Email:info@flhoffman.com

From: Frank L. Hoffman
To: Patricia Outhouse – 518-843-3503 – FAX 843-3537
Date: 3 April 2002

View this, other related reports and photos on the Internet: www.flhoffman.com/mm/

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.)

• 30 stations required
• Include laundry tracking and labeling system for residents’ clothing

• At main entrance
• Part of reception
• Increase site lighting in parking area.
• Have high intensity lighting come on if exit alarms go off at night.

• Find ways to minimize need to work in them
• Increase the height and establish an exterior entrance

(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:

• Lyle received an estimate of $250,000.
• Roof replacement should incorporate renovation changes.

• Use pagers instead of speaker system.
• Have classical music on speaker system

• Some critical parts are no longer available from manufacturer (Dukane)
• Lyle is trying to obtain used parts as a stop-gap measure
• Replacement cost utilizing existing wiring is approximately $100,000.00
• Should be done as part of renovation, which would most likely involve new wiring

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

• Enclosed courtyard for dementia residents
• Gardening areas
• Dining with covered area
• Change lighting so that it does not shine in bedrooms

• Smoke from smoking lounge could be smelled in non-smoking areas
• Renovations to laundry area may supply sufficient air and air conditioning to other areas of the lower level

• Have a welcome sign and flower garden at the entrance road
• Have canopy extend half way into driveway to create a covered area for drop-off and pick-up, and a by-pass lane beyond the canopy.
• Expand the park and garden setting on both sides of the main entrance and include the center of the circle.
• The existing lounge is very nice but should be extended through the men’s locker room.
• The wall between the lounge and the lobby entrance should be removed.
• Vault the ceiling in the lobby
• Move the vestibule closer to the driveway to enlarge lobby.
• Create an indoor planter with skylights beside the new vestibule that is open to the lobby
• New reception desk that is open to the lobby
• Find a way to hide the view of the dish room from the lobby and entrance.

• Create a solarium on the exterior side of the dining room
• Install new folding partition where old partition was installed
• Vault ceiling to incorporate skylights.
• Install mood-lighting (chandeliers and sconces)

• An exercise room should be included for both residents and staff.

• Was closed before – staff must support it, if it is reopened
• Have a "good" coffee machine for break times
• Should be adjacent to kitchen

• Will facilitate renovating of other wings
• Design all rooms large enough to accommodate sub-acute care – medical gasses could be installed at a later date.
• Opposite head walls with separate windows for each resident
• More private rooms
• Private rooms should have roll-in showers
• All private rooms with roll-in showers
• Some residents may not want a private room
• All private rooms, with a few double rooms
• At resident council meeting all residents who responded preferred private rooms.
• Private rooms with roll-in showers would save staff time and preserve resident dignity

• Locate at end of corridor near A-wing
• Relocate locker rooms to this location

• Part of cafeteria
• Should be in an area separate from residents.
• Should not be in the basement

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

• Have air system temperatures at lower end of resident comfort range.
• Use perimeter heating as re-heat to increase room temperatures to individual requirements.

• Enclose dryers and have separate unconditioned make up air supply.
• Rearrange laundry to have a separate soiled room, and wash room, with each having 10 air changes of exhaust.
• Supply 10 air changes of air-conditioned air to the clean area which should balance with the exhaust air.

• Size should be approximately the size of the existing conference room
• Should have bed set-up
• Should have space for CPR training
• Should have classroom space.

1. The costs associated with replacing the entire facility:

    

2. 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.)

• Eliminate Montgomery Infirmary perception of Montgomery Meadows.
• "You not only get a nursing home, you get a family!"
• "Caring is what we do!"
• "A caring community!"

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