With the need to update their medical campus, Cayuga Medical Center chose to move forward with the Surgical Services Addition and Renovations Project in early 2012. The project consisted of a three-story addition totaling 14,300 sq. ft. and an additional 15,100 sq. ft. of renovations to the existing interior.
This multi-phased project included a new addition which features four new operating room suites, a 4,700 sq. ft. first floor expansion space and a new mechanical penthouse. Construction of the mechanical penthouse involved the use of a unique full isolation slab to mitigate any noise and vibration transference to the operating suites directly below. The existing facility renovations included three new operating room suites, a special procedure room, a renovated pre/post anesthesia care unit, new sterile core area, offices, waiting rooms, a conference room, locker room and renovated corridors. Additionally, there were upgrades to the utilities on the existing facility, which included new electrical switch gear in the basement and new air handling units in the penthouse.
Due to the success of the first two phases, our team also oversaw an additional $6.5 million renovation of an Obstetrics Wing and Neonatal Intensive Care Unit. To allow the facility to remain fully operational during construction, this project was completed before the remaining four phases of the addition/renovation could continue. Our team worked to ensure hospital operations remained uninterrupted while keeping patients and staff safe during this carefully coordinated project. The OB/NICU spaces were completed in July 2014 and allowed the Surgical Services addition/renovation project to proceed with the balance of construction.
The surgical suites addition also obtained LEED Certification - a first for a healthcare facility in New York.
In 2008, reform was mandated to implement changes improving New York’s health care system for the 21st century based on the Berger Commission. As part of this commission, Erie County Medical Center’s (ECMC) 80-year old county nursing home in Alden, New York needed to be consolidated onto the ECMC campus. In an effort to move residents closer to the ECMC campus for increased efficiency, the Terrace View Long-Term Care Facility and parking garage was constructed. The name is based on the design of multiple terraces that provide residents with views of the neighborhood.
In bringing the new 390-bed nursing facility from Alden to Buffalo, its new location is conveniently located for many families of the residents. The new modern, updated facility is located on ECMC’s Health Campus, where residents are right next door to all the resources and facilities of the ECMC hospital in the event of a serious illness or emergency. The move also increases access to employment for Buffalo and suburban residents and reduces operating costs for ECMC by eliminating resident transportation costs between Alden and Buffalo.
ECMC’s $224.5 million master plan work included the long-term care facility and also a supporting parking ramp for employees and visitors. The budget for the projects was established at $85.3 million. The long-term care facility is a five-story building with a total of 390-beds designed with multiple wings off of a main core. The parking garage is a five-story, 374-car precast structure adjacent to the long-term care facility. The 296,549 sq. ft. five-story facility is organized into 12 bed households and follows a person-centered care model. Each household includes a living room and fireplace, a kitchen and dining rooms. Resident’s rooms include a wide bay window and adjoining bathroom. All households also include showers and whirlpool tubs available to residents. Additionally, each floor includes an outdoor terrace and an indoor terrace lounge to offer residents fresh air spaces. Adjacent courtyards and gardens offer visual and recreational enjoyment for residents, families, and staff.
Terrace View also contains three floors of 96 skilled nursing beds, a floor with 66-bed short-term rehabilitation area, a 20-bed ventilator unit, a 16-bed behavioral intervention unit, a 10-bed bariatric unit, dedicated specialty beds for Alzheimer’s and dementia, a floor dedicated to kidney & pancreas (renal care) patients and a multi-story, 374-car staff parking garage.
Construction began on the LTC facility in June 2011, and our team immediately was challenged by finding contaminated soils during excavation work. The need to move over 14,000 tons of hazardous soil off-site created an immediate 6 week delay. Foundations and steel structure began in October 2011 and the structure necessitated getting shrink-wrapped in plastic so work could continue through the harsh winters. Heaters were brought in to ensure temperatures were maintained allowing concrete foundations and concrete slabs on deck to begin in December 2011. Concurrent to this work was the construction work on the parking garage, which began in October 2011 and was completed in May 2012.
The original anticipated certificate of occupancy date for the long-term care facility was October 2012 with move-in for December 12, 2012. However, with the delays due to contaminated soils and changing the scope of the parking garage to add another level, the completion was adjusted. A certificate of occupancy was issued for the long-term care facility in December 2012, with resident move-in on February 8, 2013. After the additional scope of work was added to the project, the final project came in at $90.5 million.
Evergreen Health is a highly-regarded not-for-profit agency that offers a multitude of services to a growing client base. Within the past two decades, their staff has grown to more than 260 serving more than 1,300 clients. They are committed to their urban setting, but as they have grown beyond their initial mission as AIDS Community Services, their space demands have grown as well. Rather than move from their current location, Evergreen and its design team worked with planning and preservation boards and community and neighborhood groups to develop a plan to expand their existing healthcare and supportive services facility.
The expansion consisted of a new 5-story, 35,000 sq. ft. building in between two existing structures, one of the two being the original Evergreen office space. This new building allowed for a seamlessly easy transition between the two spaces. Construction began with digging foundations for the new structure's basement. During site work, a main gas line was found to be too old to withstand the vibrations of sheet pile installation, which needed to be replaced. In addition to coordinating with the gas utility, our team continued to coordinate with several other utilities for updates. Two months into site work, soil conditions were found to be poor and after geotechnical evaluations, compaction grouting specialists were brought in to strengthen the loose soil surrounding the adjacent foundation. It became apparent that a redesign for the new building was necessary to eliminate the proposed basement. The architect and owner reconfigured the plans moving the basement mechanicals to another location within the structure.
The completed space greets visitors with a dramatic glass atrium off their Chippewa Street entrance, allowing connectivity to the existing facility and showcasing the historic façade. The new space creates a larger waiting room and check-in areas and offers twice as many clinical spaces. Our team worked with the design team, owner and contractors during the redesign, saving time and money where possible. The project was completed in November 2016.
Recognizing that the need for elderly care would be rising in the coming years, Kaleida Health set its sights on a brand new state-of-the-art long term care facility. With a grand total of 300 beds, this 202,000 sq. ft. facility houses 200 long term care, 40 memory care, 30 sub acute care, 20 pediatric and 10 ventilator beds. Additional features include a dedicated kitchen and dietary, physical and occupational therapy spaces. In an effort to provide a “home-like atmosphere,” features such as elevated garden areas and fenced in courtyards offer residents outdoor seating areas to relax.
With an aggressive 16-month schedule and an estimated cost of $42.7 million, our team began work in July 2010 under an Early Start Agreement. Therefore, the project was phased and sequenced in a fashion that allowed a constant workflow from one end of the building to the other.
One major challenge was excavations and ensuring proper bearing with sand to a depth of 58 ft. at the site. In turn, the schedule and project constantly evolved and was updated based on site conditions and progress. Our team seized many opportunities to set conventional sequencing aside in order to accelerate the schedule and meet the Owner’s original completion date of November 2011. Even with numerous challenges to overcome the final construction cost came in at $43.9 million.
The Fox Run Lifecare Retirement Community at Orchard Park is a Continuing Care Retirement Community (CCRC) of over 200 units located on a 47-acre site. The community features 160 independent living units, comprised of 30 ranch-style patio homes and 130 apartments, 51 enriched housing units and a centralized community center. The community center contains kitchen and dining facilities, offices, common spaces and an exercise area. Our team began to work with the owner and design team on planning and preconstruction in the Fall of 2004.
Phasing of the project was critical to the owner in an effort to ensure move-in dates were met and revenue began as soon as possible. At the onset of phase one, our team circumvented an unusually high water table at the construction site (just eight inches below grade) by installing a French drain system. This allowed construction to proceed without constant dewatering efforts and facilitated the aggressive schedule. During phase one, construction was completed on the apartment building, patio homes, the community center, and of course site work was wrapped up. With a start in May 2006, the first phase was delivered on-time – November 1, 2007.
Now with a fully operational site, phase two continued. Construction on an adjoining building, now the health care center with 50 skilled nursing beds, was the most complex for mechanical, electrical and ventilation systems. Installations included emergency backup systems, special security and surveillance and Wanderguard and Nurse Call systems. Due to the overlapping construction phases, phase two was completed only 3 months after phase one – February 1, 2008.