Environments for Aging: Designing Better Senior Housing

The 2019 Environments for Aging Conference took place last month in Salt Lake City, UT.

Last month, I had the opportunity to attend the Environments for Aging conference in Salt Lake City. Hundreds of professionals involved in the complex world of senior living gathered to learn from each other and to explore products and services that are designed for the senior population. It was not surprising to see the level of interest in the event; according to the US Census Bureau, 20 percent of the current US population will be 65 or older by 2029. The Baby Boomer generation, which accounts for the majority of that 20 percent, is moving into their 70s and are beginning to consider how and where they want to age. Some Boomers prefer to remain in their current homes in the communities that they helped build. Others want to move into smaller homes or prefer to transition to senior living communities. Many of these senior living communities are popping up both in suburbia and active urban centers in response to the current trend in senior housing preferences.

There are many senior housing typologies: among the most common are independent living, assisted living, and dementia care. Each type of living arrangement has specific needs that must be addressed from a design perspective.

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Is It Too Late to Start On My Local Law 87 Compliance for 2019?

Before there was a Green New Deal in New York City, there was Local Law 87, which requires an energy audit and retro-commissioning report to be conducted and filed every 10 years. Yes, it still applies, and yes it will help you to understand the most cost-effective retrofits and upgrades to target for compliance with the city’s new energy efficiency requirements. Thanks for asking!

The question we get most this time of year from owners in NYC is, “My building is due for LL87 compliance this year, is it too late to start?!”

Image of Commercial BuildingsAs spring arrives, building owners often realize that time is quickly running out and this is the year that they must submit their building. Compliance with NYC’s LL87 (Local Law 87) can be overwhelming and hard to navigate but we are here to help.

Not sure if you have to file?  Check here.

LL87 requires that a building undergo an energy audit and retro-commissioning of major mechanical equipment. Keep in mind that it takes time to perform the inspections and testing. In fact, your best bet is to start in the year before your deadline, leaving yourself plenty of time for planning, budgeting, and implementing any corrections that may be required.

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What Does NYC’s Climate Mobilization Act Mean for Building Owners?

Image of Existing Buildings in NYC

On April 18th, Introduction 1253-2018 was approved by the New York City Council along with several other major pieces of legislation as part of a Climate Mobilization Act. The Urban Green Council describes it as “arguably the most disruptive in our lifetime of the NYC real estate industry.” We agree. While it will take some time to more precisely gauge impact across the industry, here is an initial primer.

Context

Previous building energy legislation in NYC has focused primarily on providing the market with access to information in the form of benchmarking and audits. In response to increasing demands for more urgent climate action, this new local law will actually require energy performance levels – and significant retrofits in some cases – in most existing buildings over 25,000 square feet between now and 2030 and deeper reductions beyond 2030.

How It Will Work

The law establishes targets for carbon-emissions intensity per square foot for buildings based on occupancy class. For instance, multifamily buildings, office buildings, schools, and storage facilities will have different intensity targets. Mixed-use buildings will have their targets set based on a weighted average of their different spaces. Across all segments, these targets will get ratcheted down over time. Building on the type of data submitted as part of annual benchmarking, all tenant and owner energy used at a particular building will be converted to carbon intensity per square foot.

Starting in 2024, buildings will be fined on an annual basis for carbon footprint that exceeds their targets. Based on their performance today, approximately 20% of buildings exceed the 2024 – 2029 targets while approximately 75% of buildings exceed the 2030 – 2034 targets, according to the City Council’s press release. As an alternative to this performance-based framework, rent regulated multifamily buildings with at least one rent stabilized apartment will be required to implement a prescriptive list of upgrades by 2024. These upgrades include indoor temperature sensors providing feedback to boilers and apartment thermostatic controls.

What It Will Mean to the Market

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Buildings to Cool the Climate

The Intergovernmental Panel on Climate Change (IPCC), viewed as the most credible source of climate change research, issued an alarming report on October 2018 removing all doubt – absent aggressive action the atmosphere will warm up by as much as 2.7 ° F above preindustrial levels by 2040, inundating coastlines and intensifying droughts and poverty. The significance of this report is that the effects of climate change will occur in our lifetime.

The building construction sector has a critical role in drawing down carbon emissions by 2040. As nations all over the globe tackle operational emissions from buildings, we must now address our total emissions impact.

Estimated cumulative carbon emissions from new buildings 2020 to 2070

Life-cycle emissions resulting from buildings consist of two components: operational and embodied. A great deal of effort has been put into reducing the former as it is assumed to be higher than the latter. Studies have revealed the growing significance of embodied emissions in buildings, but its importance is often underestimated in energy efficiency decisions.

According to the Embodied Carbon Review 2018 by Bionova Inc, embodied carbon is the total impact of all the greenhouse gases emitted by the construction and materials of our built environment. Furthermore, during their life-cycle, the same products also cause carbon impacts when maintained, repaired, or disposed of.

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Trends in Healthcare: Nurse Call Devices

“Trends in Healthcare” is a recurring series that focuses on exciting new designs and technologies we’re seeing in healthcare projects and provides best practices on how to ensure that these latest trends are accessible to persons with disabilities. We build on the wealth of knowledge we gain from working with healthcare design teams, construction crews, and practitioners to provide practical solutions for achieving accessible healthcare environments.


According to the U.S. Centers for Disease Control and Prevention (CDC), falls account for 3 million injuries treated in emergency rooms, 800,000 hospitalizations, and 28,000 deaths each year in the U.S. One in five falls cause serious injuries such as concussions/traumatic brain injuries and hip fractures. Not only is this a public health concern, it is extremely costly. According to the CDC, medical costs directly related to injuries resulting from falls totaled more than $50 billion in 2015.[1] Within hospitals and long-term care facilities, effective implementation of interventions and design strategies to reduce patient falls are key to increased patient safety and decreased medical costs. However, it may not be possible to eliminate patient falls altogether, so features like a properly installed nurse call system can be life changing.[2]

Accessible Nurse Call Stations

Most state and local standards and regulations require nurse call devices in each public toilet room and within inpatient bath, toilet, and shower rooms.[3,4] Where provided in spaces required to be accessible, the nurse call device must also be accessible. An accessible nurse call device is one that meets the following requirements:

  • All operable parts, including call reset switches, are within accessible reach range (15-48″ AFF);
    • NOTE: Determining compliant mounting height requires coordinating with the location of operable parts on the specific model used.
  • Operable parts do not require tight grasping, pinching, or twisting of the wrist to operate; and
  • Operable parts can be activated with no more than 5 pounds of force.

The location of operable parts differs between models of nurse call devices. It is important to determine mounting location based on the specific model of device being used.
Models shown (clockwise, L to R): Intercall Emergency Stations; Becas BeSmart Nurse Call System; Cornell Visual Nurse Call System

While these criteria appear straightforward, proper placement of nurse calls can become complicated when coordinated with minimum grab bar clearances and additional requirements under FGI, NFPA 99, NFPA 70, Ul 1069, UL 2560, and other local codes.

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