Email:info@flhoffman.com

From: Frank L. Hoffman
To: Patricia Outhouse
Date: 22 March 2002

Meeting Attendance:

This meeting report is intended to be a "living document" that will be updated each week to incorporate the various suggestions, desires, and wish-lists that are intended to improve the operations, programs, and physical plant of Montgomery Meadows for the next 18-20 years (The 2020 Vision).

Initially, we will be looking at five major categories: operations, programs, physical plant, financial analysis, and market analysis, each of which is more fully described below.

(A review of the procedures that are effective and don’t need changing, and the things that can be improved or added.)

(A review of the existing services that are effective, those that need to be enhanced, and those that could be added.)

(A review of the existing physical plant and the repairs, improvements, renovations, additions, and/or replacements that may be required.)

1. Maintenance and/or replacements necessary to maintain the status quo, including associated costs:

   Replace roof

   Replace or update phone system

   Replace old windows with insulated glass windows

    

2. Additions and renovations required for operations and programs, including associated costs:

   Adult Day Care:

   Internal or with connecting corridor

   Child Day Care:

   In association with others
   Independent firm operated on site – Preferred

   With connecting corridor

   Outdoor smoking room

   Air conditioning for employee areas in lower level and ventilation of storage areas

   Smoke from smoking lounge could be smelled in non-smoking areas

   New lobby and covered entrance

   New reception desk open to lobby

   Solarium or lounge at each nursing station and at main lobby

   Meditation Room

   Meeting rooms

   Staff
   Community

   Could be in clinic/day care addition

   Primary Medical Practice Clinic/Doctors’ offices

   Outpatient physical therapy and pool (CORF)

   Cafeteria

   Medical service offices closer to resident wings

   Store/gift shop/snack bar

   New lock and key system

   Dutch doors in resident areas

   Opposite head walls with separate windows for each resident

   More private rooms

   Private rooms should have roll-in showers

   All private rooms

   Some residents may not want a private room

   All private rooms, with a few double rooms

   Find way of storing bedpans in resident bathrooms

   New medicine cabinets that residents can reach

   Build at least one new state-of-the-art resident wing

   Will facilitate renovating of other wings

   Have nurses station central to unit with all services in close proximity

   Have a break and charting room

   Separate personnel office required

   Locate with business offices

   Locate at new employee entrance

   Separate employee entrance with time clock

   Aviary and fish tanks

   Nice employee lounge

   Part of cafeteria

   Decentralize heating system so that a major problem would not necessitate evacuation.

   Replace old roof top units with gas fired self-contained HVAC units

   Re-work perimeter hot water heating to have individual controls in each room.

   Correct and balance ventilation in laundry

    

3. The costs associated with replacing the entire facility:

    

4. A comparison and evaluation of the merits of proceeding with A and B (above), or with C (above).

(A comparison of cost trends over the years, with an effort toward finding ways to lower costs and improve income to overcome the loss of funding, and maintain a "profitable" status.)

(A review of existing and potential residents who could help improve the case mix index, and the feasibility of adding other levels of care.)

Montgomery Meadows: Home Page - Operations - Programs - Physical Plant - Financial Analysis - Market Study - Meetings - Report

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