Facing the dual pressures of declining skilled nursing reimbursements and shifting market demands, Josephine Caring Community embarked on a repositioning strategy that transformed operational challenges into opportunities for resident-centered care. Located in a rural-edge Pacific Northwest community defined by single-story development, the project respects its low-scale surroundings while introducing a more intimate, home-centered model. Building on the site’s 1908 origins as a rural homestead that evolved over time through incremental additions, this first phase of Josephine’s transformation into a Type A life plan community demonstrates how adaptive reuse can modernize aging infrastructure while supporting long-term sustainability.
Josephine converted two underutilized skilled nursing wings into a 21-room memory care neighborhood, reducing the skilled nursing census from 160 to 131 beds and introducing assisted living licensed memory care as a new service line. Completed on a construction budget of just $3.8 million, the project focused on targeted, high-impact interventions—repurposing existing infrastructure and investing in resident-focused improvements. This strategic downsizing allowed the organization to diversify revenue, meet market demand, and offer a replicable solution for other communities navigating similar demographic and operational shifts.

Exterior Entry Before | After


Activity Room Before | After


The design prioritizes resident experience through intuitive spatial relationships and familiar architectural language. A former picnic shelter was reimagined as a welcoming entry pavilion, guiding visitors through, a secure garden gate and landscaped courtyard — framing arrival as a homecoming rather than a clinical transition.
Inside, residents encounter daylight-filled living, dining, and activity spaces enhanced by warm acoustic wood ceilings that support both comfort and sound quality. Each bedroom wing ends in a purposeful destination, supporting meaningful wandering, orientation, and autonomy. This neighborhood model fosters choice and balance, offering both moments of stimulation and quiet retreat within a familiar, human-scaled environment.
The temperate California climate also encourages an indoor/outdoor lifestyle, inspiring our members to enjoy
outdoor dining and lounging next to the fireplace in our courtyard.
Dining Before | After


The design prioritizes resident experience through intuitive spatial relationships and familiar architectural language. The activity kitchen features induction cooktops and barn doors, encouraging resident participation while allowing staff to manage access during food preparation.
Designed to offer each member an elevated and engaged life, including the Elegant Palmer Library and Lobby.
Residence Before | After


Safety features are fully integrated into the residential character of the design. Each private room includes secure in-room medicine cabinets, amber night lighting, and clear sightlines to the toilet. The team also implemented private mode fire signaling — an approach rare in assisted living, which eliminates horns and strobes in favor of staff pager alerts. This minimizes resident agitation while meeting life safety standards.
The renovation preserved embodied energy through adaptive reuse while upgrading building performance. Individual climate controls, energy recovery ventilation, LED lighting with occupancy sensors, and low-VOC materials enhance indoor air quality and efficiency, demonstrating that sustainable strategies can be quietly embedded within person-centered environments.