2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14 1, 3, 5, 7, 8, 9, 10, 12, 13, 14 1, 2, 5, 8, 10

4. Private Dining

1, 5, 7, 8, 10

5. Kitchen

1, 3, 4

6. Laundry

1, 10

Medium

High

Yes

312

7. Family Suite

1, 2, 4, 9

Medium

Yes

500

8. Restrooms

2, 3, 4, 9

High

Yes

Pub

200

9. Garden

1, 2, 7, 8

Yes

Pub

n/a

10. Shabaz

1, 2, 3, 4, 6, 11, 12, 13, 14

195

11. Bathing Suite

1, 10

Yes

200

Medium

Pub

Yes

154

fiber optics

Medium

Pub

Yes

280

bubble machine, music speakers

Low

Yes

Pub

1. Resident Rooms 2. Living Room

12. Passive Snoezelen 13. Active Snoezelen 14. Rummage Room

1, 2, 10, 13, 14 1, 2, 10, 12, 14 1, 2, 10, 12, 13

High

150 23

Schematic Design

Relational Diagrams The diagrams are used to organize spaces, show traffic patterns and acoustical properties. These diagrams are important because they are the first step in understanding the division of spaces within the building.

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Conceptual Framework

Schematic Design

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Conceptual Framework

Schematic Design

Blocking Plans These hand drafted plans are used to show the space allocations and circulation throughoutthebuilding.Theprocessstartswithbubblesrepresentingthebasicspacesand are later refined to show each room and their relation to one another.

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Conceptual Framework

Schematic Design

Refined Blocking Plans These plans show a more refined division of spaces and are color coordinated by department.Theredrepresentstheadministrationandclinic,thegreenrepresentsthe town center, the orange the memory care and yellow represents assisted living.

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Conceptual Framework

Schematic Design

Fit Plans These plans show final space locations, circulation and doors. After doing the fit plans I realized that my original blocking plans were not going to fit as planned. In ordertomakeeverythingfitIseparatedtheresidentroomsbetweenthetwofloors. This now allows the memory care and the assisted living to have more separate spaces.

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Conceptual Framework

Schematic Design

Check List

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Green Guide for Health Care Strategy Required EA Prerequisite 1 Fundamental Commissioning of the Building Energy Systems

Intent

Verify that the building’s energy related systems are installed, calibrated, and perform according to the owner’s project requirements, basis of design, and construction documents.

“Retro-Commissioning & Commissioning Building Envelope Systems to Reduce Health Risks & Improve IAQ: What we have Learned to Date,” William Turner, Steven Caulfield, et. al., Turner Building Science, LLC, 2005.

Health Issues

Commissioning verifies the efficient and effective operations of a building’s mechanical and electrical systems. It ensures compliance with energy performance goals and indoor air quality and thermal comfort design criteria. The benefits of commissioning lessen dependence on natural resources, resulting in improved outdoor air quality and reduced greenhouse gas emissions.

Strategies

• Adopt a commissioning plan • Include commissioning requirements in bid documents • Produce a commissioning report once commissioning activities are completed • Hire specialized professionals to take care of commissioning and tasks.

Documentation

Document that the commissioning requirements outlined in the credit goals have been successfully executed or will be provided under existing contract(s).

Reference Standard

Green Building Reference Guide for New Construction and Major Renovations (LEED for New Construction) Version 2.2, Washington, DC: U.S. Green Building Council, http://www.usgbc.org/DisplayPage.aspx?CMSPageID=220#v2.2

Resources

National Institute of Building Sciences (NIBS) Guideline 3-2005: Exterior Enclosure Technical Requirements for the Commissioning Process.

Required EA Prerequisite 2 Minimum Energy Performance

Intent

Establish the minimum level of energy efficiency for the proposed building and systems.

Health Issues

Lower building energy use results in reduced combustion of fossil fuels for source energy generation. Energy efficiency benefits health by reducing emissions from the products of combustion, including fewer particulates and pollutants, which in turn help to improve outdoor air quality. Greenhouse gas emissions, which contribute to global climate change, are also reduced.

Strategies

Schematic Design

• Use low leakage air handling units to reduce overall fan horsepower while ensuring that air is properly filtered. • Use a computer simulation model to assess the energy performance and identify the most cost effective energy efficiency measures. • Obtain local, state, and federal incentives to help fund energy conservation measures. • Provide occupancy sensors to control all lighting in administration areas, storage rooms, offices, lounges, break rooms, public toilets, resident rooms and other similar spaces. • Provide dimming or other multi-level switching capable of reasonably uniformilluminancereductionforconferencerooms,diningareas,lounges. • Specify and install fluorescent lamps rated for high efficiency and long life to reduce energy use.

Documentation

• Model anticipated building energy performance in accordance with ASHRAE 90.1-2004 Appendix G as modified by the Design Assumptions in GGHC Appendix 1, using DOE2.1E or Energy Plus. • Demonstrate that the proposed building performance meets the ASHRAE 90.1-2004 Energy Cost Budget. • Obtain an EPA energy performance rating of 75 or higher for estimated energy use of the design project from Target Finder. Print the Statement of Energy Design Intent generated from Target Finder. Apply for the “Designed to Earn the ENERGY STAR” graphic from EPA. Place the graphic in the title block on drawings and on the cover of project Contract Documents.

Reference Standards

2003 Savings By Design Health Care Modeling Procedures, Pacific Gas and Electric Company, http://www.gghc.org/Documents/PGEModProc.pdf AIA Guidelines for Design and Construction of Health Care Facilities, 2006 Edition, http://www.aia.org ASHRAE Handbook, HVAC Applications, Chapter 7 Health Care Facilities, Specific Design Criteria, http://www.ashrae.org

36 | Morrison Meadows

ASHRAE/IESNA 90.1–2004 Energy Standard for Buildings, Except Low Rise Residential, http://www.ashrae.org U.S. EPA National Energy Performance Rating System, http://www. energystar.gov/benchmark U.S. EPA Target Finder new design rating tool, http://www.energystar.gov/ newbuildingdesign Required EA Prerequisite 3 Fundamental Refrigerant Management

Intent

Reduce ozone depletion.

Health Issues

Stratospheric ozone layer depletion leads to increased exposure to ultraviolet radiation, increasing risk factors for skin cancer and immune system depression. The United States is one of the world’s largest emitters of ozone depleting substances. As part of the US commitment to implementing the Montreal Protocol, the EPA has implemented regulations relative to the responsible management of CFCs, including programs to end the production of ozone depleting substances.

Strategies

• When reusing existing HVAC systems, conduct an inventory to identify equipment that uses CFC refrigerants and provide a replacement schedule for these refrigerants.

Reference Standards

There is no reference standard for this credit. Resources U.S. EPA, Stratospheric Ozone Protection: Moving to Alternative Refrigerants, http://es.epa.gov/program/epaorgs/oar/.

Green Guide for Health Care

10 points EA Credit 1 Optimize Energy Performance

Intent

Achieve increasing levels of energy performance above the baseline in the prerequisite standard to reduce environmental and economic impacts associated with excessive energy use.

Health Issues

Lower building energy use results in reduced combustion of fossil fuels for energy generation. Energy efficiency benefits health by reducing emissions from the products of combustion, including less particulates and pollutants, which in turn help to improve outdoor air quality. Greenhouse gas emissions, which contribute to global climate change, are also reduced. Reductions in operational expenses for energy use may allow for future investments in improved facilities or services.

Strategies

• Design building systems to maximize energy performance while maintaining or improving health and safety requirements. • Use energy (latent and sensible) recovery. • Use evaporative cooling when ambient conditions allow. • Reduce outside airflow during unoccupied periods. • Separate HVAC zones to allow reductions in air changes or setbacks in temperature and humidity. • Design for high part-load heating and cooling efficiency. • Maximize daylighting throughout building to reduce lighting energy and reduce the HVAC energy used to remove the heat of electric lighting. • Use low leakage air handling units to reduce overall fan horsepower while ensuring that air is properly filtered. • Use a computer simulation model to assess the energy performance and identify the most cost effective energy efficiency measures. • Obtain local, state, and federal incentives to help fund energy conservation measures. • Provide occupancy sensors to control all lighting in administration areas,

storage rooms, offices, lounges, break rooms, public toilets, resident rooms and other similar spaces. • Provide dimming or other multi-level switching capable of reasonably uniformilluminancereductionforconferencerooms,diningareas,lounges. • Specify and install fluorescent lamps rated for high efficiency and long life to reduce energy use.

Documentation

• Prepare a narrative documenting energy saving measures incorporated in the building design, including a table listing baseline and proposed comparisons of all model variables that are different. • Prepare calculations verifying the building energy consumption performance achieved by the proposed energy conservation measures. • Document anticipated whole building energy performance using the EPA’s Target Finder design tool as described in GGHC EA Prerequisite 2.

Reference Standards

Schematic Design

3 points EA Credit 2 On-Site Renewable Energy

Intent

Health Issues Encourage and recognize increasing levels of on-site renewable energy self- supply in order to reduce environmental and economic impacts associated with fossil fuel energy use.

Health Issues

Providing renewably-based on-site electricity to fulfill a portion of a building’s energy needs offsets the greenhouse gas, toxic chemical, and particulate emissions associated with fossil-fuel electrical generation.

Strategies

Begin the commissioning process early during the design process and execute additional activities after systems performance verification is completed.

• Supply a net fraction of the building’s total energy use (as expressed as a fraction of watts per square foot) with on-site renewable energy systems. • 0.15 watts of renewable generating capacity / sf of building area • Specify solar photovoltaic and active thermal systems. • Use wind energy. • Specify a bio-fuel - based electrical system • Take advantage of “net metering” with the local utility if possible.

Documentation

• Obtain calculations demonstrating that the required generating capacity is supplied by renewable energy system(s) in accordance with the credit goals.

Reference Standards

U.S. Department of Energy, Energy Information Administration, http:// www.eia.doe.gov. 1 point EA Credit 3 Enhanced Commissioning

Intent 38 | Morrison Meadows

Strategies

• Make commission a part of the beginning design process. • Designate an independent commissioning before construction begins. • The CxA shall have documented commissioning authority experience in at least two building projects. • Develop a systems manual that provides future operating staff the information needed to understand and optimally operate the commissioned systems.

Documentation

• Document that the required additional commissioning tasks have been successfully executed or will be provided under existing contracts.

Reference Standards

Potential Technologies & Strategies

GGHC EA Prerequisite 1 establishes the framework of an effective commissioning program. The Enhanced Commissioning credit ensures peer review through independent, third party verification. The LEED for New Construction Version 2.2 Reference Guide provides detailed guidance on the rigor expected for following process activities:

Green Guide for Health Care 1 points EA Credit 4 Enhanced Refrigerant Management

Intent

Reduce ozone depletion and support early compliance with the Montreal Protocol while minimizing direct contributions to global warming.

Health Issues

HVAC refrigerant emissions of halogenated hydrocarbons such as chlorofluorocarbons (CFCs) deplete the stratospheric ozone layer, which shields life on Earth from harmful levels of ultraviolet radiation. Higher levels of exposure can lead to increases in the incidence of skin cancers and eye cataracts. In addition, CFCs are thousands of times more powerful than carbon dioxide in trapping heat and therefore significantly contribute to the greenhouse warming effect.

Strategies

• Where mechanical cooling is used, utilize base building HVAC and refrigeration systems for the refrigeration cycle that minimize direct impact on ozone depletion and global warming. • Specify HVAC&R equipment with reduced refrigerant charge and increased equipment life. • Maintain equipment to prevent leakage of refrigerant to the atmosphere. • Utilize fire suppression systems that do not contain HCFCs or Halons.

Documentation

• Document that HVAC&R systems either do not use refrigerants or use refrigerants that meet the credit goals for leakage, ozone depletion and global warming potential as described in this credit. • Document that fire suppression systems do not contain ozone-depleting substances in accordance with credit goals.

Reference Standards

There is no reference standard for this credit.

Resources

Carbon Dioxide Emissions from the Generation of Electric Power in the United States, 21 pp.,

Washington, DC: Department of Energy and Environmental Protection Agency, 2000, http://www.eia.doe.gov/cneaf/electricity/page/co2_report/ co2emiss.pdf. “Class I ozone-depleting substances,” http://www.epa.gov/ozone/ods.html, 2002. Domanski, P., D. Didion, and J. Chi, “CYCLE D: NIST vapor compression cycle design program,” Green Building Reference Guide for New Construction and Major Renovations (LEED for New Construction) Version 2.2, Washington, DC: U.S. Green Building Council, http://www.usgbc.org/DisplayPage. aspx?CMSPageID=220#v2.2 1 point EA Credit 5 Measurement & Verification

Intent

Provide for the ongoing accountability of building energy consumption over time.

Health Issues

Optimizing energy consumption reduces dependence on natural resources, contributing to healthy ecosystems and reducing the particulate, toxic chemical, and greenhouse gas emissions associated with fossil-fuel generated electricity.

Strategies

• Model the energy systems to predict savings. • Characterize the building and/or energy systems through energy simulation or engineering analysis. • Evaluate energy efficiency by comparing actual performance to baseline performance. • Specify sub-meter electric systems. 39

Schematic Design

• Use measured system data to analyze the performance of electrically driven equipment and systems. • Monitor and log energy systems to provide for the ongoing accountability of building energy performance.

Documentation

• Prepare a Measurement & Verification Plan. • Include a summary schedule of the instrumentation and controls for the required monitoring categories, highlighting the I/O data points to be collected. • Document the monitoring system, including cut sheets of sensors and the data collection system.

Reference Standards

International Performance Measurement and Verification Protocol Volume III: Concepts and Options for Determining Energy Savings in New Construction, April, 2003, http:// www.evo-world.org. 4 points EA Credit 6 Green Power

Intent

Encourage the development and use of grid-source, renewable energy technologies on a net zero pollution basis.

Health Issues

Purchasing renewably-based electricity to fulfill a portion of a building’s energy needs offsets the greenhouse gas and particulate emissions associated with fossil-fuel electrical generation.

Strategies

• Determine the energy needs of the building and investigate opportunities to engage in green power. • Use solar, wind, biomass or low-impact hydro sources where applicable.

Documentation

• Compile calculations of the building’s baseline energy use and contracts that demonstrate the percentage of annual energy use in accordance with

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4 points EA Credit 6 Green Power

Intent

Encourage the development and use of grid-source, renewable energy technologies on a net zero pollution basis.

Health Issues

Purchasing renewably-based electricity to fulfill a portion of a building’s energy needsoffsetsthegreenhousegasandparticulateemissionsassociatedwithfossilfuel electrical generation.

Strategies

• Determine the energy needs of the building and investigate opportunities to engage in green power. • Use solar, wind, biomass or low-impact hydro sources where applicable.

Documentation

• Compile calculations of the building’s baseline energy use and contracts that demonstrate the percentage of annual energy use in accordance with the credit goals.

Reference Standards

Center for Resource Solutions (CRS) Green-e program, http://www. green-e.org/. Washington, DC: Department of Energy and Environmental Protection Agency, 2000, http://www.eia.doe.gov/cneaf/electricity/page/co2_report/ co2emiss.pdf. “Class I ozone-depleting substances,” http://www.epa.gov/ozone/ods.html, 2002. Domanski, P., D. Didion, and J. Chi, “CYCLE D: NIST vapor compression cycle design program,” Green Building Reference Guide for New Construction and Major Renovations (LEED for New Construction) Version 2.2, Washington, DC: U.S. Green Building Council, http://www.usgbc.org/DisplayPage. aspx?CMSPageID=220#v2.2

Green Guide for Health Care 1 point EA Credit 7 Equipment Efficiency

Intent

Reduce energy consumption by using efficient medical and other equipment.

Health Issues

Energy efficiency benefits health by reducing particulate, toxic chemical, and greenhouse gas emissions associated with fossil-fuel based electrical generation, thereby improving outdoor air quality and curbing global climate change potential.

Strategies

• Specify all applicable equipment that carry the Energy Star label. • Including: 1. Computers, Monitors Printers & Scanners 2. Copiers 3. Exit Signs 4. Refrigerators and freezers 5. Kitchen appliances 6. Bathroom fixtures 7. Lighting fixtures 8. Water features 9. TVs and DVD players 10. Medical equipment 11. Laundry machines

Documentation

• Where Energy Star rating is available for a class of equipment, compile a listing of all medical and non-medical equipment purchased and demonstrate that Energy Star-qualified products have been purchased. • Where Energy Star-qualified equipment is not yet available for an application, evaluate multiple pieces of equipment in accordance with credit goals.

DesignDevelopment

Design Development

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Floor Plans

Design Development

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Landscape Plan

Design Development Resident Rooms This3-dmodelshowsthelayoutofatypicalresidentroom.Itincludesabedroom,living room, kitchen and ADA accessible bathroom and a walk out balcony.

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Focus Areas Reflected Ceiling Plan Thisplanshowsthelayoutofthelightinginatypicalresidentroom.Italsoincludessmoke detectors, strobes and sprinklers for fire safety.

Design Development Resident Bedroom Thebedroomincludesafullsizeadjustablebed,awalkincloset,aonedrawernightstand and a five drawer dresser.

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Focus Areas FF&E These are some of the typical furnishings in the resident bedroom.

Design Development Resident Living Room Thelivingroomincludesaloveseat,anoccassionalchair,anentertainmentcenter,acoffee table, writing desk area and access to the walk out balcony.

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Focus Areas FF&E These are some of the typical furnishings in the resident living room.

Design Development Resident Kitchen Thekitchenincludesafullsizerange,microwave,refridgerator,adishwaser,adoublesink, and a lot of cabinet storage.

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Focus Areas FF&E These are some of the typical furnishings in the resident kitchen.

Design Development Resident Bathroom The bathroom includes a single sink lavatory, a dual flush toilet and a walk in bathtub/ shower.

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Focus Areas FF&E These are some of the typical furnishings in the resident bathroom.

Design Development Cafe The cafe includes service counter, indoor and outdoor patio seating.

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Focus Areas FF&E These are some of the typical furnishings in the cafe.

Design Development Shabaz Theshabazincludesalargereceptiondeskforthenursestoworkat,filingcabinetsanda storage room.

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Focus Areas FF&E These are some of the typical furnishings in the shabaz.

Design Development Garden Thegardenincludesoutdoorsculptures,benchseating,alitrecycledrubberwandering path and variety of Colorado native plants.

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Focus Areas FF&E These are some of the typical furnishings in the garden.

Design Development Specialized Wayfinding Theseareexamplesofthewayfindingsignsthatwillbeutilizedthroughoutthebuilding foreasynavigation.Theyarecolorcoatedacordingtothecoorespondingdepartments. Thesesignswouldbemadewithdoublelayeredplexiglass.Thebottomlayerwouldhave aphotographassociatedwiththethemeofthisparticulararea(orange&maple=orange mapletrees,etc.)Thetoplayerwouldbeiced,semitransparent,plexiglasscontainingthe text.Together, this would create a more artistic, at home feeling while still allowing the signs to be easily read and functionable.

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Wayfinding General Wayfinding Theserecognizablesignsforthebathrooms,stairsandelevatorswillbeusedthroughout the building for easy navigation.

Design Development Wayfinding Floor Plans Thesefloorplansshowhowthebuidingisseparatedintothedifferentdepartmentsbyuse of the coordinating colors used throughout the building and project.

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Wayfinding

Codes

Codes Programming Document Outline I. Project Description: Building Square Footage = 48,212 60% Building Efficiency = 40% Building Inefficiency = Program Usable 39,533 s.f.

II.

= =

(60% Building Efficiency)

22% Circulation Factor +18% Misc

28,928 s.f. (assignable) 19,285 s.f. (circulation + misc.) Assignable + Circulation 28,927 s.f. + 10,606 s.f.

Programming A. Programming Analysis Circulation factor = 22% (using gross S.F. to find net S.F.)

Area

Qty

CafĂŠ Laundry Kitchen Library Gym Beauty/ Barber Theatre Post Office Computer Lab Living Room Resident Room Shared Res. Room Lobby Reception Shabaz Dining Room Private Dining Family Suite

1 2 2 1 1 1 1 1 1 2 8 5 1 1 1 1 1 1

Total Square Ft. 476 354 339.5 595.2 642 400 798 208 244.4 537.9 4968 3780 464.4 81.5 163.8 641.2 220.8 379.6

Description Selling of food, eating, meeting with friends Washing and drying clothes Preparing meals Reading and barrowing books Physical therapy, team games Hair cutting, shampooing, mani/pedi Watching movies, large group activities Sorting mail Surfing the internet, printing Socializing, relaxing with friends Sleeping, cooking, bathing, daily activities Sleeping, cooking, bathing, daily activities Socializing, meeting with friends Informational help, directions Filing, secretary work Eating, meeting with friends Meeting with family, eating Sleeping, bathing, daily activities

Sub Total Program Circulation for Misc. Unassigned Areas Mechanical, Structure/Walls, Public Toilets, Janitor Closets, Unassigned Stg.

Misc . Un-assignable s.f. = 1838.1 Total Program

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Usable S.F. (gross)

Assignable S.F. (net)

Circulation

390.3 290.3 278.4 488.1 526.4 328 654.4 170.6 200.4 441 4073.8 3099.6 380.8 66.8 134.3 525.8 181.1 311.3

285.6 212.4 203.7 357.1 385.2 240 478.8 124.8 146.6 322.7 2980.8 2268 278.6 48.9 98.3 384.7 132.5 227.8

104.7 77.9 74.7 130.9 141.2 88 175.6 45.8 53.8 118.3 1093 832 102.2 17.9 36 141.1 48.6 84

12542.2

9176.5

3365.7

1507.2

1102.8

404.4

14049.4

10279.3

3770.1

Programming Codes I.

Preliminary Codes Analysis A. Occupancy Classification: Mixed Use (Business and Institutional) B. Egress (Maximum Floor Area Allowances: IBC Table 1004.1.2; Egress Width: table 1005.1; Half Diagonal Rule) Floor

1 Area

Occupancy Classification

Useable S.F. Net or Gross

Occupancy Load Factor

Occupant Load

Cafe Laundry Kitchen Library Gym Beauty/ Barber Theatre Post Office Computer Lab Living Room Resident Rooms Shared Res. Rooms Lobby Reception Shabaz Dining Room Private Dining Family Suite

Business Business Business Business Business Business Business Business Business Business Institutional Institutional Business Business Business Business Business Institutional

390.3 290.3 278.4 488.1 526.4 328 654.4 170.6 200.4 441 4073.8 3099.6 380.8 66.8 134.3 525.8 181.1 311.3

100 100 100 100 100 100 100 100 100 100 120 120 100 100 100 100 100 120

3.9 2.9 2.7 4.8 5.2 3.2 6.5 1.7 2 4.4 33.9 25.8 3.8 .6 1.3 5.2 1.8 2.6

Floor 1 Total Occupancy Floor 1 Total Means of Egress Notes:

112.3 36

Means of Egress per area 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

Egress Data Min. width Max. distance 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’ 44” 200’

Total Facility Occupancy Total Facility Means of Egress

Codes

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Programming Codes

C. Plumbing (Minimum Number of Plumbing Facilities: Table 2902.1 Area Town Center

Occ. Class. Business

Water Closets Male Female 2 2

Lavatories Male Female 1 1

Fountains

Other Fixtures

n/a

Note: Assume 50% male and 50% female unless specific demographics for gender are available or as indicated by codes officials Total Facility Plumbing: Male

Toilets/Urinals: Lavatories:

2 1

Total Facility Plumbing: Female

Toilets Lavatories:

2 1

Total Facility Fountains Total Facility Other fixtures

1 n/a

D. Required Fire Separation (Table: 508.3.3) Upon determination of Spatial Adjacencies/Relationships, determine fire rating (in hours) between areas as required. Note: Areas not included below require no fire separation Area 1 Area 2 Assembly Business

Separation in hours 2

References

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Work Cited FF&E http://www.haikudesigns.com/bedroom-furniture-sets.htm#top http://www.urbanwoods.net/catalog/fairfax/ http://www.flexsteelcommercialfurniture.com/commercialfurniture/products/index. do?catId=24 http://www.ciscobrothers.com/Fabric%20Search http://www.vivavi.com/catalog/index.php?cPath=146_149&sort=2a&show_all=1 http://www.carolinabusinessfurniture.com/custom/products_custom.php http://samples.carnegiefabrics.com/carnegiesfa.nsf/sample_order_main?openframeset http://www.tandusshowroom.com/ http://www.corkfloor.com/colours.html http://sustainableflooring.com/# http://www.forboflooringna.com/Residential/Products/Marmoleum-Click/ http://www.sleepersinseattle.com/sanfrancisco-smfull.html

Nurse Stations http://www.aegisliving.com/aegis_executive_staff http://www.hermanmiller.com/hm/content/research_summaries/wp_ nursesstation1000.pdf http://www.knoll.com/research/downloads/DesignRecsForNursingStations.pdf http://findarticles.com/p/articles/mi_m3830/is_n7_v44/ai_17613895/

Quality of Life http://www.smartgrowth.org/library/byissue.asp?iss=2&res=1920 http://www.holidaytouch.com/Retirement-101/senior-living-articles/socializing-linked- with-quality-of-life.aspx http://www.experiencefestival.com/wp/article/senior-living-in-dallas-quality-of-life http://www.bizjournals.com/nashville/stories/2006/03/06/focus3.html http://www.esresearch.org/documents_06/Oregon.pdf

Site Analysis http://town.morrison.co.us/index.asp?Type=NONE&SEC={9E9E264C-6E09-4FEB- AE90-EF6A17739470} http://water.state.co.us/ http://www.muninetguide.com/states/colorado/municipality/Morrison.php

Snoezelen/ Rummage Area http://www.flaghouse.com/bring_AL.asp#Title http://www.thisweeknews.com/live/content/grandview/stories/2008/07/16/0717gvsen soryroom_ln.html http://www.theskyisthelimitdesign.com/2010/09/multisensory-room/ http://www.snoezeleninfo.com/newsArticles.asp

Sustainability in Senior Living http://agingwithgrace.blogspot.com/2009/06/sustainable-housing-for-aging.html http://humanitieslab.stanford.edu/UrbanSustainability/896 http://www.vendomegrp.com/innovativethinkinginsustainablelivingmodelingforseniors webinaroncd-rom.aspx

Wayfinding Signs developed by Whitney Yehling