1. HOMESTEAD APARTMENTS Homestead Apartments 421 East 8 th Street Homestead, PA 15120 Partners: Allegheny County Housing Authority (ACHA) TREK Development Group Community LIFE University of Pittsburgh Medical Center Braddock Senior Service Program - 240 Units -

2. Assisted Living Facilities Models in Public Housing 2 BACKGROUND HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA Homestead Apartments was only affordable housing in neighborhood Needed to improve services to elderly Plan was to create Assisted Living Facility Pennsylvania does not allow for Medicaid Waivers at this time Received HOPE VI grant of $2.5 million in 1998

3. Assisted Living Facilities Models in Public Housing 3 DESIGN / STAFFING * Some units are accessible and all are visitable; To date, one tower has been completed. Amenities: Communal space and laundry facilities (All floors) Libraries and Community Rooms (All towers) Wellness Center 14,000 Square Foot Community LIFE Center Services: Kitchen and dining area, personal hygiene and laundry room and a beauty salon/barber shop 240 Units 1 BR196 2 BR44 HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

4. Assisted Living Facilities Models in Public Housing 4 PROCESS Originally, only one of the four towers would be converted to an ALF Improvements were to be made to all units in that tower Residents strongly supported the redevelopment TREK Development Group was selected to be the developer ACHA and TREK partnered to form Homestead Housing Development Partnership, LLC HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

5. Assisted Living Facilities Models in Public Housing 5 PROCESS (Continued) ALF could not be developed because Pennsylvania does not have an appropriate Medicaid waiver The 350 units will be renovated, resulting in 240 rehabbed units Only three of four towers are using HOPE VI funds ACHA/TREK contracted with Community LIFE Center to provide enhanced supportive services to the elderly HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

6. Assisted Living Facilities Models in Public Housing 6 PROCESS (Continued) - Four towers will be renovated (Three using HOPE VI) USES Construction Cost75% Soft Costs22% CSS2% Relocation1% FUNDING SOURCES Tax Credit Equity$13,504,90667% Hope VI$2,550,00013% Comprehensive Grant$2,242,24911% PHFA Penn Homes$806,1394% Other Sources$700,0003% Federal Home Loan Bank$375,0002% Total:$20,178,294 HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA $112,102 per unit

7. Assisted Living Facilities Models in Public Housing 7 MANAGEMENT / MARKETING ACHA manages Homestead Apartments Staff of two and a half Enhanced services are provided by outside service providers The units are being re-occupied by original residents No marketing campaign is necessary HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

8. Assisted Living Facilities Models in Public Housing 8 CHALLENGES/FAILURES/LESSONS LEARNED Many residents choose not to access services Residents are reluctant to switch primary care physician Some residents see services as leading to nursing home Need to include enrollment requirements in lease Another challenge is providing services to immigrants HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

9. Assisted Living Facilities Models in Public Housing 9 ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS Major success is in provision of supportive services Two quality service providers are under contract Community LIFE provides acute and long-term care services in a day care setting for frail elders Pennsylvania pays Community LIFE for PACE services under Medicaid Participants must meet criteria for services The Community LIFE Center uses a “one stop shop” model HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

10. Assisted Living Facilities Models in Public Housing 10 ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS University of Pittsburgh Medical Center (UPMC) Braddock Senior Service Program Nurses provides enhanced services for the elderly At full capacity, up to 150 will be able to be enrolled Social workers are on site two days a week and plan activities Nurses are available for routine monitoring UPMC will staff the Wellness Center UPMC receives approximately 300-500 resident visits HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA

11. Assisted Living Facilities Models in Public Housing 11 SUMMATION Comprehensive, affordable services are available outside of ALF Importance of partnering with elderly, established service providers Funding includes HOPE VI, capital funds, CDBG and Pennsylvania Housing Finance HOMESTEAD APARTMENTSALLEGHENY COUNTY, PA