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10 th ANNUAL WESTERN HUD LENDERS CONFERENCE Golden Nugget Hotel – Las Vegas, Nevada

SECTION 232 LEAN – LESSONS LEARNED Culture Change and Skilled Nursing Design Douglas Pancake, AIA Principal. 10 th ANNUAL WESTERN HUD LENDERS CONFERENCE Golden Nugget Hotel – Las Vegas, Nevada April 27-29, 2008 Western Mortgagee Advisory Council. Country Crest Skilled Nursing Facility

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10 th ANNUAL WESTERN HUD LENDERS CONFERENCE Golden Nugget Hotel – Las Vegas, Nevada

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  1. SECTION 232 LEAN – LESSONS LEARNED Culture Change and Skilled Nursing Design Douglas Pancake, AIA Principal 10th ANNUAL WESTERN HUD LENDERS CONFERENCE Golden Nugget Hotel – Las Vegas, Nevada April 27-29, 2008 Western Mortgagee Advisory Council

  2. Country Crest Skilled Nursing Facility Oroville, California 3 .

  3. . California Building Code 2001(CBC 2007) Country Crest Skilled Nursing Facility Oroville, California • 104.2.8 (111.2.4) Alternate materials, alternate design and methods of construction. The provisions of this code are not intended to prevent the use of any material, alternate design or method of construction not specifically prescribed by this code, provided any alternate has been approved and its use authorized by the building official. Alternate Method of Compliance • Alternate means of protection • Alternate methods of construction • Program Flexibility 5 .

  4. . Country Crest Skilled Nursing Facility Oroville, California Specific Areas where this design deviates from the Code 9 .

  5. . Country Crest Skilled Nursing Facility Oroville, California Great room and therapy kitchen .

  6. Greenhouse for the Arizona Baptist Retirements Centers Phoenix, AZ Shown w/ permission of the McCarty Companies

  7. The Terraces at San Joaquin Gardens SNF Households Household One • A true cluster plan provides home-like activities right outside the bedroom unit • Open floor plan • Maximum orientation • Activities on demand • Maximum supervision • Centrally located Two Story • Administration and • Rehabilitation Building • Proposed StructuralSystem for • Two Story: • Concrete Masonry Shear Walls • ( or concrete ) • Flat Concrete Slab Floor and • Interior Concrete Columns Household Two TWO STORY REHABILITATION and ADMINISTRATION Household Three 22

  8. Pediatric Acute Care Rehab at Totally Kids San Bernardino, California

  9. Pediatric Acute Care Rehab at Totally Kids San Bernardino, California

  10. Pediatric Acute Care Rehab at Totally Kids San Bernardino, California

  11. New Care Center at Desert Valley Hospital Victorville, California

  12. New Care Center at Desert Valley Hospital Victorville, California

  13. New Care Center at Desert Valley Hospital Victorville, California

  14. New Care Center at La Jolla Village Classic Residence by Hyatt, La Jolla, California

  15. SECTION 232 LEAN – LESSONS LEARNED Culture Change and Skilled Nursing Design Thank you… Douglas Pancake, AIA Principal 10th ANNUAL WESTERN HUD LENDERS CONFERENCE Golden Nugget Hotel – Las Vegas, Nevada April 27-29, 2008 Western Mortgagee Advisory Council

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