3. Income $35,825 median for family households 65+ in the U.S. $15,193 median for people 65+ reporting income in the U.S. Percent Distribution by Income: 2004 Source: U.S. Census Bureau Long-term financial stability is an issue of sustainability of aged facilities
4. Cost of Care $77,380/year U.S. National average rate for private nursing room $68,985/year U.S. National average rate for semi-private nursing room Avg. Length of Stay: 2.4 Years 2006 Met Life Market Survey
5. Cost of Care $36,372/year U.S. National average rates for assisted living $51,204/year U.S. National average rates for assisted living Alzheimer’s Care Average Length of Stay: 21 months 2006 Met Life Market Survey
6. Income 3.6 million elderly in US were below the poverty level in 2004 Another 2.3 million were classified as “near poor” Source: U.S. Census Bureau
7. 1.6 million people in U.S. are in 18,000 nursing homes Nursing Home Care in U.S. is a $111 billion business annually 2004 Met Life Market Survey Cost of Care
8. Cost of Care 46% of Nursing Home and Home Care Costs in U.S. are paid by Medicaid (U.S. Government reimbursed) 12.4% are paid by Medicare (Partial U.S. Government reimbursed) Medicaid 46% Medicare 12.4% Out-of-Pocket 27.9% Private Insurance 7.7% Other 6.1% 2004 Met Life Market Survey
13. In the U.S. the only sector that has experienced job growth is the healthcare sector
14. Staffing for aged care in developed countries will come from the younger aged group of undeveloped countries
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17. Regulatory Challenges Difficult Devices for a Layman to Operate; Not as Easily Adjusted to Senior Needs Sophisticated HVAC Systems with Control System Design for Engineers Senior Friendly Energy Efficiency
18. Forest Side ALF for Dementia Washington, DC JSA, Inc. Architects Sustaining the Aged in an Adaptive Re-use Structure
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26. Peabody Retirement Community North Manchester, Indiana, USA RLPS Architects Foulkeways Gwynedd, Pennsylvania, USA RLPS Architects The Royal Star & Garter Solihull, UK Scurr Architects
27. Sun City Ginza East Tokyo, Japan Perkins Eastman Architects Goodwin House-Bailey’s Crossroads Falls Church, Virginia, USA DHPY Architects The Mirabella at South Waterfront Portland, Oregon, USA Ankrom Moisan Associated Architects Sustaining the Aged in an Amenity-Rich Community
28. Marywood Center Grand Rapids, Michigan, USA Perkins Eastman Architects Sustaining the Aged in an Purpose-designed Sustainable Environment
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Editor's Notes
Doug Tweddale
St Monica
Kitchen The varying counter heights and flexible cabinetry allow for a person to sit or stand while cooking. Four feet of space around the center island allows for easy maneuverability and access. Loop hardware was chosen for easy access to items along with lazy-susans in corner cabinets. The microwave, also a convection oven, is located at an easy to reach height near a transfer surface. The induction cook top uses pan sensor technology, only heating the pot. If there is a dry boil the stove will turn off. Varying counter heights Easily accessible cabinetry Loop hardware on cabinets Breakfast buffet at table height Induction cook top with pan sensor technology LED task lighting and recessed lighting Easy to reach microwave oven Four feet of clearance around the island Removable toe kick with finished floor under sink and stoveRemovable toe kick with finished floor underneath Flexible cabinetry Task lighting All items in upper cupboards can easily store in cabinetry below the counter Pot filler Induction cook top with pan sensor technologyZero threshold shower Integrated bench Second shower head is easily reached from the bench Blocking behind shower walls Hardware and support bars match Lighting over shower area Three feet wide pocket door