Johnson County Healthcare Center Nursing

Home Facility Architect, Civil, Mechanical & Electrical Engineer, Landscape

Buffalo, Wyoming Architect & Cost Estimator
CTA Architects Engineers

C
TA Architects Engineers has a passion for
patient-centered design that parallels

Photos Courtesy of Randy Freeck/CTA Architects Engineers

their clients’ passion for providing
quality, compassionate care. They are proud
to count Johnson County Healthcare Center
as a valued client, and honored to support
them in comprehensive master planning
since 1997. Since that time, CTA’s Healthcare
planners and designers have partnered
with the hospital to support them in meeting
their goals in promoting health and healing
within the ever-expanding Buffalo, Wyoming,
community.
The design team has championed an
integrated planning effort – bringing together
healthcare strategy, facility planning, and
financial expertise. Their approach ensured
that Johnson County Healthcare Center’s
comprehensive master plan was based on
their unique business vision, resulting in a
four-phase implementation plan.
The newest addition to the campus is
CTA’s nursing home facility (Phase IV). This
is a state of the art, nurturing environment
that allows residents to thrive, families to look
forward to visits, and nurses and staff to work
efficiently and comfortably.
CTA views this nursing home as a keystone
project: one which epitomizes their main
passion and purpose to support hospitals in
creating healthier healing communities.
This 39,000-square-foot two-story nurs-
ing home is fully accessible and contains 44
individual patient rooms – each designed
with the residents’ comfort in mind. Curio
bookshelves, black-out shades, and two
large windows that either look out onto the
Big Horn Mountains or the soothing greens of
the neighboring golf course, allow residents
to feel ownership of their rooms – more at
home and connected to nature. Aesthetics
were inspired by comforting and time en-
during colors (i.e. earthy greens, peaceful
blues and browns), which complement the
breathtaking views.
Additionally, design professionals re-
imagined the nursing home. While long
corridors are common within such facilities,
the design team incorporated pod seating
areas to break up the hallways and encour-
age a sense of community. The facility also
features two fully-equipped kitchens/nour-
ishment centers for resident use, as well as
two congregational areas with chairs, sofas,
and electric fireplaces that create welcoming
environments for the residents and their visit-
ing loved ones.
Solid surface countertops were used
throughout the facility for optimum clean-
46 Design Cost Data/November-December 2016
 ing and durability. Due to the close proximity
of the golf course (FORE!), protective Kalwall
installations surround the cafeteria patios, al-
lowing residents to dine outdoors (during the
seasonable months), and enjoy the beautiful
views and fresh Wyoming air… safely.
The designers realize that healthcare
operations change over time. Future flexibility,
evolution, and technology were key guiding
principles identified in the planning process.
These were incorporated into each phase of
the nursing home design and construction.
CTA views Johnson County Healthcare Center
as more than a client: they are a partner. CTA
looks forward to evolving and pioneering heal-
ing environments with them into the future.

Product Information
Building Envelope: Certainteed, Dow, Total Wall
Roofing: Burke Industries
Windows: Sierra Pacific
Curtain Wall: Kawneer
Entrances & Storefronts: Tubelite
Interior: USG, Georgia Pacific, Armstrong
Flooring: Patcraft, Johnsonite, Daltile, Crossville
Daylighting/Skylights: Kalwall
Lighting: LSI Industries, Kim Lighting
Elevator: ThyssenKrupp

Design Cost Data/November-December 2016 47

Johnson County Healthcare Center Nursing Home Facility MEDICAL MD161146
Architect, Civil, Mechanical & Electrical Engineer,
Landscape Architect & Cost Estimator
CTA Architects Engineers
13 N. 23rd Street, Billings, MT 59101
www.ctagroup.com
Project Team
Structural Engineer
KL&A, Inc.
150 S. Main Street, Buffalo, WY 82834
General Contractor
Fletcher Construction Co.
10 Wildcat Road, Sheridan, WY 82801
Kitchen Consultant
H-C Design & Consulting
P.O. Box 10545, Bozeman, MT 59719
Project General Description
Location: Buffalo, Wyoming
Date Bid: May 2014
Construction Period: Jun 2014 to May 2016
Total Square Feet: 39,134 Site: 2 acres.
Number of Buildings: One.
Building Sizes: First floor, 24,598; second floor, 14,536; total,
39,134 square feet.
Building Height: First floor, 14’; second floor, 14’; total, 28’.
Basic Construction Type: New/IBC-Type II-1.
Foundation: Cast-in-place, reinforced concrete, slab-on-grade.
Exterior Walls: CMU, brick, curtain wall.
Roof: Membrane. Floors: Concrete.
Interior Walls: CMU, metal stud drywall.

DIVISION COST % OF SQ.FT. SPECIFICATIONS

COST COST
PROCUREMENT & CONTRACTING REQUIREMENTS 85,687 0.83 2.19 —
GENERAL REQUIREMENTS 1,511,387 14.64 38.62 —
CONCRETE 655,729 6.35 16.76 Forming & accessories, reinforcing, cast-in-place, cast decks & underlayment,
cutting & boring (concrete breakdown: cubic yards foundation, 202; cubic yards
floors, 463; cubic yards walls, 200).
MASONRY 417,900 4.05 10.68 Unit.
METALS 714,481 6.92 18.26 Structural steel framing, joists, decking, cold-formed framing, decorative.
WOOD, PLASTICS & COMPOSITES 296,852 2.88 7.59 Rough carpentry, finish carpentry, architectural woodwork.
THERMAL & MOISTURE PROTECTION 584,096 5.66 14.93 Dampproofing & waterproofing, thermal protection, weather barriers, membrane
roofing, flashing & sheet metal, fire & smoke protection, joint protection.
OPENINGS 575,490 5.57 14.71 Doors & frames, entrances, storefronts & curtain wall, windows, roof windows &
skylights, hardware, glazing, louvers & vents.
FINISHES 1,390,372 13.47 35.53 Plaster & gypsum board, tiling, ceilings, flooring, wall finishes, acoustic treatment,
painting & coating.
SPECIALTIES 108,846 1.05 2.78 Visual display boards, wall & door protection, fire extinguisher & cabinet, metal
lockers, sun control.
EQUIPMENT 180,425 1.75 4.61 Food service, residential appliances.
FURNISHINGS 326,028 3.16 8.33 Casework, furnishings & accessories.
CONVEYING SYSTEMS 69,975 0.68 1.79 Elevator (1 passenger).
FIRE SUPPRESSION 140,150 1.36 3.58 Water-based fire-suppression systems, fire pumps.
PLUMBING 1,526,450 14.79 39.00 Piping & pumps, equipment, fixtures, gas & vacuum systems for laboratory & healthcare.
HVAC 712,081 6.90 18.19 Facility fuel systems, piping & pumps, air distribution, central heating equipment,
central cooling equipment, central HVAC equipment.
ELECTRICAL 1,027,329 9.94 26.24 Medium-voltage distribution, low-voltage transmission, facility electrical power
generating & storing equipment, electrical & cathodic protection, lighting.
TOTAL BUILDING COSTS 10,323,278 100% $263.79
EXISTING CONDITIONS 6,500 Demolition.
EARTHWORK 328,808 Site clearing, earth moving, excavation support & protection.
EXTERIOR IMPROVEMENTS 244,982 Bases, bollards & paving, site, planting, irrigation, pavement markings.
UTILITIES 214,306 Water, sanitary sewerage, storm drainage.
TOTAL PROJECT COST 11,117,874
UPDATED ESTIMATE TO DECEMBER 2016: $291.59 PER SQUARE FOOT
Regional Cost Trends
This project, updated to December 2016 in the selected cities of the United States..
EASTERN U.S. Sq.Ft. Total CENTRAL U.S. Sq.Ft. Total WESTERN U.S. Sq.Ft. Total
Cost Cost
________________________________________________ Cost Cost
________________________________________________ Cost Cost
________________________________________________
Atlanta GA $315.60 $12,350,750 Dallas TX $305.31 $11,948,008 Los Angeles CA $408.22 $15,975,427
Pittsburgh PA $397.93 $15,572,685 Kansas City KS $411.65 $16,109,674 Las Vegas NV $373.92 $14,632,954
New York NY $507.71 $19,868,598 Chicago IL $428.81 $16,780,910 Seattle WA $408.22 $15,975,427
For more information on this project and similar projects visit www.dcdarchives.com
48 Design Cost Data/November-December 2016
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Further reproduction prohibited without
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