#Medical Spa Burbank

[femcarehealthandbeautyburbank]

The Muscles Involved in Lifting Eyebrows and Age-Related Eyebrow Drooping

Brow Lift Options At Burbank Medical Spa Brow lifts are a popular choice for men and women especially as we start to age. The human face is a canvas of expression, capable of conveying a myriad of emotions through subtle movements. Among these expressive features, the eyebrows play a crucial role. The ability to lift one’s eyebrows is a dynamic function governed by a complex interplay of muscles.…

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Toluca Lake, CA, is Such a Wonderful Place

Toluca Lake, CA, is considered a wonderful place. No wonder why this location is highly sought to live. It's located in the San Fernando Valley; it offers a peaceful and quiet residential neighborhood with a variety of housing options, from charming single-family homes to modern apartment complexes. This area is also known for its beautiful tree-lined streets, lovely parks, and easy access to nearby attractions in Los Angeles. Toluca Lake offers a tight-knit community feel, where neighbors know each other by name and come together for events and activities. So, if you're looking for a safe and family-friendly neighborhood with a great sense of community, Toluca Lake may be the perfect place for you. You can also get a great deal of advantages regarding your health and beauty. FemCare Health & Beauty is the best choice. 

Intimate Lightening in Los Angeles

One of FemCare Health & Beauty's services is feminine or intimate lightening in Los Angeles, such as vaginal rejuvenation with Labiaplasty or intimate beaching in Los Angeles. FemCare is a physician-owned practice and medical spa in Toluca Lake, Burbank, CA. Their focus is on anti-aging, regenerative, integrative aesthetic medicine. Since FemCare was founded, it has provided males and females with a preventive approach by identifying symptoms or dysfunctions from the whole body perspective. Then, I love the aesthetic part of their services, which involves the latest rejuvenating technologies, radio frequency (RF) products, lasers, hair restoration equipment, IV therapies, platelet-rich plasma, exosomes, and more to improve your appearance by naturally restoring youth, addressing and improving wrinkles, skin elasticity, body contouring, muscle tone, hair loss, sports injuries, intimate lightening, and much more. For inquiries, call 818-357-5886. 

Los Angeles Medical Spa

FemCare Health & Beauty is the best and most trusted Los Angeles medical spa. FemCare is a physician-owned medical spa in Toluca Lake, Burbank. They practice anti-aging, regenerative, integrative aesthetic medicine. FemCare has identified whole-body symptoms and dysfunctions to prevent disease in men and women. I love the aesthetic services at FemCare because they use the latest rejuvenating technologies, products, and more to naturally restore youth and address wrinkles, skin elasticity, body contouring, and more. There are various services at FemCare, such as pain management: stem cell therapy and PRP therapy, feminine or intimate: vaginal rejuvenation with labiaplasty, and vaginal and anal bleaching. For hair restoration, SmartGraft FUE hair transplant, hair loss therapy, and vitamin infusion for hair growth in the body, face, neck, and more. For inquiries, call 818-357-5886. 

Mystic Museum Near Toluca Lake, CA

People interested in the occult, the paranormal, and horror themes will find the Mystic Museum near Toluca Lake, CA, an excellent location to visit. You may attend special events such as screenings of scary movies, readings of tarot cards, and seances at the museum, in addition to exploring the collection of strange artifacts, antique movie posters, and other curiosities the museum offers. If you're up to the challenge, you may even test your mettle by participating in one of their fully immersive horror experiences, such as the Ouija Séance or the Haunted Art Gallery. People interested in the eerie and mysterious will find it t exciting destination because of how unusual it is. 

Teen Suspect For Stabbing A Bus Driver

A bus driver was critically injured when a 17-year-old teenager stabbed him critically. The suspect's identity was withheld due to his age. He's a teenager, 17 years old. He is accused of an assault at Topanga Canyon Boulevard and Erwin Street at 5:15 p.m. on Wednesday. Police claimed the teenager boarded the bus and argued with the 61-year-old driver about fee evasion. According to authorities, the driver and juvenile got off the bus and argued, with the boy pulling out a knife and repeatedly stabbing the driver. According to LAPD Chief Michel Moore, paramedics, and Dignity Health Northridge Hospital Medical Center employees treated the driver, who was in "extremely critical" condition Thursday. This is really sad. Read more. 

Link to maps

The Mystic Museum 3204 W Magnolia Blvd, Burbank, CA 91505, United States Head west on W Magnolia Blvd toward N California St 1.2 mi Turn left onto Cahuenga Blvd 0.5 mi Turn right onto Camarillo St 0.5 mi Turn left onto Vineland Ave 0.2 mi Turn right onto Hortense St 69 ft Turn right at the 1st cross street onto Vineland Pl Destination will be on the left 0.2 mi FemCare Health & Beauty-Burbank 4789 Vineland Ave Ste. 101, Toluca Lake, CA 91602, United States

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Los Angeles Botox Specials – LIMITED TIME OFFER $8 PER UNIT at our Burbank

We are offering a special price on Botox: only $8* / unit while supplies last. No coupon needed to take advantage of our low pricing on Botox injections! Our regular price on Botox is $12/unit.

Book today: - https://burbankmedspa.com/services/botox-dysport/

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A post shared by Dr. Kay Durairaj, MD, FACS (@beautybydrkay)

Check out my signature Nonsurgical Rhinoplasty👃🏼✨💖 In just a few minutes, you can have the nose you’ve always wanted! For this lovely patient’s nose, I lifted the tip, got rid of the hump and straightened the bridge. Liquid Rhinoplasties have no downtime and are a quick and relatively painless procedure! It is perfect for those of you who want to correct your nose but aren’t quite ready for surgery. 🥰Come in for a consultation and let me help you achieve your dream look! 💋 . ✨ Don’t forget to sign up for my in person Mastery of Aesthetics online course at masteryofaesthetics.com 💉 If you’re an injector, this training course will help you take your skills to the next level. Learn about the cutting-edge techniques and innovative advancements in modern aesthetics from of LA’s top injectors! 💎 I cover both on and off label injection techniques, understanding of injectables, neurotoxins, social media and building your brand.✨ Whether you’re an advanced injector, just starting out, or own a medical spa, this course is for you! Subscribe now and gain access to a wealth of knowledge that is invaluable for anyone in the aesthetics industry as well an invitation to our exclusive Facebook group of injectors from all around the world where you can ask questions, learn tips and tricks and share your work!😍 . 💋💋💋👠👠👠💃🏻💃🏻💃🏻 To see me as a client in my Los Angeles/Pasadena private practice, call me at (626) 316-7033 or email info@beautybydrkay.com. I hope to see you soon 💓 . . 💧My amazing KDskincare line is available for purchase online and by phone. 💦My products have cutting edge technology, coupled with the very best nutrition for your skin. 💦This is physician strength anti-aging! Shop online for free domestic shipping at www.beautybydrkay.com/store . #fillers #hollywood #beverlyhills #losangeles #cheekfiller #weho #hollywoodhills #liquidrhino #rhinoplasty #pasadena #nose#nosejob #nonsurgicalnosejob #jawlinefiller #injectionrhinoplasty #nyc #burbank #santamonica #orangecounty #newportbeach #belair #CheekFiller #threads #threadlift #microblading #balayage #highlights #eyelashextensions #browlamination (at Kay Durairaj, MD, FACS - beautybydrkay) https://www.instagram.com/p/CEPCY2qnYHo/?igshid=tekzgcxwz8yn

[jancheta1991-blog]

Aquifer Electric Gate Repair West Covina - Protecting Your Home

A repainted gate opener can add eye-catching appeal. Gate opener get a lot of wear, and they often look worn and dingy. A new coat of paint will change the look of your home. Instead of putting in gate opener in a regular color, try spicing things up.

Whatever gate you choose to go with an important thing to keep in mind is that the opener should be the appropriate one for the gate that you choose. The opener has to be able to with stand the weight of the gate. If you choose to go with a an opener because it is is cheaper and it can not withstand the weight of the gate then the gate will cause damage to your property.

Follow the entry walk to an unparalleled experience of classic style. Create your own Azalea Tour. Property is 100% wrought iron fenced for privacy with controlled access Driveway Gate Repair West Covina CA. Inviting salt-water pool with spa, and waterfall wall in the forest with colorful landscaping. A complete pool bath is conveniently located at the rear of the cabana.

First aid kit - should include Band-Aids, bandages, ointments, scissors, sunblock, sunburn relief lotion, sting relief pads, medical tape, heat pad, cooling pack, tweezers, nail clippers, and anything else left out related to medical care such as personal medical supplies.

The Automatic Gate Opener closer uses no electricity and there is no need for any battery power, either. It uses the natural swing of the gate to shut the gate each time it has been opened. Automatically. Without any help from anyone. Every time. The gate closer is made in a spring shape and has an arm that extends from the top. You install the closer on your gate's pole and adjust it according to your needs. A single closer can fit on any gate, no matter the way it swings shut. There are three sizes of the closer available so it does not matter the weight or size of the gate, either, you will be covered.

Many people own vehicles nowadays. For them, it is a priced possession. A well-maintained vehicle is an owner's pride. With the increasing number of cars, there isn't enough parking space. Each family now owns more than one car, to show their status. You need space to park these vehicles. The doors of garage should be solid and strong. In case it is not in proper condition, Burbank garage repair is the solution to your problems. After a while, any parking space would require a little work. The door is ought to need repairs as it opens and closes so many times in a day. This puts a lot of stress on cable and springs which will eventually need to be replaced. With a little bit of revamp, it will be as good as new.

22.Plastic bag for trash - Unless you fall along the line of the more anal of personalities (Google Freud and anal fixation or wait till college), you're going to build up trash in your car. Have the bag already ready to bag it up and ship it out.

There are many tips for home improvement that will enable you to update your house without spending too much money. You can find do-it-yourself books and video's that can walk you through almost any project. If you don't feel comfortable tackling a large job alone, you can contact a professional in your area that can help you complete all of your home projects successfully.

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at Burbank Aesthetics Medical Spa https://www.instagram.com/p/Bti0f8UA99G/?utm_source=ig_tumblr_share&igshid=1hm01mo23xy8y

[femcarehealthandbeauty]

FemCare

FemCare Health & Beauty-Burbank is a physician-owned practice and medical spa located in Burbank with a main focus on anti-aging, integrative, regenerative, and aesthetic medicine. Founded in 2017 by Teresa Valero-Michell, CEO, the medspa provides a host of services and treatments for women and men taking a preventive approach by identifying symptoms or dysfunction from a whole body perspective. Services include hair transplant, intimate bleaching, IV therapies, biotidentical hormone therapies, skin tightening, fat melting, non surgical facelifts and more. https://www.femcarehealthandbeauty.com/ Our Social Pages: facebook twitter linkedin youtube instagram

[burbankmedspa-blog]

Burbank Aesthetics Medical Spa under the direction of Dr. Cynthia Thaik offers the best health and aesthetic treatment including iv nutritional therapy, stem cell therapy, facials, chemical peels, Pelleve, Icon skin rejuvenation therapy, and SculpSure. Call (818) 631-5742 to schedule your consultation today!

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. Nanny Cams. A Plaything For The Voyeur, Or Even A Need For Every Single Moms and dad?

Coming from seeing to it you have plenty for them to perform on the trip to planning affordable household trip insurance coverage, observe our overview of trouble-free journeys along with click the following internet page children. If the moms and dad is a lot smarter and also entitled to a better opinion than the childs, they need to be the ones to discover exactly what they are actually claiming, how they are functioning, isn't practical. Yet that is thus pleasant to listen to that you are actually creating all possible initiatives to be with your kids and also hang around with all of them. The Act states that their have to be actually proof that the moms and dad is actually inadequate so as to clear away the youngster from the house. If you are actually a parent when there is actually no task similar tension you are actually more knowledgeable from your companion and also children. I assume the response to this concern would differ coming from personal to individual, based on their childhood and also the engagement of each moms and dad. Every parent wishes to launch their kids in to the planet along with the capabilities they must be successful.

If your communication with that parent is limited or even poor, you are preparing your little ones for counteracting in any way they can, with sense of guilt, aggravation, confusion, pity, temper - also retribution - as the intention.

Well-balanced control, through contrast, provides the information that the parent swears to keep their kids secure as well as provide sensible feedback on exactly how the globe at large will acquire their habits For instance, allowing young girls suit up provocatively or even behave in ways that might put them threatened for sex-related profiteering must be actually resolved, with regard as well as empathy. Financial restrictions have been actually shown to trigger the major caretaker moms and dad to go back to operate, to raise the number of work hrs, to tackle a second job, or even to go to evening university to strengthen his/her task abilities.

If you locate your own self in this condition, be actually as honest with the little ones as you can, but don't retaliate through badmouthing the parent with which the kids reside. Parent Zone's publisher, Gemma Taylor, strongly believes there are some rules that must be actually abided by if moms and dads are thinking about putting together social networks profiles for their little ones.

As a parent of children, you ought to focus on even the tiniest indications which may suggest food allergies. What started as lovely and adorable promptly ends up being awkward for both our team and also the pet dog parent. Perhaps the making it possible for parent is playing out an acquainted case coming from his/her own childhood years. I think as a parent and as a qualified parent trainer, this aids to approve that rage is a truthful emotion, but it's what you opt to finish with your anger that's important. This is actually the best popular advise offered to guys that want to draw in beautiful females, but very most still fail to do this. Strong eye contant permits a female recognize that you are confident which her elegance doesn't frighten you. As an example in my high school in Burbank The golden state a parent spoke to execs at NBC centers. Visit our formal web site BASEBALL MOMS AND DAD QUICK GUIDE at for free suggested write-ups for baseball parents. In my viewpoint, a great parent must aim to speak along with their youngsters and also swap notions along with all of them more frequently. You might likewise discover resorts that give medical spa procedures certain for expecting couples, along with attributes walks in lovely settings. The moms and dad I utilized to be and also the parent I am right now each have the exact same objective: to rear self-contained, positive, productive youngsters.

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Hyaluronic Acid: A Comprehensive Exploration

Burbank’s Answer to Better Skin Our Burbank medical spa continues to find and utilize the most promising and effective solutions to health and wellness as well as beauty. Unless you’ve been living under a rock until now, one of the medical and cosmetic industry’s current buzzwords is hyaluronic acid (or HA for short). While the use of its name may be more prevalent now, there’s nothing new about…

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8 trends shaping today’s senior housing

The ranks of those age 65 and older are swelling by the thousands every day. Is there an opportunity for your firm in the seniors housing market?

Dana Strand Senior Apartments, a 100-unit New Urbanism complex in Los Angeles, designed by KTGY Architects for ROEM Development

With more than 10,000 baby boomers turning 65 every day, the demographics are smiling on the senior housing market segment. Although the overwhelming majority of boomers will continue to live in their own (or someone else’s) home or apartment, 5-8% of them will ultimately opt for seniors-only multifamily housing, according to David Schless, President of the American Seniors Housing Association (www.seniorshousing.org). Americans born between 1946 and 1964 number 76 million, so that small minority adds up to as many as six million boomers needing generation-specific housing.

To clarify, ASHA classifies senior housing—residential settings with a minimum age requirement, usually age 55—in five categories: senior apartments, independent living (IL), assisted living (AL), nursing care (NC), and continuing care retirement communities (CCRCs). According to the “2012 NIC/ASHA Seniors Housing Construction Trends Report” from ASHA and the National Investment Center for the Seniors Housing and Care Industry (www.NIC.org), there are an estimated 2,099,616 seniors housing units in the top 100 metro markets and 2.9 million nationwide.

The senior housing segment fell off the cliff along with the rest of the housing market during the recession, but it has bounced back in the past couple of years. In 2011, this market had its best performance since its peak years of 2006–2007, with more than $25 billion worth of transactions closed, according to NIC.

As of March 31, 2012, a total of 25,369 units for independent living, assisted living, and nursing care were under construction, with another 17,272 senior apartments in the works in the top 100 metros, according to the 2012 NIC/ASHA survey.

Another indication of the market’s strength is recent investment by real estate investment trusts. “Three or four REITs have been purchasing multiple properties, in some cases paying significant amounts,” says the ASHA’s Schless. One of these was Toledo-based Health Care REIT Inc., which last August purchased Sunrise Senior Living for $844.6 million in cash.

Given the favorable demographic trends, senior housing is increasingly seen as a relatively safe investment. Nonetheless, it may take a few more years for demand to fully crank up. That’s because the target population may choose to stay in their homes longer than previous generations did. “Due to advances in health and technology, the new thought is that baby boomers will not need assisted living facilities until around the age of 75,” says Trey Sanders, Regional President in the Kennesaw, Ga., office of contractor Brasfield & Gorrie.

1. Provide unique—or at least distinctive—amenities. 2. Overcome the negative preconceptions of senior housing. 3. Enable seniors to age in place. 4. Provide memory care services. 5. Integrate seniors into the larger community. 6. Accommodate ancillary services. 7. Play up the marketing value of sustainability. 8. Look into the Greenhouse Project model.

Simply because the sector looks favorable, however, don’t be fooled into thinking that means your firm can just keep churning out whatever worked in the past. Today’s seniors have a definite mindset about what they want in retirement communities. “It’s not a case of build it and they will come,” says Schless. “The project has to be well conceived, well located, and well operated.”

Following are eight critical points to address when programming and designing a senior housing project.

1. Provide unique—or at minimum distinctive—amenities.

Don’t underestimate the competitive nature of the senior housing market. Filling new or renovated independent and assisted living projects is no walk in the park. Average occupancy rates in senior housing have been hovering in the 90-93% range over the past few years, but owners would like to see those rates in the mid- to high-90s, says Schless. The more successful your development is, the more likely it will draw competitors—all the more reason why unique or distinctive amenities are absolutely necessary.

Sometimes a site comes with its own marketing edge—a location near a vibrant urban core or up-to-date suburban shopping mall. In such a case, adding a walking trail or sidewalk to connect to such an amenity may be all that’s needed. “In a perfect world, you would have a Panera Bread, a Starbucks, and a wellness center right in the neighborhood,” says Gene Guszkowski, AIA, Senior Principal with AG Architects, Wauwatosa, Wis.

Natural features are a big plus. For instance, Parkview Living, a new Los Angeles development built by Foursquare Foundation, is located across the street from Echo Park. “The park has a wonderful walking trail,” says Manny Gonzalez, AIA, LEED AP, Principal, KTGY Group. “Those sorts of nearby amenities are home runs.”

Hebrew SeniorLife, an affiliate of Harvard Medical School, was fortunate to acquire the largest piece of undeveloped land along the Charles River—162 acres of well-preserved woodlands and fields—for NewBridge on the Charles, in Dedham, Mass. Bordered on three sides by the river, the site is as close to a pristine natural area as you can get within 20 miles of Boston.

“In some ways, the site sold itself,” says Ruth Stark, Hebrew SeniorLife’s Corporate Director of Marketing. The project reached the 70% pre-sale goal it needed to obtain financing. Pitching the project to lovers of the outdoors, Hebrew SeniorLife preserved as many trees as possible and added walking trails that connect with public trails.

Opened in 2009, the development is now fully occupied, with 256 independent living units: 50 cottages (private homes grouped in clusters of two, four, or six units); 24 villas (large corner-unit apartments in small buildings); and 182 one- and two-bedroom apartments, ranging in size from 825 sf to 2,003 sf.

Projects not blessed with natural or man-made attractions have to create their own. In Portland, Ore., 12th and Burnside is a six-story, 132-unit development that lies several miles from downtown. The developer, Foursquare Foundation, added first-floor retail space, including a café, courtyard, and roof terrace, to make up for the lack of such amenities in the neighborhood.

Senior apartments Multifamily properties restricted to adults at least 55 years of age. Community rooms, social activities. No central kitchens or meals provided to residents.

Independent living Central dining facility offering at least one meal a day. Housekeeping, transportation, emergency call, recreation, social programming.

Assisted living State-registered properties that provide same services as independent living plus activities for daily living: medication, bathing, dressing, toileting, ambulating, and eating. Twenty-four-hour protective oversight. May include memory care.

Newer luxury and affordable senior housing projects are also adding interior common spaces for residents to pursue hobbies. “There’s been an explosion in amenities such as woodshops, arts and crafts rooms, and spas,” says David Hoglund, FAIA, Principal/Executive Director in the senior living practice at architecture giant Perkins Eastman, New York, N.Y.

At Heritage Oaks Senior Apartments, a 50-unit apartment community for low-income seniors in Oakdale, Calif., KTGY learned from focus groups it conducted in the pre-design phase that future residents—especially men—would miss the opportunity to tinker in their garages. So Gonzalez designed a hobby and craft studio that resembles a 1950s-era suburban residential garage. Adorned with workbenches, a dartboard, and a chrome table and chair set with 1950s-era Ford automotive logos, the garage, with its adjoining patio, has become a popular hangout.

Providing such distinctive elements could be even more essential to success as the senior housing market heats up. “Over the past 40 years, we’ve seen many different design themes used in the market—Tuscany, Williamsburg, Key West,” says AG Architects’ Guszkowski. He says he’s concerned that senior living could get commoditized––or what he calls “McDonald’s-ized.”

Innovation can provide a knockout punch to a project’s marketing efforts. For the Burbank (Calif.) Senior Arts Colony, a 141-unit apartment complex with affordable and market-rate units, KTGY came up with a unique offering to serve its local population of retired TV and film industry professionals—a studio where residents can make their own independent films.

“Having an identity is critical,” says KTGY’s Gonzalez. “Get the owner, the interior designer, the landscape architect, and the rest of the team together and spend a day brainstorming to come up with something different from what the competition is doing.”

2. Overcome the negative preconceptions of senior housing.

The stigma associated with traditional nursing homes, with their clinically stark semi-private rooms and shared bathrooms, continues to loom over the senior housing sector, particularly for assisted living. “Older people’s greatest fear is having to share the most vulnerable time of their lives with a stranger,” says L. Bradford Perkins, FAIA, Chairman and CEO of Perkins Eastman. “There are a couple of million skilled nursing units out there, and 80-90% of the existing stock is obsolete.”

Like traditional nursing homes, today’s assisted living facilities provide senior residents so-called activities for daily living (ADLs), such as bathing, dressing, and preparing meals. Unlike nursing homes, however, they offer more privacy, comfort, and home-like aesthetics.

Design can help erase some negative preconceptions. Conveying a non-institutional look through the building’s design vernacular and finishes is a must. Designers also have to tailor spaces to meet the demands of seniors who want to keep fit—in body and mind. For example, Michael Tague, Design Director in A/E firm Nelson’s Boston office, suggests creating a public space on a floor close to living units that can be used for yoga or exercise classes.

Says Hebrew SeniorLife’s Stark, “There’s a profound interest among seniors in staying physically and mentally healthy. That’s why our programming philosophy is ‘Try something new.’”

3. Enable seniors to age in place.

In general, today’s seniors want to stay in their own homes or apartments for as long as possible. “It used to be that people retired at 65, and you would live independently as long as possible, and then go to a nursing home,” says Guszkowski. With people living longer, there is a gray period that could last decades when seniors can live semi-independently. This factor has altered the makeup of 55+ developments in recent years. “You’re seeing a decline in the percentage of units dedicated to assisted living, since assistance is provided with ADLs in independent living units,” says Perkins.

To support the goal of aging in place, units are being built with larger bathrooms to give attendants plenty of room to aid residents with their ADLs. Windows need to be easy for arthritis sufferers to open. Factors like these can determine whether existing buildings, such as an old hospital, can be converted to senior housing. If the existing bathrooms are too small and can’t be opened up, that white elephant building may not be suitable for modern senior housing, no matter how cheap the asking price.

4. Provide memory care services.

As seniors live longer, more of them will become susceptible to cognitive disabilities. As a result, senior housing projects increasingly must provide memory care units for those with Alzheimer’s disease and dementia. In the past, memory care units were dark, claustrophobic spaces, says Michael E. Liu, AIA, NCARB, Vice President and Principal in Charge of Design with The Architectural Team, Chelsea, Mass. “Now, we raise window heads and increase window sizes so residents can see the sky.”

Even if your firm doesn’t specialize in senior housing, this article raises questions that could apply to your work in other building types:

How closely is your firm following changing demographic trends—age, race, ethnicity, language, gender, mobility—that could be impacting the geographical markets and building types you specialize in? Should your firm be conducting its own research (online surveys, focus groups, individual interviews, etc.) to gain insight on end-user/occupant attitudes and needs—proprietary data you can take to current and prospective clients? What additional services or components—preferably those that would produce additional revenue for your clients—should you be incorporating into your specialty building type? Could your next library include a café—or even an adjacent brick-and-mortar bookstore? What are the “negative perceptions” about your firm’s preferred building types, and how can you overcome them? If these negatives result in neighborhood opposition to your projects, what strategies can you develop to gain the community’s support? In early design, is your Building Team taking into account the long-term operations and maintenance of the building? What about the ongoing service needs of its occupants and visitors? Which marketing-related factors are truly crucial to your firm’s success in its specialty markets? Client service? Professional reputation? Performance record? Sustainability leadership? How do you know these factors still hold true?

Designers also have to take into account the so-called “sundowning effect,” the agitation that dementia sufferers can experience at sunset. Large windows can bring this on, so adjustable shades and lighting have to be used to mitigate that impact.

Memory care facilities need to provide a wide range of safety features; in particular, they must prevent patients from leaving the grounds unattended. “The reasons for cognitive frailty vary, but many memory care residents have the urge to wander,” says Liu. “We try to design memory care so there is direct access to the outside, but in a protected, enclosed area such as a courtyard.” Screening parking areas from residents’ view also helps reduce the desire to roam, he adds.

One bold experiment in memory care is the House for Betty, a multi-year research project being conducted by the Perkins Eastman Research Collaborative. Daniel Cinelli, FAIA, Principal and Executive Director at Perkins Eastman, has been leading this initiative after experiencing his late mother-in-law’s Alzheimer’s condition.

With input from the spouses of dementia patients and experts at the Alzheimer’s Association, Cinelli’s team has designed a model single-family home that addresses more than 300 elements that make it possible for a healthy spouse or other family member to provide care with minimal outside assistance. For example, the design calls for a secure, double-sided doorway that would allow medical supplies to be delivered without the doorbell being rung—something that can agitate a person afflicted with dementia. A light signals the spouse that a delivery has been made.

The first House for Betty is on hold, pending the resolution of some site infrastructure and zoning problems. Once these matters are settled, the model home will be constructed in Gaithersburg, Md.

One way senior housing developers are weaving seniors into their surrounding communities is to open up the amenities within senior housing developments to the general public. For security purposes, these facilities—eateries, wellness centers, meeting spaces, etc.—should be designed with separate entrances, one for the public, one for residents. They can also be equipped with reconfigurable furniture to accommodate various types of events—lectures, musical programs, films, and so on—that create opportunities for residents to meet and mingle with their neighbors from the surrounding community.

Some developers feed the drive for lifelong learning. The Kendal Corporation, Kennett Square, Pa., a Quaker-inspired senior housing developer, has built several such communities near colleges and universities, including those at Cornell University (Ithaca, N.Y.), Oberlin (Ohio) College, and Denison University (Granville, Ohio).

Lasell Village, on the campus of Lasell College, Newton, Mass., is not a Kendal community, but it plays a similar role. It houses 225 residents in its independent living apartments and dozens of others in assisted living and skilled nursing units. Residents participate in hundreds of on-site courses, lectures, cultural events, and physical fitness classes each year. Intergenerational activities for residents, faculty, and Lasell College students are encouraged.

If you can’t bring the seniors to the students, bring the students to the seniors. That’s what NewBridge on the Charles did. Hebrew SeniorLife built a K-8 day school on its site that offers multi-generational programming. “Kids learn from seniors, seniors learn from kids,” says Hebrew SeniorLife’s Stark.

Building Teams and their clients in the senior housing field must keep foremost in their minds that the great majority of today’s seniors—and the millions that are coming online every year—are looking for a vibrant lifestyle that keeps them active and engaged and thereby healthy and happy.

6. Accommodate ancillary services.

In addition to memory care, senior living communities are adding new services to fill specific needs and, not incidentally, create new revenue streams. Short-term rehabilitation is one of these. Assisted living facilities already have the expertise to provide such care, so adding rehab units could be a natural extension for them. These units are likely to be segregated from other parts of the facility, but they can be designed as additions to existing structures or connected with other units via walkways or footbridges.

Experts predict short-term rehabilitation facilities will get a boost from federal healthcare reform. The Affordable Care Act calls for penalties for hospitals that readmit patients for the same or related conditions. “Hospitals are going to want to send patients to bulletproof rehab facilities,” says Perkins Eastman’s Cinelli.

Another potential revenue stream for senior housing communities: expanded rehab space that can be leased out to physical therapy providers, whose services would be made available to residents and nonresidents alike.

Prospective senior residents have an increasingly sophisticated understanding of sustainability and take an active interest in how their housing impacts the environment. NewBridge on the Charles is heated and cooled using 400 geothermal wells; it also has vegetated roofs for reducing urban heat-island effect. These measures, and the effort to preserve the natural state of the site during construction, are like marketing gold stars. “People are drawn here by our environmental sensitivity,” says Hebrew SeniorLife’s Stark.

This does not mean that senior communities must be LEED-certified. As green as NewBridge is, management chose to forgo certification. Whether certified or not, sustainably designed senior housing developments should play up the health and indoor environment benefits of sustainability, as well as the positive impact on utility bills—even if the residents are not paying directly for utilities.

8. Look into the Greenhouse Project model.

The Greenhouse Project, a model of assisted senior living featuring small, shared dwellings with a high level of care, is growing in popularity. Groups of 10 to 12 seniors share kitchen, dining, and common areas but have their own bedrooms and bathrooms. “Residents are taken care of like they’re a big family,” says design firm Nelson’s Tague. Staff members attend to the residents’ activities for daily living and cook meals within the Greenhouse living unit. “Residents can eat when they’re hungry, instead of just at a prescribed meal time,” says Tague. “It makes the setting seem less institutional.”

The newly opened phase of the Cottages at St. Martins in the Pines, near Birmingham, Ala., consists of three-story buildings, each 22,875 sf in size. Perkins Eastman is designing an urban high-rise in Manhattan’s Upper West Side for Jewish Home Lifecare. Eleven floors of the 20-story structure will have two 12-bed units per floor, with cooking facilities in each unit.

The Greenhouse concept has earned high marks from residents and staff on projects across the country. It’s an age-in-place strategy that balances independence with just enough support for seniors to be able to stay where they are as they become frailer with age, rather than having to enter a traditional nursing home. +

Additonal resources

“2012 NIC/ASHA Seniors Housing Construction Trends Report,” National Investment Center for the Seniors Housing & Care Industry (NIC) and American Seniors Housing Association (ASHA). $150. http://www.nic.org/store/Products.aspx?ProductCategoryID=4.

Design for Aging Review 11: “Insights and Innovations: The State of Senior Housing,” Perkins Eastman Research Collaborative, on behalf of the American Institute of Architects. http://www.aia.org/aiaucmp/groups/aia/documents/pdf/aiab096294.pdf.

Recurring themes from 50 projects submitted for this biennial report: 1) connectivity to the greater neighborhood and natural surroundings; 2) designing for capability, not disability; 3) affordability-driven innovations; 4) holistic wellness; 5) blurred boundaries.

“10 Top Design Trends in Senior Living,” by Bradford Perkins, FAIA (January 2010). http://www.BDCnetwork.com/10-top-design-trends-senior%C2%A0living-facilities.

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