COMPANIES
ADAPTIVE REUSE OF HOTELS TO SENIOR RENTAL HOUSING
Tapestry Senior Housing Management, LLC and Tapestry Senior Housing Development, LLC are comprised of principals of The LaSalle Group and various affiliated companies. The principals originally formed Realty Management Services, Inc. in 1975.
Currently, with our extensive background in renovation and new construction, the primary concentration is the adaptive reuse of existing buildings in conjunction with new construction to create cost effective assisted living and memory care facilities. The primary market is the private pay resident seeking a continuum of care at each facility. Services are typically provided for assisted living, memory care, physical rehabilitation services and adult daycare. Residents have priority in accessing other services within each facility.
Over the years, developments, ownership, ownership representation, facility management, financial modeling, new construction and renovations have included:
Assisted living, independent living, skilled nursing and memory care facilities
Supportive housing including utilization of the Low Income Housing Tax Credit Program
Supportive and affordable elderly housing utilizing numerous financial incentives
Market rate and affordable rental developments
Mixed-Use land Developments encompassing senior housing, multifamily and commercial
Extensive construction management and ownership representation for colleges, religious organizations and municipalities
Development coordination of senior housing for non-profits using the tax-exempt bonds
Renovations of hotels, religious buildings, college housing and numerous education facilities.
All renovation and construction are completed by experienced third party builders.
Tapestry uses a proprietary detailed pro forma for senior housing facilities that analyzes income and expenses on a monthly basis commencing with construction through five years of operations.
Continuum of Development and Management Services
Tapestry provides a full continuum of facility management, care services, construction oversight, ownership representation and development of senior housing facilities nationally. The company also provides financial modeling through a proprietary integrated operating budget, which examines income and expenses for senior housing facilities on a monthly basis from pre-development through 5 years of operations. Tapestry also provides third party management and development services.
General real estate development is a complex process. Senior housing development requires both the skills of a developer and experience in the operation of senior housing. Tapestry principals have been involved in the entire process:
- Pre-Development Services and Budgets
- Third Party Reports-Feasibility
- Third Party Reports-Building/Construction
- Construction Management
- Integrated Operating Budgets
- Opening and Leasing through Project Stabilization
- Continued Facility Management Services
- Earnest money
- Municipal application fees
- Legal for municipal fees, ownership entity formation and general real estate
- Building permit fees
- As-built drawings
- Tax Exempt Bond fees
- Lender fees
- ALTA survey
- Phase 1 ESA & Property Condition Report
- Appraisal
- Code review and permitting
- Third party feasibility study
- Renderings
- Web site
- Architectural plans
- Civil and Landscape plans
- Travel expenses
- Site and or building identification
- Purchase agreement or option agreement negotiation and finalization
- Third party building reports coordination
- Internal feasibility analysis
- Third party feasibility coordination
- Development team selection
- Builder selection
- Municipal approval coordination
- Architectural engineering plan coordination
- Financial modeling and preliminary budgets
After identification of a new potential senior housing opportunity, Tapestry completes and Internal Rent and Occupancy Summary, which includes:
- All competitive facilities in the Primary Market Area
- Projected rent range at facilities
- Projected levels of care pricing
- Estimated occupancy rates
If the project appears feasible, a third party feasibility study is ordered from an experienced national consulting company recognized by industry peers. In the past, Tapestry has retained:
Moore Diversified Services – m-d-s.com
CliftonLarsonAllen Healthcare – claconnect.com/seniorliving
Tapestry staff have experience in both the construction management of company owned projects and in ownership representation of projects owned by others including the University of Minnesota, Bethel University, religious organizations and numerous non-profit organizations.
Successfully managing senior housing facilities requires developing detailed income and expense projections:
- Pre-development including Development Team selection
- Construction
- Leasing and Marketing
- Capitalized Interest
- Working Capital
- Operations
Tapestry base rents are competitive with facilities in the Primary Market Area. For expense and income projections, Tapestry assumes the following for residents:
Level 1 and 2 Additional Services
Additional services are available to residents based on individual needs and nurse assessments.
Initial Occupancy Assessment
Prior to acceptance as a resident, an assessment is completed by the Tapestry Registered Nurse with respect to the resident requirements for assistance with daily activities (ADLs). The results of this assessment in conjunction with the Basic Service Costs determine the total fees to be charged to the resident.
Assistance with Daily Living Activities
- Bathing
- Eating
- Dressing
- Toileting
- Continence
- Medication Management
- Transfers
Care Points
Depending on the competitive facilities in the Primary Market Area, Care Points may be used as the basis for additional services instead of Level of Care. Alternatively, Care Points may be used in conjunction with Levels of Care as the basis for providing specific additional services. With Care Points, each type of care and the frequency with which it is provided determines the total assisted living cost.
Entry Fee
The Entry Fee is a one-time non-refundable fee, which pays for the Initial Occupancy Evaluation Assessment and Resident Processing Fee.
Marketing and Leasing
Tapestry staff has been successful in marketing efforts prior to the issuance of the Certificate of Occupancy and in sustaining high occupancy after completion of construction for senior housing facilities. Staff has been actively involved in opening and marketing many new senior housing campuses from the initial pre-marketing phase through full project stabilization.
Services provided vary for each project:
- Independent living – IL
- Assisted living – AL
- Memory care – MC
- Care suites – CS
- Rehabilitation services – RS
Listed below are selected prominent campuses in which Tapestry staff participated in opening new senior communities:
Regent at Burnsville
134 Units-IL/AL/MC/CS
Financing-HUD 232
Burnsville, MN
Parkshore Senior Campus
298 units- IL/AL/MC
Financing-Tax Exempt Bonds/ Freddie Mac
St Louis Park MN
Regent at Plymouth
120 Units-IL/AL/MC/CS
Financing-HUD 232/Tax Exempt Bonds/TIF
Plymouth, MN
Summit Place Senior Campus
265 units- IL/AL/MC
Financing-HUD 232
Eden Prairie MN
Shorewood Senior Campus
229 units-IL/AL/MC
Financing-HUD 232/Tax Exempt Bonds
Rochester MN
Village Shores Senior Campus
166 units-IL/AL
Financing-Tax Exempt Bonds/ Freddie Mac
Richfield MN
Colony at Eden Prairie
143 Units-IL/AL/MC/CS/RS
Financing-HUD 232/Tax Exempt Bonds
Eden Prairie, MN
Meadowoods Shores
106 units-IL
Financing-HUD 232
New Brighton, MN
Twin Rivers Senior Campus
98 units-IL/AL/MC
Financing-Conventional
Cannon Falls MN
Brightondale
75 Units-AL/MC
Financing-Conventional
New Brighton MN
Continuum of Care
By offering a full array of services at each facility, residents have the ability to “age in place”. In addition to assisted living and memory care services, supplemental services generally offered at Tapestry facilities include adult day care and physical therapy, which exposes care givers, future residents, referral coordinators and the general public to each facility. Subject to specific market and procurement of licenses, home health care and “Care Suites” may also be available.
Tapestry Corporate Executive Responsibilities
- Creating facility leasing operations and initiating marketing prior to building completion
- Retaining all third party marketing professionals to create structured marketing
- Selection of software programs related to the marketing effort
- Creating facility marketing budgets which are included in the Working Capital Budget
- Creating marketing staff incentive programs
- Coordinating personalized marketing programs
- Continual oversight of marketing activity reports for results and accountability
- Integrating the food service program and delivery of care as a component of the marketing effort
- Utilizing RNs and LPNs in the marketing program to work with the project leasing team, families and referral sources
Initial Marketing, Leasing Facilities and Timing
- Office space in the general proximity of the new facility is leased immediately after the closing
- The marketing process is initiated within 60-90 days after commencement of construction
- Upon issuance of the Certificate of Occupancy, the external office is closed and replaced by facility marketing offices
Tapestry Corporate Involvement-Initial Hiring of Facility Staff and Third Party Consultants
- Tapestry corporate executives are intimately involved in all opening and pre-leasing activities
- During the critical pre-opening phase, Tapestry executives are on-site extensively
- Coordination of hiring of the Executive Director, Marketing Manager and Marketing Representatives
- Meetings with potential referral coordinators from the community and hospitals
Third Party Marketing Professionals and Software Programs
In conjunction with Tapestry corporate staff, third party professionals with expertise in senior housing are retained to facilitate leasing and continued marketing coordination including:
- Web marketing companies
- Lead generation and management
- Marketing task management
- Referral source management
- Marketing campaigns and budget
- Integrated reporting systems to insure accountability
Marketing Budget
- Significant marketing budgets for pre and post occupancy are included in the Working Capital Budget
Staff and Resident Incentive Programs
- All marketing personnel are financially incentivized
- Selected facility staff are also incentivized to facilitate high occupancy and quality of service
Personalized Marketing Campaigns
Tapestry executives have had considerable success in utilization of personalized marketing programs, which include supplemental responsibilities for all marketing representatives:
- Create personal relationships with potential prospects and families
- Respond to each potential resident and family with personalized incentives and gifts
- Continual meetings in the home environment with potential residents and families
- Continual follow-up with potential residents and families based on resident concerns
- Potential resident incentives to provide referrals through friends and family members
Supplemental Personalized Marketing
- Flexible Rental Agreement revised subject to the specific concerns of the resident and family
- Specific units within the facility are reserved based on the desires of the resident and family
- Customization of the reserved unit is available to the extent that it does not significantly impact the budget
Food Service Programs Related to Pre-Leasing and Sustained Occupancy
Food service is an important ingredient in the service as well as a key marketing component in pre-leasing and continued high occupancy.
- Tapestry staff has experience in creating food service programs
- Tapestry team has directed the food staff and meal delivery for many senior housing facilities
- The team has experience in utilizing the food service program for marketing purposes
- Tapestry created referral incentives through offering free meals for families and friends
Employees
Each facility retains an experienced Executive Director and marketing employees. The hiring process for the Administrator and marketing employees is initiated immediately after construction begins. Typical employees related to the marketing effort include:
- Administrator
- Marketing Manager
- Marketing Representatives (2)
- Receptionist (2)
- Certified Medicare Home Health Care Agency Administrator (facilitates Medicare and Medicaid reimbursements)
Pre-Opening Marketing and Licensing
Marketing begins immediately following closing. It is projected that approximately 10%-20% of the units will be pre-leased upon issuance of the Certificate of Occupancy. Occupancy is scheduled after acquiring the required licenses, which typically occurs within 30 days after the completion of construction. Tapestry executives and the facility executive director initiate contacts with the licensing authorities prior to closing and have continual contact during the construction leasing phase.
Lease-up
The projected leasing absorption is based on manager experience, local sub-market, overall occupancy rates and projections by the manager in conjunction with the third party feasibility group. Leasing absorption projections are conservative. The Working Capital budget is based on the projected leasing schedule, projected income and expenses through stabilization. Stabilization typically occurs in months 20-24 following the completion of renovation and construction. The proposed monthly Leasing Schedule is included in the Integrated Operating Pro Forma, which directly impacts Working Capital requirements.
Employee and Labor Management/Scheduling
Tapestry utilizes OnShift, the national leader in staff scheduling and labor management software for long-term care/senior living. OnShift provides on-line labor scheduling, which controls labor costs, improves resident care, promotes employee efficiencies and enhances resident occupancy.
onshift.com
Healthsense
Healthsense helps senior care providers reduce costs, increase independence, and enhance caregiver and senior experiences. Families of residents are insured of immediate and continuous health status of residents:
-
- Provider of aging services technology
- Provides technology-enabled care solutions for the entire senior care continuum
- Utilizes remote monitoring
- Expedites emergency response and wellness management solutions
- Automates and expedites the Nurse Call communications
- Provides vital signs monitoring
Physical Therapy/ Occupational Therapy/ Speech and Language Therapy Rehabilitation Services
- Services are typically coordinated in partnership with a local hospital or national service provider
- Hospital partnership insures facility referrals
- Facility services support the Hospital Readmissions Reduction Program required by the Affordable Care Act
- Private furnished units for overnight stays are available in both assisted living and memory care
- Tapestry Immediate Admission Program
- On site Certified Home Health Care Agency to facilitate admissions and reimbursements
- Opportunity to expose potential residents to the facility
Respite Care Availability
- Private furnished accommodations and à la carte services
- Existing rehabilitation patients and residents can access service
- Patients recovering from a hospital stay through the Tapestry Immediate Admission Program
- Caregivers who need a vacation
- Unexpected events that require an array of services on an immediate basis
Trial Program
- Flexible short term program, which allows potential residents to experience facility services
- Furnished units available in assisted living and memory care
- No long term commitment
- Opportunity to expose potential residents to the facility
Digital Marketing
Tapestry utilizes the services of groups like Fathom Delivers and Caring:
-
- Improved lead-to-move-in ratio
- Increased search visits
- Improved visitor-to-lead ratios
- Future resident marketing automation
assistedlivingmarketing360.com
fathomdelivers.com
Lead Support and Marketing Strategies
Tapestry utilizes groups such as GlynnDevins:
-
- Optimize sales through lead conversion
- Implementing incentive programs for future residents and current employees
- Lead tacking tools and follow-up
Marketing Campaign
An experienced company will be retained to coordinate and implement various marketing efforts:
- Occupancy Improvement Solutions
- Enhanced Sales Traffic Programs
- Marketing and Sales Management
- Direct Impact Test Marketing
- In-Depth Market Research
- Media Planning & Placement
- Ongoing Lead Generation
- Mystery Shopping of Competitors
Government Subsidies Supporting Marketing Efforts
Tapestry facilities are typically funded by residents through private pay sources. However, Medicare and Medicaid provide selected coverage for various services. Tapestry will operate a Certified Home Health Agency (CHHA) at each facility. The CHHA can provide:
- Long-term nursing and home health aide services
- Help residents determine the level of services
- Arrange for other services including physical, occupational, speech therapy and medical supplies/equipment
The Administrator of the CHHA will coordinate the reimbursement of eligible Medicare and Medicaid services, which will further support the marketing efforts.