Nonprofit Life Plan Communities face the conundrum of upholding longstanding missions to provide lifelong care, regardless of residents’ means or abilities, while facing escalating financial pressures on operations. Skilled nursing rightsizing is unique to each senior living provider, but it typically entails downsizing “high care” and managing the payor mix.
Over time, things wear out, expectations change, and attitudes adjust. Things will never be as they once were, and the ability to adapt to change is the key to survival. Few community sponsors have the luxury to start over, but all have the ability to reinvent. Reinvention provides an exciting opportunity for good stewardship, while breathing new life into an existing community. As consumer demographics, product preferences and service priorities continue to evolve, senior living communities can, and must, likewise reinvent themselves to remain relevant.
“In the past, it was not unusual for many of our clients to be the only option in town, but that’s rarely the case anymore,” says Eric McRoberts, AIA. “Even in challenging economic times, providers still need to move ahead, it just might need to be more incremental.”
Whether for financial reasons, land constraints or stewardship of resources, reinvention is a viable consideration. If the existing infrastructure is a good fit for your program goals, substantial value can be gained from building re-use.
As the incidence of Alzheimer’s disease and other types of dementia have been steadily increasing, the demand for specialized settings is likewise on the rise. There is also a growing movement to empower our towns and cities to better support those with dementia, so they can choose to remain in their personal homes and fully engage with others (not just others with dementia) for as long as possible. In either scenario, we believe careful and respectful design strategies can function as a silent “enabler” to support dignity, personal expression and independence to the greatest extent possible.