A fresh, new face was given to the Bethany Life skilled nursing facility in Story City, Iowa, via a phased demolition, renovation, and expansion. The complex program and design were successfully achieved while minimizing disruption to existing residents and maintaining occupancy.

At the heart of this project was the transformation of a mid-century facility from an outdated institution-based care paradigm to a culturally relevant, neighborhood/household model that focuses on resident-centered care that creates a sense of home.

A critical component of this project was the strategic disentanglement of the original mechanical, electrical and plumbing systems which served parts of the building that were to remain operational during demolition. The design team worked in conjunction with the construction manager to chart a path that minimized disruptions to the building’s occupants.