PARK PLACE Park Place th Avenue South Seattle, WA Seattle Housing Authority Retirement Housing Foundation Units - Partners:

Assisted Living Facilities Models in Public Housing 2 BACKGROUND PARK PLACESEATTLE, WA Large elderly population in NewHolly Elder Village includes Section 202 & independent living Options allow residents to transition to assisted living Community Program Entry System (COPES) gives Medicaid reimbursement to ALFs SHA, a Moving To Work (MTW) authority, was able to project-base units

Assisted Living Facilities Models in Public Housing 3 DESIGN / STAFFING Design: Units range from 347 to 578 square feet Feature small refrigerator, sink and microwave Allowed to bring pets 15,000 Square Feet of Common Area (dining, deli, computer space and beauty parlor) 154 Units 0 BR57 1 BR96 2 BR 1 ADMINISTRATOR BUSINESS OFFICE ADMINISTRATOR RESIDENT SERVICES COORDINATOR MARKETING DIRECTOR ENVIRONMENTAL SERVICES DIRECTOR FOOD DIRECTOR 4 Caregivers 2 LPNs 2 Receptionists 1 Assistant 1 Laundry Staff 1 Housekeeper 2 Security Staff 3 Wait staff 2 Cooks 2 Dishwashers 3 Prep Aids PARK PLACESEATTLE, WA

Assisted Living Facilities Models in Public Housing 4 PROCESS SHA procured outside market feasibility consultant ALF requirements prompted SHA to procure developer RHF, a California non-profit, faith-based organization selected as developer PARK PLACESEATTLE, WA

Assisted Living Facilities Models in Public Housing 5 PROCESS (Continued) USES Hard Costs73% Soft Costs16% Land11% FUNDING SOURCES HUD Insured Mortgage$15,865,00091% Residual Receipts Note$1,250,0007% Equity$379,3062% Total:$17,314,306 SHA project-based the subsidized units RHF added 54 private pay units Elder Village components share common area costs SHA used its authority to issue tax exempt bonds SHA accepted a residual receipts note PARK PLACESEATTLE, WA $112,400 per unit

Assisted Living Facilities Models in Public Housing 6 MANAGEMENT / MARKETING Management: RHF owns and manages Park Place Licensing process delayed six-months RHF paid staff and serviced debt prior to lease-up Marketing: Perception that ALFs are similar to nursing homes Area perceived to be unsafe or undesirable PARK PLACESEATTLE, WA

Assisted Living Facilities Models in Public Housing 7 RESIDENT SERVICES ALF residents assisted with bathing, dressing, grooming and medications Services available: Three meals a day in a community dining room Weekly housekeeping and laundry assistance Emergency call system and 24-hour staff assistance Recreational activities and fitness center Beauty/barber shop, library, game room, deli, gift shop, wellness center Local transportation to medical appointments and shopping PARK PLACESEATTLE, WA

Assisted Living Facilities Models in Public Housing 8 CHALLENGES/FAILURES/LESSONS LEARNED A recent and reliable market study is crucial Licensing delays increase lease-up time & cost A facility must be operational prior to licensing Allow for move-outs due to death or the need for a higher level of care Marketing is a long-term process Partner with experienced and well-financed ALF developer PARK PLACESEATTLE, WA

Assisted Living Facilities Models in Public Housing 9 ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS COPES Medicaid reimbursement: $1,830-$2,293 per resident/per month SHA contributes $512 per resident/per month under Section 8 program Subsidized residents contribute monthly Social Security checks, less $58 A total of 54 units are set-aside for private pay residents Market rate and subsidized units float and are indistinguishable PARK PLACESEATTLE, WA

Assisted Living Facilities Models in Public Housing 10 SUMMATION Predicting market demand for ALF product is difficult State Medicaid financing & licensing requirements vary Licensing delays are likely A mixture of market & assisted units increases feasibility Ability of PHA to project-base units enhances feasibility Partner with experienced, well capitalized ALF developer Recommendations: Allow Medicaid reimbursements to agencies that offer ADL services in traditional congregate elderly housing Facilitate the dual funding of ALFs through HUD operating subsidy or project-based Section 8 vouchers in combination with Medicaid reimbursement contracts PARK PLACESEATTLE, WA