HOMESTEAD APARTMENTS Homestead Apartments 421 East 8 th

Assisted Living Facilities Models in Public Housing BACKGROUND Homestead Apartments was only affordable housing

Assisted Living Facilities Models in Public Housing DESIGN / STAFFING Amenities: Communal space and

Assisted Living Facilities Models in Public Housing PROCESS Originally, only one of the four

Assisted Living Facilities Models in Public Housing PROCESS (Continued) ALF could not be developed

Assisted Living Facilities Models in Public Housing PROCESS (Continued) FUNDING SOURCES Tax Credit Equity

Assisted Living Facilities Models in Public Housing MANAGEMENT / MARKETING ACHA manages Homestead Apartments

CHALLENGES/FAILURES/LESSONS LEARNED Assisted Living Facilities Models in Public Housing Many residents choose not to

ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS Assisted Living Facilities Models in Public Housing Major success is in provision of

ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS Assisted Living Facilities Models in Public Housing University of Pittsburgh Medical Center (UPMC)

SUMMATION Assisted Living Facilities Models in Public Housing Comprehensive, affordable services are available outside

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

Assisted Living Facilities Models in Public Housing BACKGROUND 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 HOMESTEAD APARTMENTS ALLEGHENY COUNTY, PA

Assisted Living Facilities Models in Public Housing DESIGN / STAFFING 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 * Some units are accessible and all are visitable; To date, one tower has been completed. HOMESTEAD APARTMENTS 240 Units 1 BR 196 2 BR 44 ALLEGHENY COUNTY, PA

Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA

Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA

Assisted Living Facilities Models in Public Housing PROCESS (Continued) FUNDING SOURCES Tax Credit Equity $13, 504, 906 67% Hope VI $2, 550, 000 13% Comprehensive Grant $2, 249 11% PHFA Penn Homes $806, 139 4% Other Sources $700, 000 3% Federal Home Loan Bank $375, 000 2% Total: $20, 178, 294 $112, 102 per unit USES Construction Cost 75% Soft Costs 22% CSS 2% Relocation 1% - Four towers will be renovated (Three using HOPE VI) HOMESTEAD APARTMENTS ALLEGHENY COUNTY, PA

Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA

CHALLENGES/FAILURES/LESSONS LEARNED Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA

ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA

ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA

SUMMATION Assisted Living Facilities Models in Public Housing 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 APARTMENTS ALLEGHENY COUNTY, PA