Cascadia Healthcare – Skilled Nursing Facility 15205-1

February 23, 2016

City of Boise Planning & Development ServicesPO Box 500150 N. Capitol BlvdBoise, Idaho 83701-0500

RE: CASCADIA HEALTHCARE SKILLED NURSING FACILITYLocated south of W. Emerald Road, east of N. Curtis Road and north of Denton Road.

To whom it may concern:

The following is an explanation of the design intent and philosophy for the above-mentioned project:

Cascadia Healthcare is pleased to submit an application for a ground up 100-bed skilled nursing facilitylocated directly south of the St. Alphonsus Regional Medical Center. The purpose of the project is toprovide a new, modern skilled nursing facility to support the growing need of post-acute in-patient (24/7)care in the City of Boise.

The proposed structure is a single story, type VA construction approximately 52,300 square feetcomprised of three buildings connected with enclosed pedestrian walkways. The main, central buildinghouses the support areas for the patient wings located on either side, including the main lobby,administrative offices, rehab department, and back of house services (dietary, laundry, maintenance,etc.). The adjacent patient wings are designed to accommodate 60-beds in the Long Term Wing and 40-beds in the Short Term Wing. The pedestrian walkways connect the main public corridor directly to eachof the Nurse Stations on the Patient Wings. In addition, there are pedestrian walkways that connect theback of house service corridors to each wing.

The Main Building

Upon entering the lobby, the public & visitors are greeted by the receptionist, with a waiting area andaccessible public toilets within reach. The Rehab department, which is visible from 3 sides, serves as avisual cue for the purpose of these types of facilities – providing care and treatments to return the patientsback to their homes.

Essentially divided into 4 quadrants, there is a clear separation between the public access and staff workareas. The administrative offices and back of house services have separate corridors for staff access. The flow and circulation patterns of the public, staff and patients are clearly delineated for ease ofwayfinding. The back of house is directly accessible from the exterior so that deliveries, equipment, clean& soiled materials can be handled without traversing thru the public corridors.

The Patient Wings

Upon entering the patient wings, the Nurse Stations are directly visible from each other, allowingcontinuous supervision of the main public corridor. The patient rooms surround the perimeter, (in lieu ofthe double loaded corridors) and a central “living room”, used for patient activities and dining, is directlyvisible from the Nurse Station. An exterior courtyard is adjacent to the common areas, allowing naturallight into the common areas.

G R E G G M A E D O

A S S O C I A T E S , I N C+ARCHITECTURE INTERIORS PLANNINGI I

w w w . g m a a r c h . c o m

321 N. RAMPART ST. SUITE 101 ORANGE, CA 92868 T 714.937.1985 F 714.937.1989

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Cascadia Healthcare – Skilled Nursing Facility 15205-2

The central nursing core includes the necessary services in addition to providing a staff conference roomand doctor lounge for staff use. With the service corridor connected by the pedestrian walkway, cleanand soiled linens, supplies and food can be transported to and from the main building, keeping the livingroom clear and open to the corridors.

The Patient Room

Patient rooms are a combination of 20 Private and 40 Semi-Private rooms. Each room is equipped withan accessible toilet, sink and roll in-shower. Natural light is provided from both ends, thru the exteriorwindows and thru the central courtyards. A majority of the rooms are directly visible from the NurseStations.

The GM+A Design Philosophy

Our design philosophies that we emphasize in our skilled nursing facilities, includes our understanding ofthe importance of circulation patterns, natural light, connection to nature, and the functional purpose ofthis building type to provide patient care.

Our goal is to provide a comfortable, secure and efficient layout for the staff, patients and public visitors. Inherently, with over 25 years of observations and experience with this building type, we have learnedwhen we design a building to help the staff with their workflow, thru efficient design, it allows them tospend more time with the patients providing a higher quality of care.

Should you have any questions, please do not hesitate to contact us. Thank you.

Sincerely,

Gladys Makabenta Architect, AR-985988 Gregg Maedo + Associates, Inc.

RE:

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ARCHITECTURE + INTERIORS + PLANNING

321 NORTH RAMPART STREET, SUITE 101

ORANGE, CA 92868 . P:714.937.1985

PROJECT#:15205 . FEBRUARY 23, 2016

CASCADIA HEALTHCARE SKILLED NURSING FACILITY

SITE INFORMATION:

APN: S1007417200

GROSS AREA: 3.56 ACRES

EXISITING ZONING: L-OD/DA

MAX. HEIGHT ALLOWANCE: 35 FEET

BUILDING DATA:

OCCUPANCY: I-2, B

CONSTRUCTION TYPE: VA

STORIES: 1

BUILDING AREA:

LONG TERM WING: ± 20,240 S.F.

MAIN BUILDING: ± 14,930 S.F.

SHORT TERM WING: ± 17,130 S.F.

TOTAL BUILDING AREA: ± 52,300 S.F.

PROPOSED BED COUNT:

PRIVATE: 20 BEDS

SEMI-PRIVATE: 40 BEDS

TOTAL: 100 BEDS

PARKING TABULATION:

REQUIRED PARKING :

S.N.F. (1 PER 4 BED): 22

PROPOSED PARKING PROVIDED:

STANDARD SPACES: 106

HANDICAP SPACES: 12

TOTAL PROPOSED SPACES: 118

PROPOSED OVERALL SITE PLAN

SCALE: 1"=30'-0"

30' 60' 90'0 15'

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R.

FF

HH

GG

JJ

9

9

13

13

10

10

34' - 1"

L.9 L.9

K K

BB

14

14

LONG TERM WING

20,240 SF

60 BEDS

0 PRIVATE ROOMS

30 SEMI-PRIVATE

SHORT TERM WING

17,130 SF

40 BEDS

20 PRIVATE ROOMS

10 SEMI-PRIVATE

25' - 4"

18

18

17

17

15

15

D D

EE

16

16

364 SF

CONF. 1113 SF

OFFICE 2

191 SF

BUS.

125 SF

ADMISS.

196 SF

ADMIN.

98 SF

WORK

53 SF

RECEPT.

187 SF

DON261 SF

MED

RECORDS

262 SF

CENTRAL

SUPPLY

2045 SF

KITCHEN

299 SF

STAFF

BREAK

111 SF

W/H

152 SF

HSKP

163 SF

MAINT. 347 SF

STORAGE

199 SF

ELECTRICAL398 SF

LAUNDRY

78 SF

PHONE/DATA

113 SF

S.S.

122 SF

OFFICE 1

45 SF

COPY

COVERED

ENTRY

MAIN BUILDING

14,930 SF

11

11

887 SF

SERVICE

CORRIDOR

723 SF

LOBBY

19

19

94' - 5 1/2"

181' - 9 1

/4"

3

3

4

4

6

6

5

5

2

2

349' - 6 1/4"

A.2 A.2

7

7

192' - 7 1

/4"

25' - 0 1/2" 98' - 5 1/2"

35' - 6 1/8" 35' - 6 1/8"27' - 5 3/16"

36' - 1"

47' - 6 1

/2"

+/- 2

5' - 5"

47' - 6 1

/2"

36' - 1"

53 SF

STORAGE

53 SF

TLT.

52 SF

TLT.

53 SF

TLT.

54 SF

TLT.

1380 SF

COURTYARD1391 SF

COURTYARD

2005 SF

THERAPY

COURTYARD

8' - 3" 22' - 8"

30' - 11"32' - 7 1/2" 30' - 11"

22' - 8"8' - 3" 8' - 3" 27' - 3 1/8" 27' - 3 1/8"8' - 3"

91' - 2 3/4"

307 SF

TRAINING /

CLASSROOM

359 SF

ATRIUM

91 SF

DSD

78 SF

OFFICE 3

57 SF

NURSE

TLT.37 SF

J.C.37 SF

NOURISH.35 SF

C. U.

32 SF

S.L.26 SF

C.L.

54 SF

OFF. 526 SF

C.L. 32 SF

S.L.

35 SF

S. U.46 SF

DATA 50 SF

ICE

224 SF

CONF. 3

142 SF

DR.

LOUNGE

32 SF

MED

532 SF

N.S. 2

682 SF

ACTIVITIES

/ DINING

ROOM

479 SF

COURTYARD

713 SF

ACTIVITIES

/ DINING /

THERAPY

44 SF

C. U.

32 SF

S.L. 26 SF

C.L.

54 SF

OFF. 426 SF

C.L.32 SF

S.L.

35 SF

S. U.

335 SF

CONF. 2

181 SF

DR.

LOUNGE

32 SF

MED

541 SF

N.S. 1

563 SF

ACTIVITIES

/ DINING

ROOM

397 SF

COURTYARD

563 SF

ACTIVITIES

/ DINING

ROOM1380 SF

COURTYARD

59 SF

PUBLIC

TLT.

62 SF

NURSE

TLT.48 SF

J.C.34 SF

NOURISH.

58 SF

DATA

47 SF

ICE62 SF

PUBLIC

TLT.

133 SF

SOILED124 SF

CLEAN

216 SF

SALON

621 SF

MULTIPURPOSE

ROOM

L L

477 SF

COURTYARD397 SF

COURTYARD

121 SF

STOR.

121 SF

STOR.

104 SF

SHOWER

122 SF

STOR.

M

M

A

A

I

I

12

12

8

8

74 SF

SPEECH

76 SF

BATH

101 SF

OT

KITCHEN

150 SF

STORAGE

131 SF

REHAB

OFFICE

2200 SF

REHAB

CC

192' - 7 1

/4"

36' - 1"

47' - 6 1

/2"

25' - 4 1

/4"

47' - 6 1

/2"

36' - 1"

12 SF

STOR. 112 SF

STOR. 2

13 SF

STOR. 313 SF

STOR. 4

PATIENT

ROOM246 SF

PATIENT

TLT68 SF

PATIENT

ROOM156 SF

PATIENT

TLT60 SF

PATIENT

ROOM246 SF

PATIENT

TLT68 SF

36' - 0"

15' - 0"

ARCHITECTURE + INTERIORS + PLANNING

321 NORTH RAMPART STREET, SUITE 101

ORANGE, CA 92868 . P:714.937.1985

PROJECT#:15205 . FEBRUARY 23, 2016

CASCADIA HEALTHCARE SKILLED NURSING FACILITY

0 8' 32' 64'16'

SCALE: 1/16"=1'-0"

100-BED SKILLED NURSING FACILITY OVERALL FLOOR PLAN

Room Schedule

Name Area

ACTIVITIES / DINING

ROOM

682 SF

COURTYARD 479 SF

ACTIVITIES / DINING /

THERAPY

713 SF

SER CORR. 88 SF

SER CORR. 205 SF

CORR. 5068 SF

C. U. 44 SF

S.L. 32 SF

C.L. 26 SF

OFF. 4 54 SF

C.L. 26 SF

S.L. 32 SF

S. U. 35 SF

CONF. 2 335 SF

DR. LOUNGE 181 SF

MED 32 SF

N.S. 1 541 SF

ACTIVITIES / DINING

ROOM

563 SF

COURTYARD 397 SF

ACTIVITIES / DINING

ROOM

563 SF

CORR. 5537 SF

PUBLIC TLT. 59 SF

NURSE TLT. 62 SF

J.C. 48 SF

NOURISH. 34 SF

DATA 58 SF

ICE 47 SF

PUBLIC TLT. 62 SF

SOILED 133 SF

CLEAN 124 SF

SALON 216 SF

MULTIPURPOSE ROOM 621 SF

COURTYARD 477 SF

COURTYARD 397 SF

STOR. 121 SF

STOR. 121 SF

SHOWER 104 SF

STOR. 122 SF

SPEECH 74 SF

BATH 76 SF

OT KITCHEN 101 SF

STORAGE 150 SF

REHAB OFFICE 131 SF

REHAB 2200 SF

STOR. 1 12 SF

STOR. 2 12 SF

STOR. 3 13 SF

STOR. 4 13 SF

Room Schedule

Name Area

LOBBY 723 SF

RECEPT. 53 SF

TLT. 52 SF

TLT. 53 SF

ATRIUM 359 SF

ADMIN. 196 SF

ADMISS. 125 SF

COPY 45 SF

BUS. 191 SF

WORK 98 SF

OFFICE 1 122 SF

STORAGE 53 SF

OFFICE 2 113 SF

CONF. 1 364 SF

S.S. 113 SF

TRAINING / CLASSROOM 307 SF

MED RECORDS 261 SF

DON 187 SF

CENTRAL SUPPLY 262 SF

KITCHEN 2045 SF

TLT. 53 SF

TLT. 54 SF

STAFF BREAK 299 SF

LAUNDRY 398 SF

HSKP 152 SF

MAINT. 163 SF

STORAGE 347 SF

ELECTRICAL 199 SF

PHONE/DATA 78 SF

W/H 111 SF

COURTYARD 1380 SF

COURTYARD 1380 SF

DSD 91 SF

OFFICE 3 78 SF

COURTYARD 1391 SF

THERAPY COURTYARD 2005 SF

NURSE TLT. 57 SF

J.C. 37 SF

NOURISH. 37 SF

C. U. 35 SF

S.L. 32 SF

C.L. 26 SF

OFF. 5 54 SF

C.L. 26 SF

S.L. 32 SF

S. U. 35 SF

DATA 46 SF

ICE 50 SF

CONF. 3 224 SF

DR. LOUNGE 142 SF

MED 32 SF

N.S. 2 532 SF

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ARCHITECTURE + INTERIORS + PLANNING

321 NORTH RAMPART STREET, SUITE 101

ORANGE, CA 92868 . P:714.937.1985

PROJECT#:15205 . FEBRUARY 23, 2016

CASCADIA HEALTHCARE SKILLED NURSING FACILITY

SAINT ALPHONSUS REGIONAL MEDICAL CENTER

ZONING: H-S (HEALTH SERVICE)

USE: HOSPITAL

STORIES: 8 STORIES

EMERALD PROFESSIONAL PARK

ZONING: L-O (LIMITED OFFICE)

USE: MEDICAL OFFICES

STORIES: 1 STORY

JOINT PRESERVATION AND RECONSTRUCTION

ZONING: L-O (LIMITED OFFICE)

USE: MEDICAL OFFICES

STORIES: 1 STORY

LIFE CARE CENTER

ZONING: L-O (LIMITED OFFICE)

USE: SKILLED NURSING FACILITY

STORIES: 1 STORY

ADA COUNTY JUVENILE COURT SERVICES

ZONING: L-O (LIMITED OFFICE)

USE: LOCAL GOVERNMENT OFFICES

STORIES: 1 STORY

SINCLAIR PRODUCT TERMINAL

ZONING: M-1 (LIMITED INDUSTRIAL)

USE: INDUSTRIAL GAS STATION

STORIES: 1 STORY

OFFICE BUILDING

ZONING: L-O (LIMITED OFFICE)

USE: COMMERCIAL OFFICES

STORIES: 2 STORIES

OASIS SEVENTH ADVENTIST CHURCH

ZONING: L-O (LIMITED OFFICE)

USE: CHURCH

STORIES: 1 STORY

SINGLE AND MULTI-FAMILY HOMES

ZONING: R-2 (COMBINED RESIDENTIAL)

USE: SINGLE AND MULTI-FAMILY HOMES

STORIES: 1 STORY SINGLE, 2 STORY MULTI

CONTEXT PLAN

SITE

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ARCHITECTURE + INTERIORS + PLANNING

321 NORTH RAMPART STREET, SUITE 101

ORANGE, CA 92868 . P:714.937.1985

PROJECT#:15205 . FEBRUARY 23, 2016

CASCADIA HEALTHCARE SKILLED NURSING FACILITY

SITE

COLOR PHOTOGRAPHS OF SITE

3

2

1

4

VIEW 1:

LOOKING ACROSS SITE TOWARDS

THE ST. ALPHONSUS REGIONAL

MEDICAL CENTER TO THE RIGHT

AND THE ST. ALPHONSUS JOINT

PRESERVATION &

RECONSTRUCTION CLINIC TO THE

LEFT.

VIEW 2:

LOOKING ACROSS SITE TOWARDS

THE ADA COUNTY JUVENILE

COURT SERVICES BUILDING.

DENTON IS ON THE LEFT.

VIEW 3:

LOOKING FROM THE NORTH WEST

CORNER OF THE SITE BACK

TOWARDS THE HOMES AND

DENTON TO THE SOUTH.

VIEW 4:

LOOKING FROM THE SOUTH EAST

CORNER OF THE SITE TOWARDS

THE SINCLAIR PRODUCT

TERMINAL. THERE IS A VACANT

SITE NEXT TO THE PROPOSDED

SITE.

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