Attachment 3 Facility Master Plan.pdf

FACILITY MASTER PLAN

Edith Nourse Rogers Memorial Veterans Hospital Bedford, MA

Final: December 31, 2012

01VAMC Bedford - MASTER PLAN2012 H AI Architecture introd uction b ackg round site analysis infrastructure b uild ing use facility d ata op tion one op tion tw o op tion three sup p orting d oc

Introduction

EXECUTIVE SUMMARY 02

ABOUT ENRMVH 02

EXISTING CAMPUS 03

Background

DIRECTIVE 04

PROCESS 04

DATA 04

CAMPUS MAP 05

CAMPUS INDEX 06

Site Analysis

SITE DESCRIPTION 07

ORGANIZING FEATURES 08

WETLANDS STUDY 09

TRAFFIC, PARKING, WALKING 10

Infrastructure & Utilities

GENERAL CONDITIONS & STATUS 14

LIFE SAFETY EVALUATION 15

SEISMIC ANALYSIS 23

M/E/P SYSTEMS ANALYSIS 24

HAZARDOUS MATERIAL REVIEW 27

Building Use Analysis

BUILDING USE ZONES 29

Facility Data

INDIVIDUAL BUILDING INFORMATION 38

DEPARTMENTAL LOCATIONS & ADJACENCIES 42

ZONES, CATEGORIES & SPACE GAPS 46

Table of Contents Master Plan Option One

DEVELOPMENT CONCEPT 49

BUILDING USE ZONES 50

CAMPUS RENDERING 51

IMPLEMENTATION 52

Master Plan Option Two

DEVELOPMENT CONCEPT 53

BUILDING USE ZONES 54

CAMPUS RENDERING 55

IMPLEMENTATION 61

FUTURE DEVELOPMENT 71

Master Plan Option Three Scheme A

SCHEME A DEVELOPMENT CONCEPT 72

BUILDING USE ZONES 74

BUILDING USE + PROGRAMMATIC RELATIONSHIPS 76

FLOOR PLATE PROGRAM ANALYSIS 80

Master Plan Option Three Scheme B

SCHEME B DEVELOPMENT CONCEPT 91

BUILDING USE ZONES 93

BUILDING USE + PROGRAMMATIC RELATIONSHIPS 95

FLOOR PLATE PROGRAM ANALYSIS 99

IMPLEMENTATION 110

Supporting Documents

SUMMARY LIST 111

PROPOSED FACILITIES 112

DEPARTMENT / PROGRAM LOCATIONS 142

DEMOGRAPHIC MAPPING CHARTS 166

FLOOR PLATE EXISTING CONDITIONS 176

WETLANDS DELINEATION 195

02VAMC Bedford - MASTER PLAN2012 H AI Architecture

Introduction

EXECUTIVE SUMMARY

The purpose of the Facility Master Plan is to provide a guide for future campus development at the Edith Nourse Rogers Memorial Veterans Hospital (ENRMVH) in Bedford Massachusetts.

The plan describes how the campus can evolve to meet the healthcare, education, and research mission of the Hospital, serve changing needs, and address projected population levels.

The Plan is focused entirely on the main campus in Bedford, and does not include any of the regional clinics associated with the Hospital. It provides a conceptual framework for the long-term development of the main ENRMVH campus. The primary purpose was to determine the most effective use of existing buildings and infrastructure assets in response to shifting needs and goals. A wide range of evaluations are included, from wetlands and parking to life safety, mechanical systems, and building use zones.

ENRMVH is a long-term care facility specializing in geriatric and psychiatric care.

Comprehensive health services include mental health, medicine, psychiatry, physical medicine, dentistry, geriatrics and ambulatory care. The hospital’s mission is to honor Veterans by providing exceptional healthcare that improves their health and well-being.

Academic Affiliations Active Teaching Program Supported By:

Boston University School of Medicine Harvard Medical School Geriatric Fellowship Lahey Clinic Internal Medicine/Geriatrics Program Boston University School of Dental Medicine Harvard School of Dental Medicine University of Massachusetts Nursing Program

Research Program Geriatric Research, Education and Clinical Center (GRECC) has been at the forefront of geriatric research and clinical care since 1975, and is internationally recognized.

Special Programs Mental Health Intensive Case Management Program (MHICM) serves veterans with serious mental illnesses. The program fosters self-sufficiency and independent living.

Compensated Work Therapy (CWT) addresses vocational needs through assessment, counseling and on-the-job training, while helping veterans plan for rehabilitation and recovery.

Peer Services: ENRMV has emerged as a national leader in the development of peer services and education. It is a system of giving and receiving help founded on key ethical principles.

ABOUT ENRMVH

Two Master Plan options have been developed in this study, both of which can feasibly be implemented, given the known constraints of the campus. The first, based primarily on an internal study conducted by the Bedford VA, focuses on shifting existing building uses for minimal disruption. The second takes a more comprehensive, long-term, and idealistic yet realistic approach to the best possible outcome.

uction

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EXISTING CAMPUS

AERIAL VIEW & SURROUNDING AREAS

Middlesex Community College Parking

Springs Road

Wilderness ParkPatriot Golf CourseSprings Brook Park

Bedford Narrow Gauge Rail Trail

Murray York Conservation Area

EUL Housing in Development

Residential Areas uction

04VAMC Bedford - MASTER PLAN2012 H AI Architecture

Background

DIRECTIVE

The goal of this effort is to develop a comprehensive master plan for ENRMVH to facilitate coordinated capital improvements and reorganization which will cover a five to ten year planning time horizon. The scope includes:

• Link Master Plan initiatives to operational, programmatic, and staffing plans for the medical center or health care system.

• Perform an overall analysis of the facility’s mission and delivery of patient care, ancillary, diagnostic, research and support services.

• Identify key service lines including interaction and adjacency of relevant programs both internal and external to the facility to include facilities where VA/DoD or affiliate sharing activity exits.

• Analyze the allotment and configuration of existing space and acreage and recommend changes to meet the facility’s strategic planning goals, including facilitation of both patient care and support operations.

• Identify specific construction projects required to implement these changes to include the development of a realistic time line, order of magnitude cost estimates, and high level scope of work.

• Analyze and integrate input and direction provided by facility and Strategic/Capital Asset

Plans, medical center staff input, data on veteran population, workload demand and projection forecasts located in the VA’s ProClarity website, VA space criteria, Facility Condition Assessments (FCA), and site specific community and stakeholder issues.

PROCESS

The planning process has been a highly participatory one involving the many constituencies of the Hospital, and the team worked closely with the Bedford VA’s Facilities Department comprised of key faculty, staff and administrators. The team reviewed a wide range of data, and made direct on site evaluations to make decisions that led to the development of the Master Plan recommendations.

The planning process included a series of department meetings as well as a presentation to broaden the plan’s perspective and to enhance the understanding and acceptance of proposed developments.

DATA

Sources of data and information included:

• VA Medical Center Bedford, MA Master Plan, June 2010

• Demographic mapping data extracted from the VA’s ProClarity system

• A series of departmental meetings

• Original building construction documents from Bedford VA’s Facility Engineering Dept

• Capital Asset Realignment for Enhanced Services (CARES) Study

• Research Facility Condition Assessment, October 2009

• VA Design Guides - Technical Information Library b ackg round

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CAMPUS MAP

Springs RdSprings Rd

Avenue “B”

Avenue “B”

Avenue “C

Avenue “C

Avenue “E”

Avenue “D”Avenue “D”

Springs RdSprings Rd

Edith Nourse Rogers WayEdith Nourse Rogers Way

A ve nu e

“L

A ve nu e

“L

Avenue “R”

Avenue “R”

Avenue “L”Avenue “L”

Avenue “L”Avenue “L”

Avenue “L

Avenue “L

Springs Rd

Springs Rd

# 6A# 6A

S/SS/S

T-18T-18

T-19T-19

T-20T-20

GreenhouseGreenhouse

78 78A

141415151616

# 6# 6

# 5# 5

# 2# 2 # 2A# 2A# 1# 1

# 11# 11

# 9# 9

# 10# 10

Function TentFunction Tent

# 8# 8

# 8A# 8A

646465656666

# 7# 7

# 7A# 7A

# 3A# 3A # 3# 3

# 14# 14

8t h

A ve

# MCC# MCC

# 17# 17

# 4# 4 # 4# 4

# 15# 15

# 12# 12

# 13# 13

BUILDING, PARKING & ROAD IDENTIFICATIONS

Referenced throughout the Master Plan document.

b

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CAMPUS INDEX

Name # Floors Total SF Department/Use

Admin Building 1 3 13,392 BO, HRS

Patient Care Bldg 2 4 87,420 Research; MH; OP(SAC); IP(CLC)

Kitchen, IRM, Mailroom 3 2 37,268 Kitchen, IRM, Mailroom

Nursing Home Care 4 3 97,233 Inpatient(GEC/CLC); Research

MIRECC Program, SRO 5 2 29,492 Research, Inpatient

Patient Care Bldg 6 3 43,266 IP(MH); OP(MH)

Domiciliary 7 3 47,046 IP (MH); OP (MH); Research; Admin

CMOP, DSS, Transcription, EAP 8 3 40,758 BO

Admin Building 9 3 41,826 MH; PS; Admin

Library 10 2 13,696 PO, Recreational

Office of Inspector General 12 3 16,770 Research

Office 13 3 10,824 GEC/CLC, BO, HBPC

Office 14 3 6,171 BO

Office 15 3 9,276 BO

Office 16 3 2,445 BO

GRECC Research 17 3 16,170 Research

Research 18 3 17,499 Research

Laundry & FEMA 19 2 15,646 Maintence

Garage 20 1 3,705 Maintenance

CMOP Warehouse 21 2 11,772 Engineering

Boiler Plant 22 1 4,450 Maintenance

Garage 32 1 2,813 Maintenance

Fiscal Service 33 2 5,146 BO

Admin Building 61 3 45,150 Outpatient(GRECC); Admin

Hospice 62 3 41,436 Inpatient(GRECC); Research; Rehab

Research 70 3 30,888 Research

Patient Care Bldg 78 5 126,625 BO; GEC/CLC; HM; PC; PS; Outpatient

(SAC)

Canteen, Theater 78A 2 33,288 Recreational

CWT/FMS/A&MM 80 2 33,240 GEC/CLC; Engineering

Chapel 81 1 5,063 Recreational

Gymnasium, Pool, KT Service 82 3 49,047 Recreational

Name # Floors Total SF Department/Use

Old Guard House 23 1 231 Storage

Garage 24 1 1,866 Storage

Pumphouse & Electric Service 27 1 376 Maintenance

Shed 28 1 498 Storage

Storage Animal(Research) 29 1 192 Research

Natural Gas Station 30 1 227 Maintenance

Greenhouses 35 1 3,869 Recreational

Root Cellar/Civil Defense Bldg 36 1 49 Storage

Garages 63 1 2,541 Storage

Garages 64 1 1,032 Storage

Salt Storage S/S 1 3,509 Maintenance

Greenhouse T-28 1 1,787 Greenhouse

Chicken Coop 39 1 842 Storage

Chicken Coop 40 2 6,590 Storage

Chicken Coop 41 2 5,164 Storage

Chicken Coop 42 2 6,336 Storage

Chicken Coop 54 2 5,554 Storage

Chicken Coop 69 1 1,801 Storage

Generator 92 1 582 Generator

Generator 93 1 582 Generator

Generator 94 1 741 Generator

Generator 95 1 288 Generator

Storage & Welding Shop T18 1 1,383 Storage

Storage & Welding Shop T19 1 1,383 Storage

Storage & Welding Shop T20 1 1,383 Storage b

07VAMC Bedford - MASTER PLAN2012 H AI Architecture

Site Analysis

SITE DESCRIPTION

The Hospital site is a tract of land approximately 250-acres in size located in the northeastern edge of the Town of Bedford, Massachusetts. It is within a town Zoning District designated as Residence A (R-A), single family dwelling units, and has an exempt status as a federal institution.

The northern boundary of the site extends passed the main campus loop road and includes a small portion of a parking lot used in common with Middlesex Community College for overflow parking.

On the eastern portion of the site, a local thoroughfare, Springs Road, passes through in a north-south direction bisecting portions of the campus, and making security a challenging issue. From Springs Road, the site slopes downward through two access roads, Avenues D and E. It then slopes more sharply before leveling out across mostly open or wooded undeveloped land to a wetlands area fed by nearby Spring Brook and other smaller streams.

The eastern boundary abuts Wilderness Park, a town-owned conservation area. The southern half also includes the Patriot Golf Course operated by Hanscon Air Force Base, 66th Force Support Squadron.

The southern boundary of the site extends, on the east side of Springs Road, to Avenue A and the town-owned Springs Brook Park. On the west side of Springs Road, it extends southward in various parcels to Pine Hill Road across mostly open or wooded undeveloped land, and contains the remains of loosely-piled, stone boundary walls.

The western boundary extends from Pine Hill Road in the south to the shared Middlesex Community College parking lot in the north, and is bounded along its entire length by town– owned Bedford Narrow Gauge Rail Trail (formerly Boston and Maine Railroad) and Murray York Conservation Area.

The central portion of the main site, just west of Springs Road, is generally level, sloping from north to south, and contains the core of the campus - the primary care and administrative buildings of the Hospital.

site analysis

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ORGANIZING FEATURES

Site Organizers

Natural boundaries are created in the core of the campus by the positioning of the buildings enveloping and defining a central open “oval” space. Other “naturally defined” spaces include the “outer oval” area bounded by Spring Road and the Administrative Buildings 12 through 16, and the area surrounding the campus along Avenue “L”.

Tree Line

Tree Line

Tree LineTree Line

Tree Line

Campus Oval

Outer Oval

Open slope down to Patriot Golf Course

Tree Line

Wetlands

Water Tower

Springs Road

13131414 15151616

Avenue “L”

09VAMC Bedford - MASTER PLAN2012 H AI Architecture

Wetland Resource Identification and Impacts Utilizing available Massachusetts GIS information, Massachusetts Department of Environmental Protection maps, soils maps, USGS topographic maps and base maps provided by the client, a map delineating wetland resource areas within and adjacent to the VA Hospital campus was developed. A one day field visit was conducted to obtain a general visual confirmation of the compiled data.

In addition to wetland resource areas, aquifer overlays and Public Water Supply Well Zone I & IIs, FEMA flood zones, and Natural Heritage Endangered Species Program (NHESP) estimated habitat areas and vernal pools were also investigated. Although these other resource areas were not found directly on the campus site, they are located in near proximity to the campus site and as such are delineated on the plan.

Bordering Vegetated Wetlands (BVW) The campus contains areas of bordering vegetated wetlands as shown on the plan (see Appendix for Bedford VA Medical Center Resource Map by The Berkshire Design Group, Inc.). These areas are regulated under the Wetlands Protection Act M.G.L. c.131 Section 40, administered by the Massachusetts Department of Environmental Protection, through local Conservation Commissions. Any work taking place within 100 feet of these regulated wetland areas require notification and/or permits from the approving authority.

If any work is to take place within these regulated areas, a Notice of Intent must be filed with the Conservation Commission. Any work within wetland areas must meet certain performance standards, and the application must demonstrate that the disturbance of the resource area could not be avoided, that any area of impact was minimized, and that all impacted areas are replicated or mitigated. There is also a maximum alteration limit of 5,000 sf, which is typically for the entire site, not just for a single project within the site.

Delineation of wetlands is approximate, based solely upon available published data and visual observations. In-the-field delineation of resource areas was not a part of this plan preparation.

The Bedford VA should be aware that the accuracy of the delineation of wetlands as prepared are adequate for planning purposes only and may not be adequate for detail design or applying for environmental permits. This plan does not guarantee that every wetland resource area within the campus is noted. There may be some less obvious areas that could technically be determined to be resource areas through intensive testing and no testing was included as a part of this plan preparation.

WETLANDS STUDY

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TRAFFIC, PARKING, WALKING

VAMC Bedford is a very dynamic, active facility that accommodates a great deal of vehicular and pedestrian traffic on a daily basis from outpatients and visitors, as well as a large commuter medical, administrative, and support staff.

TRAFFIC

The vehicular traffic through the site starts and ends with Springs Road, the only local road that accesses the site from off-campus. This road makes security very difficult to control, as it cuts through the site in a north-south direction and carries local through-traffic as well. There is an unused Old Guard House at the south entry area of the main campus on the east side of Springs Road identified as Building 23. Outpatient and visitor areas are scattered throughout the site, further degrading security options and also making wayfinding very difficult as well as increasing traffic unnecessarily. Combined with limited parking, these conditions generate continuous vehicular circulation in many areas of the campus.

Parking lots are distributed around the campus without clear signage indicating where visitors should park. There are three larger lots (Lots #1, #2, and #2A) on the east side of Springs Road opposite Buildings 1 and 2. There is a large lot at the south end of the campus (Lot #6) designated for support staff. There is also a lot (Lot #15) in the “oval” space opposite Patient Care Building 78 adjacent to the main primary care entrance.

WALKING

Outpatient and visitor parking is concentrated in Lots 1, 2, and 2A across Springs Road, Lot #15 within the “oval,” as well as scattered parking areas throughout and around the site.

Therefore, walking long distances is common, and wayfinding is confusing. Consolidating outpatient functions into a concentrated portion of the campus would significantly improve the outpatient and visitor experience. There is also access to a large parking area at the north end of campus that is shared with Middlesex Community College, a small portion of which, adjacent to the campus, the VA has some rights to utilize.

PARKING

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TRAFFIC

Circulation Roads

Springs Rd

Avenue “B”

Avenue “C

Avenue “E”

Avenue “D”

Springs Rd

Edith Nourse Rogers Way A ve nu e “L

Avenue “R”

Avenue “L”

Avenue “L” Avenue “L”

Avenue “L”

Springs Rd

Main Loop Campus Circulation Road

Main Loop Campus Circulation Road

Main Loop Campus Circulation Road

Main Loop Campus Circulation Road

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PARKING AREA

Parking Areas

55 177

30 30

Parking Spaces

Numbers indicate approximate quantity of existing spaces

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Parking Areas

Parking Spots

Greatest Need

Least Need

One Minute Walking Distance

PARKING NEED & WALKING DISTANCE

14VAMC Bedford - MASTER PLAN2012 H AI Architecture

Recently Renovated

Important Infrastructure

Deficient Buildings

GENERAL CONDITIONS & STATUS

The ENRMVH campus comprises 250 acres in the center of Bedford, Massachusetts. Buildings throughout the ENRMVH campus were designed principally in the years between 1927 and 1929, and constructed in the years between 1929 and 1938. This construction boom coincided with the expansion of VA facilities in the interwar era. Several buildings were constructed thereafter (e.g., Building 78 and 78A), as standards for patient care and medical technologies evolved after WWII, the Korean War, and the Vietnam War. After the initial construction of the campus ending in 1938, there was an extended period until the 1970s in which there was little new construction or any significant renovations. The graphic indicates recently renovated buildings, important infrastructure, problematic buildings that require some upgrading or should be considered for future replacement, and deficient buildings that should be demolished or repurposed.

Problematic Usage

Infrastructure & Utilities infrastructure

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LIFE SAFETY EVALUATION

Buildings throughout the ENRVMH Campus were evaluated for compliance with NFPA 101:

Life Safety Code. This was accomplished by means of a review of the Hospital’s most recent Statement of Condition for Joint Commission (applies to health care and ambulatory care occupancies), as well as a physical review of the individual buildings and the connector.

Notations were compiled and distilled to convey a general sensibility of the respective structures’ compliance or lack thereof, in the form of a spreadsheet (see attached LIFE SAFETY REVIEW) which identifies basic building information that would be relevant to such a review.

Although there are numerous deficiencies, many of which were identified in previous Statements of Condition (most recently, 2009, as conducted by Hughes Associates, Inc.), and professional practice does not dictate priority as the Life Safety Code is intended to provide a minimum standard for occupant safety, several building conditions on the ENRVMH Campus elicited our attention:

The separation of buildings, particularly with respect to the campus connector or tunnel, appears to be beset with construction difficulties that suggest that these (namely, a 2-hour fire resistance rating between differing occupancies) thereby required. This is clearly evidenced at the connection between Building 2 and Building 3, where an open stair divides the buildings. Labeled doors flank the stair, and carry, in the case of the northerly pair, a B-label implying a 90 rating within a 2-hour fire resistive construction. A review of the actual field condition, however, demonstrates that the wall construction above the labeled opening is limited to a single layer of gypsum board (see photo). Again, the question of proper construction is repeated at the apparent separation between Building 4 and Building 82 (again at the Basement Floor level), where the occupancy, in this case, changes between ‘Business’ and ‘Assembly. At a minimum, respective building separations should be identified on the facility’s existing conditions drawings, and these separations, particularly with respect to the campus connector, should be evaluated for compliance with required fire and smoke barriers.

Buildings which feature ‘Health Care’ occupancies (as defined by NFPA 101) and architectural roofing components of a combustible nature do not meet the minimum requirements for occupancy, as most clearly demonstrated by the following example:

OVERVIEW Building 6 is principally characterized as a health care occupancy (of mixed use) by NFPA 101: Life Safety Code, having a construction classification, as identified by VAMC Bedford’s Statement of Condition, as Type II (2 – 2 – 2), as reported by Hughes Associates, Inc. of Armonk, New York. Type II construction is identified as a suitable construction type for existing health care occupancies1 by virtue of 19.1.6.2, which states:

“19.1.6.2* Any building of Type I (442), Type I (332), Type II (222), or Type II (111) construction shall be permitted to include roofing systems involving combustible supports, decking, or roofing, provided that the following criteria are met:

1. The roof covering shall meet Class C requirements in accordance with NFPA 256, Standard Methods of Fire Tests of Roof Coverings.

2. The roof shall be separated from all occupied portions of the building by a noncombustible floor assembly that includes not less than 2-1/2 in. (63 mm) of concrete or gypsum fill.

3. The attic or other space shall be either unoccupied or protected throughout by an approved automatic sprinkler system.”

1 NFPA 101 Life Safety Code, 2009 Edition; 19.1.6 Minimum Construction Requirements, page 101-187.

Specifically defined, the building consists of an existing health care occupancy at the Second Floor level, the current location of the Inpatient Psychiatric Ward. Each of the lower floors is classified as “Existing Business”, with mental health offices throughout the First Floor level, and mechanical and campus maintenance functions at the Basement Floor level. There is no mention of an increased occupancy hazard at the Basement Floor level as a result of the aforementioned functions.

In reference to the above requirement for suitable construction type, we believe:

1. The roofing assembly of asphalt shingles and roofing felt likely meets criteria for Class C materials (the abandoned NFPA 256 has nominal flame exposure for its testing criteria, and UL55B identifies an organic asphaltic shingle with asphalt-impregnated roofing felt as a Class C material);

2. The Attic floor slab, while effectively separating the roof from all occupied portions of the building by a noncombustible floor assembly provides less than the required 2-1/2 inches of concrete or gypsum fill (Drawing Sheet 6-6 of the original drawings shows that the specified material is 2 inches in thickness);

3. The attic is both unoccupied and protected throughout by an approved automatic sprinkler system.

16VAMC Bedford - MASTER PLAN2012 H AI Architecture

Per our assessment, and the specifics of the applicable codes, the Second Floor of Building 6 does not meet the minimum requirements for an existing health care occupancy (NFPA 101;

Section 19), and does not meet the basic conditions for occupancy as described by 4.6.10 Conditions for Occupancy2. Chapter 4; Section 4.6.10 requires that specific conditions be met in order to occupy the structure, including a plan of correction.

2NFPA 101 Life Safety Code, 2099 Edition; 4.6.10 Conditions for Occupancy, page 101-37.

Under the circumstances, we recommend that the following:

1. Determine the exact thickness of the attic slab by means of a core test; and,

2. In the event that the slab is in fact less than the required 2-1/2”, find a suitable material to increase the thickness to 2-1/2”, and evaluate the load capacity of the structural frame to determine if it can carry the additional dead load of a cementitious filler.

3. In the event that the structure cannot carry an additional load, we would recommend that an equivalency and/or life safety compliance alternative be pursued through:

A. The installation of fire-rated assembly at the underside of the roof framing to further separate the combustible materials from the unoccupied space and thereby safeguarding the building’s structural integrity; and/or, B. The installation of additional sprinkler heads at the Attic Floor level as a means of further protecting the building’s occupants from the hazard from fire, and further safeguarding the building’s structural integrity.

As previously stated, the building should be considered a mixed use occupancy and must follow NPFA 101; Section 6.1.14.3. It should be noted that the existing layout of the building does not meet the intent of the aforementioned section, in that all shared egress facilities need to meet the most restrictive requirements of the occupancies involved. Furthermore, per Section 19.1.2.4, all means of egress from health care occupancies that traverse non-health care spaces shall conform to the requirement of the code for health care occupancies, unless otherwise permitted by 19.1.2.5 (this is not applicable for the 2nd floor of building 6 as no horizontal exits exist). However, under these circumstances, all stairways would need to be separated from all other occupancies (non-health care) by 2-hour minimum fire-resistant construction and included in the approved and supervised automatic sprinkler system in accordance with NFPA 101; Section 9.7 for the entire building.

LIFE SAFETY EVALUATION OVERVIEW

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Bldg # Building ID Date of Construction Most built 1927-1938

Construction Classification (CC) & # of Floors

Occupancies (per NFPA LSC 101) Number of Beds

Means of Egress Markings

(exit signage, etc.)

Life Safety Deficiencies General Deficiencies General Comments

LIFE SAFETY REVIEW BY BUILDING

Administration Building

Human Resources, Director's Suite

VA to verify CC

# of Floors - 3 (Basement, First, Second)

Business NA limited

The central stair must be enclosed with rated construction in order to be considered a viable and req'd 2nd means of egress

Additional exit signage req'd

N/A Assumes connecting corridor between bldgs 1 and 2 is part of bldg 1

Patient Care Building - Inpatient & Outpatient

Brain Bank Neuropathology

(Research); Admin(MH);

Radiology / Dental / Pathology(SAC);

Inpatient(CLC), Medical Wards, Education, Morgue

II (222)

3 stories above grade

Mixed

Basement, First, Fourth

- Business

Second, Third - Healthcare Penthouse - Mechanical

60 licensed Yes Bldg separation issues with doors to Bldg 78

Means of egress obstructions

Deficiencies indicated by Hughes Associates inc in 2009

Per the BBI existing Life Safety Fire Door Frame Equivalency approved for this bldg

Assumes connecting corridor between bldgs 2 and 78 is part of bldg 78

3 Kitchen, IRM &Mail Room 1928

VA to verify CC

# of Floors - 2 (Basement, First)

Business NA Yes

Bldg separation issues with doors to Bldg 4

Additional exit signage req'd

Means of egress obstructions

N/A

Assumes connecting corridor between bldgs 3 and 4 is part of bldg 3

Assumes coonection corridor between bldgs 3 and 78 is part of bldg 78

Nursing Home Care

Inpatient (CLC), Computer Lab (CLC), Clinic(Research)

II (222)

3 stories above grade

Mixed

Basement - Business First, Second -

Healthcare Penthouse - Mechanical

114 Licensed Yes

Bldg separation issues with doors to Bldg 4

Bldg separation issues with doors to Bldg 82

Lack of separation between the greenhouse and bldg 4

Means of egress obstructions on the 1st and 2nd floors

Deficiencies indicated by Hughes Associates inc in 2009

Per the BBI existing Life Safety Fire Door Frame Equivalency approved for this bldg

Assumes connecting corridor between bldgs 4 and 5 is part of bldg 4

Assumes connecting corridor between bldgs 4 and 82 is part of bldg 4

MIRECC Program & Single Room Occupancies (SRO)

Research and Neuropsychology (Patients), SRO

(caritascommunities.org)

II (222)

# of Floors - 4 (Basement, First, Second, Attic)

Dormitory 60 beds Yes N/A N/A Assumes connecting corridor between bldgs 5 and 6 is part of bldg 5

Patient Care Building

Inpatient Clinical(MH), Outpatient (MH), Maintenance, Repair Shops

II (222)

3 stories above grade

Mixed

Basement, First - Business

Second - Institutional (I2)

Penthouse - Mechanical

40 licensed Yes N/A Deficiencies indicated by Hughes Associates inc in 2009

Per the BBI existing Life Safety Fire Door Frame Equivalency approved for this bldg

Domiciliary

Inpatient (DORM)(MH);

Outpatient (MH)(CSP);

Brain Bank (Research), Office of Research Oversight, ORM, ORO, Admin

II (222)

3 stories above grade

Mixed

Basement, Second - Business

First - Residential Dormitory

Penthouse - Mechanical

42 Yes Bldg separation issues with doors to Bldg 61 Deficiencies indicated by Hughes Associates inc in 2009

Per the BBI existing Life Safety Fire Door Frame Equivalency approved for this bldg

Assumes connecting corridor between bldgs 6 and 7 is part of bldg 7

Assumes connecting corridor between bldgs 7 and 61 is part of bldg 61

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LIFE SAFETY REVIEW BY BUILDING

Bldg # Building ID Date of Construction Most built 1927-1938

Construction Classification (CC) & # of Floors

Occupancies (per NFPA LSC 101) Number of Beds

Means of Egress Markings

(exit signage, etc.)

Life Safety Deficiencies General Deficiencies General Comments

DSS, Storage, GRECC Offices, Transcription &

EAP

II (222)

# of Floors - 3 (Basement, First, Second)

Business NA Yes Bldg separation issues with doors to Bldg 7 N/A Connecting corridor between bldgs 7 and 8 is part of building ?

Clinical(MH), Police Station(PS), Nursing, Service (Admin), Infection Control, QA, TQM, Psychiatry, Social Services

II (222)

# of Floors - 3 (Basement, First, Second)

Business NA Yes N/A N/A Assumes connecting corridor between bldgs 8, 9 and 81 is part of bldg 9

10 Admin(PO), Library, SPD 1927

III (200)

# of Floors -3 (Basement, First, Mezzanine)

Business NA Yes N/A N/A

In the process of being renovated

Assumes connecting corridor between bldgs 9, 10 and 78A is part of both bldgs 10 & 78A

12 Admin(Research), Office Inspector General 1928

VA to verify CC

# of Floors -3 (Basement, First, Second)

Business NA Yes

The central stair must be enclosed with rated construction in order to be considered a viable and req'd 2nd means of egress N/A

13 Offices 1927

V (000)

# of Floors -3 (Basement, First, Second)

Business NA Yes N/A N/A Newly renovated by VA

14 Offices 1930

V (000)

# of Floors -Basement, First, Second

Business NA Yes N/A N/A In the process of being renovated

15 Medicare Collection Fund

(MCCF) 1930

VA to verify CC

# of Floors -3 (Basement, First, Second)

Business NA Yes N/A N/A Newly renovated by VA

16 Offices 1928

VA to verify CC

# of Floors -4 (Basement, First, Second, Third)

Business NA Yes

The central stair & the stair to the 3rd floor must be enclosed with rated construction in order to be considered a viable means of egress N/A

17 GRECC Research 1930

VA to verify CC

# of Floors - 4 (Basement, First, Second, Attic)

Business NA Yes ? N/A VA to inform us if chemicals used or stored within this building create an degree of hazard greater than that normal to the general occupancy

18 Research 1928

VA to verify CC

# of Floors - 4 (Basement, First, Second, Attic)

Business NA Yes ? N/A

VA to inform us if chemicals used or stored within this building create an degree of hazard greater than that normal to the general occupancy

19 Laundry & FEMA 1928

VA to verify CC

# of Floors -2 (Basement, 1st)

Storage (S); Ordinary Hazard NA Yes N/A N/A

This building is attached to building 21

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

19VAMC Bedford - MASTER PLAN2012 H AI Architecture

Bldg # Building ID Date of Construction Most built 1927-1938

Construction Classification (CC) & # of Floors

Occupancies (per NFPA LSC 101) Number of Beds

Means of Egress Markings

(exit signage, etc.)

Life Safety Deficiencies General Deficiencies General Comments

20 Garage 1928 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard NA None N/A N/A

This building is attached to building 32

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

21 CMOP Warehouse 1928

VA to verify CC

# of Floors -2 (Basement, 1st)

Storage (S); Ordinary Hazard NA Yes means of egress compromised due to damaged

Handrail/guardrail N/A

This building is attached to building 19

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

22 Boiler Plant 1928

VA to verify CC

# of Floors -2 (1st, Mezzanine)

Utility/Miscellaneous

(U) NA Yes N/A N/A

23 Old Guard House 1928 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None None N/A space not used as a guard house but as storage space

24 Garage 1928 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard NA None None N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

27 Main Electric Service & plumbing storage 1928

VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard &

Utility/Miscellaneous (U) unoccupied space

NA None N/A N/A VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm & Life Safety requirements

28 Warehouse/Storage 1928 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None None N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

29 Generator Room 1928 VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None None N/A

Pumphouse

Natural Gas Station

VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None None N/A Strong smell of natural gas, therefore building was skipped, confirm with Rick Ferron F/A devices, exit signage, etc.

32 Garage 1929 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None N/A N/A

This building is attached to building 20

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

33 Fiscal Services 1930

VA to verify CC

# of Floors -2 (Basement, 1st)

Business NA Yes N/A N/A

35 Greenhouse 1929 VA to verify CC

# of Floors - 1

Utility/Miscellaneous

(U) - Greenhouse

Currently unoccupied space

NA Yes Mean of egress issue due to padlock on doors

Additional exit signage req'd N/A Greenhouse is currently not used

36 Root Cellar/Civil Defense Bldg 1928

VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None N/A N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

20VAMC Bedford - MASTER PLAN2012 H AI Architecture

Bldg # Building ID Date of Construction Most built 1927-1938

Construction Classification (CC) & # of Floors

Occupancies (per NFPA LSC 101) Number of Beds

Means of Egress Markings

(exit signage, etc.)

Life Safety Deficiencies General Deficiencies General Comments

39 Storage (old chicken coops) 1929

VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None Mean of egress issue due to padlock on doors N/A

Per VA were told to skip these buildings; buildings were not assessed/accessed

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

40 Storage (old chicken coops) 1929

VA to verify CC

# of Floors - 2 (1st, 2nd)

Storage (S); Ordinary Hazard unoccupied space NA None Mean of egress issue due to padlock on doors N/A

41 Storage (old chicken coops) 1939

VA to verify CC

# of Floors - 2 (1st, 2nd)

Storage (S); Ordinary Hazard unoccupied space NA None Mean of egress issue due to padlock on doors N/A

42 Storage (old chicken coops) 1939

VA to verify CC

# of Floors - 2 (1st, 2nd)

Storage (S); Ordinary Hazard unoccupied space NA None Mean of egress issue due to padlock on doors N/A

49 Storage (old chicken coops) Golf Course 1896

VA to verify CC

# of Floors - 2 (basement, 1st)

Storage (S); Ordinary Hazard unoccupied space NA None N/A N/A

Is this building privately owned by the Golf Course?

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

52 Storage (old chicken coops) Gold Course

VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None N/A N/A

Is this building privately owned by the Golf Course?

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

54 Storage (old chicken coops) 1939

VA to verify CC

# of Floors - 2 (1st, 2nd)

Storage (S); Ordinary Hazard unoccupied space NA None Mean of egress issue due to padlock on doors N/A

Per VA were told to skip this building; building was not assessed/accessed

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm requirements

55 Golf Shack/ Clubhouse 1920 VA to verify CC

# of Floors - 1

Mercantile (M), Class C; Ordinary Hazard NA Yes N/A N/A Is this building privately owned by the Golf Course?

60 Electrical Distribution Room/ Storage

VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard &

Utility/Miscellaneous (U) unoccupied space

NA None N/A N/A

Per Rick Ferron the exterior pull station near this building rings back to the VA

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

GRECC Research, VISN Office, Education , Outpatient Clinic(GRECC), Admin Offices, Voluntary

Services & District Counsel

II (222)

# of Floors - 4 (Basement, 1st, 2nd, Attic)

Business NA Yes Arrangement of egress issues & Means of egress obstructions N/A

Assumes connecting corridor between bldgs 7 and 61 is part of bldg 61

Assumes connecting corridor between bldgs 61 and 62 is part of bldg 61

Patient Care Building

Inpatient Hospice Floors 1&2(GRECC), Alzheimer's

Ward

II (222)

3 stories above grade # of Floors - 4

(Basement, 1st, 2nd, Penthouse)

Mixed

Basement- Business First, Second -

Healthcare Penthouse - Mechanical

100 licensed Yes Means of egress obstructions Deficiencies indicated by Hughes Associates inc in 2009

Per the BBI existing Life Safety Fire Door Frame Equivalency approved for this bldg

21VAMC Bedford - MASTER PLAN2012 H AI Architecture

Bldg # Building ID Date of Construction Most built 1927-1938

Construction Classification (CC) & # of Floors

Occupancies (per NFPA LSC 101) Number of Beds

Means of Egress Markings

(exit signage, etc.)

Life Safety Deficiencies General Deficiencies General Comments

63 Garage 1939 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None None N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

64 Garage 1939 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None None N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

65 Garage 1939 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None None N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm

&Life Safety requirements

66 Garage 1939 VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None None N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm

&Life Safety requirements

69 Storage (old chicken coops) Broader House 1930

VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None Mean of egress issue due to padlock on doors N/A

Per VA were told to skip this building; building was not assessed/accessed

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm

&Life Safety requirements

70 Offices & Lab Research 1946

VA to verify CC

2 stories above grade # of Floors - 4 (Sub-

Basement, Basement, 1st, 2nd)

Business NA Yes Dead end corridor issues N/A VA to inform us if chemicals used or stored within this building create an degree of hazard greater than that normal to the general occupancy

71 Sewerage Pumping Station 1946

VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None N/A N/A

Patient Care Building - Inpatient & Outpatient

In-Patient Wards, Patient Services/

Medical Records(BO), Admin(MH), Rogers

House(MH), GEM(MH), Security - Dispatch, Urgent Care/Dermatology/ Rheumatology/Optometry/

Neurology/Gynecology/ Podiatry/Vascular/General

Surgery/Cardiology/ Orthopedics/Employee

Health(SAC), MAS

II (222)

4 stories above grade # of Floors - 5

(Basement, 1st, 2nd, 3rd, 4th, Penthouse)

Mixed

Basement- Business First - Ambulatory Care Second, Third, Fourth -

Healthcare Penthouse - Mechanical

Unknown; VA to confirm Yes

Bldg separation issues with doors to Bldg 2

Means of egress obstructions

Deficiencies indicated by Hughes Associates inc in 2009

Per the BBI existing Life Safety Fire Door Frame Equivalency approved for this bldg

78a Canteen & Theater

VA to verify CC

# of Floors - 2 (Ground, 1st)

Assembly NA Yes Bldg separation issues with doors to Bldg 19, 9 and the connecting corridor N/A Assumes connecting corridor between bldgs 9, 10 and 78a is part of both bldgs 10 & 78A

79 Research Storage 1959 VA to verify CC

# of Floors - 1

Storage (S);Hazard Unknown unoccupied space NA None N/A N/A

Sign on Door states " Radioactive Waste Storage" therefore building was not assessed/accessed

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

22VAMC Bedford - MASTER PLAN2012 H AI Architecture

Bldg # Building ID Date of Construction Most built 1927-1938

Construction Classification (CC) & # of Floors

Occupancies (per NFPA LSC 101) Number of Beds

Means of Egress Markings

(exit signage, etc.)

Life Safety Deficiencies General Deficiencies General Comments

Engineering, Home TeleHealth(GEC/

CLC),Quality Control(GEC/ CLC), Engineering

VA to verify CC

# of Floors - 2 (basement, 1st)

Business NA Yes Bldg separation issues with door assembly to connecting corridor@ limits of Bldg 4 N/A Assumes connecting corridor between bldgs 80 and 4 is part of bldg 80

81 Chapel 1960

VA to verify CC

# of Floors - 3 (basement, 1st, Attic)

Assembly NA Yes N/A N/A

82 Gymnasium, Pool & KT Service 1962

VA to verify CC

# of Floors - 2 (basement, 1st)

Assembly NA Yes

Bldg separation issues with door assembly to connecting corridor/Bldg 4

Additional exit signage req'd

Means of egress obstructions

N/A

92 Generator Room 1978 VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None NA NA

93 Generator Room 1978 VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None NA NA

94 Generator Room 1978 VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None NA NA

95 Generator Room 1978 VA to verify CC

# of Floors - 1

Utility/Miscellaneous (U) unoccupied space NA None NA NA

T18 Storage VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space

NA

Yes, 1 single means of egress has req'd exit signage Provide emergency lighting N/A

These Quonset huts are interconnected, though the storage makes it impossible to pass between them

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

T19 Storage VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space NA None Provide emergency lighting and a single egress with an illuminated sign N/A

T20 Storage & Welding Shop VA to verify CC

# of Floors - 1

Storage (S); Ordinary Hazard unoccupied space

NA

Yes, 1 single means of egress has req'd exit signage Provide emergency lighting N/A

T28 Greenhouse attached to bldg 4

VA to verify CC

# of Floors - 1

Utility/Miscellaneous

(U) - Greenhouse NA Yes the greenhouse is not separated from bldg 4 The structure does not meet the 48" fire separation distances as req'd in NFPA 5000, Chapter 48, Section 48.7.8.4.1

Greenhouse is currently not used

S/S Sand & Salt Shed VA to verify CC

# of Floors - 1

Storage (S); Low Hazard unoccupied space NA None N/A N/A

VA to provide hazard classification of content (low hazard, ordinary hazard or high hazard); as this may effect Fire Alarm &

Life Safety requirements

Tent Temporary space NA Utility/Miscellaneous

(U) - Party Tent

NA N/A N/A N/A

23VAMC Bedford - MASTER PLAN2012 H AI Architecture

SEISMIC ANALYSIS

OVERVIEW

Specific buildings throughout the ENRVMH Campus were evaluated for their ability to resist lateral forces to which they would be subjected in a seismic event. As a number of the buildings feature a similar construction (buildings dating to the original construction period of 1927 to 1939 exhibit a reinforced concrete frame with infill that pervades the Campus), it was determined, through consultation with VAMC Bedford Engineering, that a specific sampling of buildings could provide a thorough theoretical representation of the conditions to be encountered.

In the course of meetings with VAMC Bedford Engineering to establish the criteria by which the Structural Seismic Evaluation would be undertaken, it became apparent that buildings having relative importance to the ENRVMH Campus Disaster Plan would be given priority in the evaluation process. In consort with engineering meetings to assess relevant codes and standards, a basic evaluation criteria emerged that was oriented to the requirements of the International Existing Building Code, and ASCE (American Society of Civil Engineers) 31-03:

Seismic Evaluation of Existing Buildings.

This evaluation would focus on the Lateral Force Resisting System (LFRS) and its ability to adequately perform under an expected seismic event. The purpose of the evaluation was to determine is any potential deficiencies exist within the respective structures (LFRS) under a Life Safety (LS) and/or Immediate Occupancy (IO) Seismic Performance Level. ASCE 31, as a means of clarification, has evolved from, and is intended to replace, the Handbook for Seis-mic Evaluation of Buildings which was a pre-standard (FEMA 310).

ASCE 31 is a standard that provides a three-tiered process for the seismic evaluation of exist-ing buildings in any level of seismicity. The Tier 1 Screening Phase is intended to be a first re-view seismic investigation of structural elements of the building with the purpose of screening out those buildings that either comply with the provisions of the standard, or identify potential deficiencies. The Tier 2 Evaluation Phase is intended to investigate these deficiencies. A Tier 3 Detailed Evaluation Phase is relevant to seismic rehabilitation and new construction design procedures, and does not apply to this evaluation.

Of the selected buildings, one subject building (Building 4) was designated as a test case to determine the procedures to be employed in the analysis. The subject building was evalu-ated for Immediate Occupancy (IO), and, under ASCE 31, a reinforced concrete moment frame building (of which this is one) must be subjected to both a Tier 1 Screening and a Tier 2 Evaluation. Under these circumstances, a Tier 2 Evaluation was performed for those items found to be non-compliant in the Tier 1 Evaluation (the newer addition to Building 4, a steel-braced frame executed in 2002, was reviewed under the Tier 1 Evaluation as required by

ASCE 31).

This formula would serve as the protocol for all buildings to be evaluated, identified as follows, with portions of all being subject to the Tier 2 Evaluation:

• Bldg 2 - due to ‘C1’ construction classification used for IO;

• Bldg 4 - due to ‘C1’ construction classification used for IO;

• Bldg 5 / 6 / 7 - due to ‘C1’ construction classification used for IO;

• Bldg 8 / 9 - due to ‘C1’ construction classification used for IO;

• Bldg 10 - due to ‘C1’ construction classification used for IO (owing to the need to maintain operation of SPD);

• Bldg 22 (Boiler Plant) - due to ‘S5A’ construction classification used for IO (owing to the need to maintain the operation of the Boiler Plant to serve other IOs);

• Bldg 61 / 62 - due to ‘C1’ construction classification used for IO;

• Bldg 78 - due to ‘C1’ construction…