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Design roundtable: Experts weigh in on senior living trends

February 27, 2012
by Patricia Sheehan, Editor-in-Chief
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Economic considerations dictate design solutions
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Each year, Environments for Aging presents a Design Showcase of notable senior living architectural and design projects from across the country. All projects are reviewed by a jury of LTC architects, designers, educators and providers. This year, the panel convened in January at Devonshire at PGA National, a CCRC located in West Palm Beach Gardens, Fla. After the final judging, the panel of jurors gathered to participate in a lively roundtable discussion, weighing in on the year’s submissions and general trends and issues in senior living design.

In coming weeks we’ll post online the final four Citation of Merit winners where you can judge for yourself the progress our industry has made in elevating environments for aging in this country. Until then, read on for the judges’ frank assessment of the current state of design and architecture.


The Great Recession took its toll the past few years on the senior living industry in the form of anemic project development and slashed budgets for construction and renovation. The one demographic positive has been the burgeoning population of aging baby boomers on track to fill the senior housing pipeline. However, the fallout from the sluggish economy is reflected in this year’s Design Showcase submissions, for better and worse.

Design Showcase judges. Standing (left to right): Lorraine G. Hiatt, PhD, environmental gerontologist, Planning, Research & Design Consultation; Jack L. Bowersox, manager, Life Wellness Communities Development Co., LLC; Kaye Brown, PhD, adjunct associate professor, anthropology, Boston University; Alec Sithong, project manager, VOA Associates, Inc.; Gail Sterling, IIDA, principal, WHR Architects; Jonathan Douglas, managing principal, VOA Associates, Inc.; Melissa C. Pritchard, AIA, LEED, AP, BD+C, associate principal, SFCS, Inc.; Mary Bamborough, senior client relations consultant, interior designer, Haworth; Ed Nettestad, vice president, operations, SHP Senior Living Services; Mitchell S. Elliott, AIA, chief development officer, Vetter Health Services, Inc. Seated (left to right): Russell R. McLaughlin, AIA, senior associate/designer, AG Architecture, Inc.; Andrew Alden, living environment market leader, Eppstein Uhen Architects; Margaret Christenson, occupational therapist, Lifease, Inc.

Overall, the jurors were challenged to discern award-worthy submissions this year. “I was disappointed by a lack of unique solutions,” says Mary Bamborough. “[Some of] the submissions didn’t deliver on the stories they told.”

“This year, interior finishes trumped architectural design,” observes Mitch Elliott. “I get a sense that the interiors are getting better; they’re stronger. “I struggled with evaluating designs based on the interiors but there were some great spaces with great fabrics and finishes. However, the architecture was weak in many areas. The positive is interior design is improving. Vendors are beginning to understand our market.”

“I was happily surprised at the resourcefulness of the applicants considering the issues [relating to] the recession that directly affect them,” says Lorraine Hiatt. “I was struck by their resourcefulness in project conceptualizing and funding to use existing buildings, the ingenuity in putting a project on the map and getting it done even if occupancy was an issue.”

The results are a function of how insecure people are feeling, says Kaye Brown, referring to those who’ve “lost their conceptual edge and are tending toward the tried and true.”


This year’s judges were encouraged by designers who’ve started tweaking the household model, incorporating more technology into their projects and tailoring projects to the region where they’re located.

In general, the judges bemoaned the lack of projects in the U.S. market as new construction and design work has slowed to a crawl. “How many full projects are on the boards?” wonders Jack Bowersox. “I know CCRCs are few and far between.”

“The game plan has changed,” agrees Melissa Pritchard. “From the architectural focus, we’ve gone from going after $15-million jobs and not considering anything under $5 million to [considering] under $1 million [projects]. I’m not sure we’ll ever go back.”

“The new normal is smaller scale, more phasing, renovations and/or repositioning, but not the whole hog,” says Russ McLaughlin.

“The idea of the baby boomers moving to the suburbs to raise their families and now wishing to retire to the city or urban areas is an untapped open market,” says Hiatt. 


During the roundtable discussion judges reflected on the evolution of senior living design over the past 15 years since the Design Showcase competition started. Andrew Alden says he’s seen a change in the mindset of designers and developers from approaching senior design from a sterile, hospital-like environment to a home and hospitality model.

“I think it’s about the joy of life, wanting to come here [a senior community] for the joy of life, not to die,” says Alden.