Develop, Design, Finance & Build
A Campus That Serves Your Senior Community
June 29, 2010
Develop, Design, Finance & Build
A Campus That Serves Your Senior Community
Linda Nelsen
Administrator/CEO
Benedictine Living Community of St. Peter, MN
John Monson
Vice President
AgStar Financial Services ACA
John Curran
Vice President/Project Executive
Yanik
Linda Nelsen, Administrator/CEO
Benedictine Living Community of St. Peter
• Sponsored by the Benedictine Sisters of St.
Scholastica Monastery here in Duluth, MN
• BLCSP leases building from the City of St. Peter
• Operated and licensed by BLCSP
• Physically attached to River’s Edge Hospital,
Clinic and Wellness Center, St. Peter-Mayo
System Clinic, Mankato Chiropractic River’s
Edge, and Econofoods Pharmacy
Benedictine Living Community of St
Peter
January 31, 2007
History
• Funded through the 2002 Moratorium Exception
• Integrated campus planning began in 1998, connecting
all facilities on site
• Residents moved in January 31, 2007
• Named to Minnesota Physician’s 2008 Architecture
and Design Honor Roll
Community Requests
• Single-story building
(No elevators)
• Designated unit for
Short-term stays
• Designated unit for
Alzheimer’s/Dementia
Care
Floor Plan
Floor Plan (C Building)
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Main Entrance
Administration Offices
Activities Room
Lounge with Fireplace
Chapel for prayer service
Physical and Occupational
Therapy Gym
• Beauty Shop
Floor Plan (neighborhoods)
Each neighborhood accommodates 20 residents:
▪ 12 private and 4 shared
resident rooms
▪ picket fenced courtyard
▪ bath and shower areas
▪ personals laundry room
▪ pantry and serving kitchen
▪ nurses’ desk, nursing
assistant work areas and
medication administration
counter
Floor Plan (neighborhoods, cont.)
• Each neighborhood is
divided into 2 sides or
households, with 8 rooms,
accommodating 10 people
• The 10 residents in a
household share a living
and dining room
Private, Single Rooms
• 48 private rooms with
private bathrooms
• Rooms are 12x12, not
including the bathroom
Shared Rooms
• 32-shared rooms with
shared bathroom
• The shared rooms are
separated by a floor to
ceiling wall down the
center of the room
• Each resident has a
window
Use of Technology
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Nurse call
Security
Telephone
Resident internet
capability
• Achieve matrix and
point of care
• Building automation
system
Facility Location on
River’s Edge Campus
Security
• Security camera at front
and rear entrances
• Card readers at employee
entrance and exterior doors
• Front entrance locks at
dusk with camera
monitoring and door bell,
other doors locked from
exterior
• Connecting link locks
between evening and
morning meals
Telephone/Intercom
• Use of extensions
instead of phone
numbers
• Available voice mail
for staff and residents
• In-house programming
for all phones
Internet Access
• All resident rooms have DSL
•Implementing wireless
internet access
connection in 2011
• Resident and family computer set-up
in
each Neighborhood
Matrix and Point of Care
Documentation System
• Matrix located at nurses
desk, access to all
computers in facility
•POC has two touch screens
in
each neighborhood at kiosks
Ceiling Track System
• Currently installed in
Therapy Gym and two
resident rooms
• Plan to add to resident
rooms
• Part of Safe Patient
Handling initiatives
Linda Nelsen
Administrator/CEO
507-934-8273
[email protected]
FINANCING YOUR
HOSPITAL
John Monson, VP AgStar Rural Capital Network
Lender Relationship – a few good rules
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Your relationship with the lender is ongoing, and
does not end when the financing closes.
Relationship should include more than CEO and
CFO, if possible.
Lender should understand how your business and
your community are inter-related.
Transparency and communication…in good times
and bad.
Know What You Can Afford: Need vs. Want
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Crunch numbers in advance
Financial Advisors and Accounting professionals
Debt Service Coverage is key
Not everyone is equal
Government Financing Programs and
Financial Markets
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USDA and HUD
Build America Bonds (BAB’s) through your city
Financial Advisors
Get Your Balance Sheet Ready
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Get your balance sheet ready before you start
your project.
Capital Campaigns
Build cash reserves
Focus on reducing debt and trimming operating
expenses
Understand Your Financing

Understand your financing prior to closing.
John Monson
VP Rural Capital Network
AgStar Financial Services, ACA
[email protected]
612/756-3983
Develop, Design, Finance & Build
A Campus That Serves Your Senior Community
John Curran
Vice President/Project Executive
Yanik
Develop, Design, Finance & Build
A Campus That Serves Your Senior Community
RENOVATION, EXPANSION, OR REPLACEMENT?
What do you need to grow your facility?
What will it cost? Can you afford it?
Do you need more land, if yes, where?
Who should you hire first: Architect? Builder? Owner’s
Representative?
• Who can explain your options, plan and then manage your project?
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Design & Construction Activities
Services Provided for the River’s Edge Campus
•Owner’s Representative/Project Management
- Served City of St. Peter, MN, on the replacement Critical Access Hospital
- Introduced the Benedictine Health System as a possible partner/operator
to the City owned long term care facility
•Land Development
•Campus Master Planning
- Assisted City and Hospital in selecting new campus site and in
Master Plan preparation
•Preconstruction
- Programming and planning after architect selection
•Budget Development and Financial Assistance
•Construction Management
River’s Edge Hospital Campus St. Peter, MN
• River’s Edge Hospital and Clinic - first replacement CAH in Minnesota
63,000 sq. ft.
• Benedictine Living Community of St. Peter
64,000 sq. ft.
• River’s Edge Provider Clinic & ISJ Mayo Clinic
50,600 sq. ft.
• Benedictine Independent & Assisted Living Facility
51,000 sq. ft.
Campus:
• 228,600 total square feet
Lot 9
Block 2
River’s Edge Skilled Nursing Facility and Hospital
Lot 1
Block 2
Lot 10
Block 2
Hospital
Expansion Zone
Klein Street
Services & Utilities
Helistop
Helistop
Sunrise Street
Hospital
Expansion
Stat
eH
ighw
ay 2
2
River’s Edge Campus
Senior Living Elements at the River’s Edge Campus
Skilled Nursing Facility
Skilled Nursing Facility
• 65,000 square feet
• Single story facility
• Composed as a cluster of smaller houses,
all with welcoming environments
• Central dietary and laundry services support
the long term care residents and the patient
needs of the hospital
• Dedicated on March 31, 2007
• Constructed within budget and on schedule
Independent Living, Assisted Living
Benedictine Senior Living With Services Overview
• Two-story, 51,000 square feet
• 46 apartment style units with land preserved for expansion
– One bedroom
– One bedroom plus den
– Two bedroom
• Underground parking
• Community spaces
• Mutually supportive with the nursing home
• Accessibility to campus services
• Planned for Spring 2011 opening
River’s Edge Campus
formerly St. Peter Community Hospital
Thank You
John Curran
Vice President/Project Executive
Yanik
952-471-9199
[email protected]
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