All of the bathrooms within the resident bedrooms would be modernized to include a wheelchair shower.

All existing 2-bedded rooms would become single bedrooms.

The solarium would become a single bedroom with the construction of a new bathroom.

Rooms 27-30 may have a space requirement for constructing two full bathrooms. In this case, we would suggest making these rooms into a suite by constructing one full bathroom on the corridor side and opening up a passageway along the exterior wall. The closets could be constructed in this new passageway area. The two former bedrooms could remain as single-bed sleeping and sitting areas, or one of the former bedrooms could be used as a double-bedded sleeping area, and the other former bedroom could become a living room. This could be ideal for a married couple.

We have a similar space problem occurring in Rooms 48-54. There is insufficient space for four private rooms with private baths in these former single bedrooms. We suggest converting two adjoining toilet rooms into one new full bathroom with wheelchair accessible shower. The partition between the two adjoining bedrooms would be removed making one two-bedded room out of two former single rooms. In this case the beds would be on opposite headwalls.

By following the above-suggested renovations, this wing would contain 17 private rooms and three double rooms for a total of 23 beds.

Since all of the bedrooms contain their own private bathrooms there is no need for central bathing areas, nursing utility areas, or a nurse’s station. This would allow most of the central core area to be gutted and converted to a solarium lounge with skylights, planters, and sitting and activities areas.

The conversion of this wing would be similar to Wing A, except for the following specialized requirements.

From our experience, because of resident disorientation, some dementia rooms are constructed without a shower or tub. If this is something that Montgomery Meadows wishes to consider, we would suggest leaving rooms 48-54 without adding a shower and leaving them as individual bedrooms. In this case, one central bathing room would have to remain.

A Dementia Unit is generally secured from the rest of the facility by locked entry doors operated by a keypad. These doors would be constructed in the main building, just prior to entering the wing.

At the entry into the Wing there are two exit corridors, one facing east and one facing west. The west-facing exit door is not necessary, as it would have to remain locked. This area and the adjacent storage area could be converted into another private room, if desired.

The previously mentioned east-facing exit door and the exit door adjacent to the solarium could be kept as free access to an enclosed courtyard constructed between Wings B and C.

This dementia wing would require an aide station with a small desk, which could possibly fit in the existing wheelchair and stretcher storage area, if windows were constructed in the wall.

The remaining area of the central core would be converted to a new solarium similar to the one discussed for the other wing.

Dementia units require their own dining area. Our suggestion is to convert the existing solarium and bedroom 30 into this required dining room.

Life-safety requirements for adult homes limit travel distances to an outside or horizontal exit to 100 feet. If this is the requirement, horizontal exits (opposite egress doors) would have to be constructed in the corridors at gridlines B and H. The opposite egress doors and the associated smoke and firewall at gridline H would divide the solarium into two sections. The dividing wall could have hollow metal-framed windows between the two sections of the solarium.

Our estimated cost for converting these two wings would be $1,310,000.00 exclusive of roofing, window replacement, and heating, ventilating and air conditioning, which are addressed separately in this report.