Env person centered care 8 2015

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Firm Introduction and Background Providing architecture, planning, structural engineering, landscape architecture, sustainable design and interior design services

Staffing

Firm Background

Total Employees…….………….......76

SWBR Architects was established in 1969. Over the years, the firm’s business has evolved to include a broad spectrum of services and talents. Today, we offer specialized areas of practice which are based on our clients’ needs and the expertise of our principals and staff.

Principals………………..….….……..5

Sr. Associates……………….……….9 Project Managers………….............12 Designers/Technicians….………….19 Interior Designers………..................4 LEED Accredited…….....................29 Construction Administrators……...…1 Structural Engineers…………….......6

Information Systems……..……….. ..2 Total NYS Licensed Architects.......26 Total NYS Licensed Engineers …….3 Total Licensed Landscape Arch …...1

Ranked #1 Rochester Architectural Firms, 2014

SWBR is a large Architecture practice, with offices in Rochester and Syracuse, NY, specializing in Architecture, Interior Design, Structural Engineering, Landscape Architecture and Sustainable Design. SWBR offers a broad staff of experienced professionals and has the “firepower” to bring a focused team onto a project to meet tight schedules with the right technical knowledge.

SWBR is noted amongst clients and contractors for our design and technical strengths and demanding attention to detail. Our firm has completed scores of projects for private and public clients using a variety of construction delivery methods. We offer value-added capability to our clients through extensive practical experience and market specific design knowledge.

Get in touch with us: Rob Simonetti, AIA, LEED AP BD+C Design Director, Certified Eden Alternative Associate (585) 232-8300 rsimonetti@swbr.com

Tom Gears, AIA, LEED Green Associate Principal (585) 232-8300 tgears@swbr.com

www.swbr.com


Senior Housing Design SWBR helps identify and prioritize the needs of your housing market. Designing cost effective and comfortable housing for senior adults is a complex business. SWBR becomes your partner in the design of housing targeted to your priorities and objectives. We analyze your wants and needs, as well as the desires of your prospective residents. Working as a team with you, we develop the value and marketability of your project. As your project proceeds, SWBR manages the issues that are critical to success. This includes participation in activities such as the acquisition of approvals and schedule compliance. In essence, we deliver the precise design project you want, in a manner that is consistent with your management and marketing strategies.

Seniors want housing that enriches their lives. SWBR designs lifestyle choices.

Contact the SWBR Experts Tom Gears, AIA Robert Simonetti, AIA, LEED AP Joe Gibbons, AIA, LEED AP Jennifer LaChance, AIA, LEED AP Robert Fornataro, AIA LEED AP Cathy Dobrowal, CID Richard Waite, RLA, LEED AP

Senior Living Communities

Independent Living & Enriched Living

Adult Day Care

Seniors Apartments

Dementia Care

Skilled Nursing


Environments for Person-Centered Care Green House® and Small House Home Design SWBR Architects has been involved in multiple Green House® and Small House projects. From each we have taken away lessons regarding not only architecture, but also organizational and group dynamics. We recognize that a strong commitment from administration may not yet mean buy in from all components of staff. Being strong believers in the benefits of person centered care, SWBR will assist in educating affected staff on the merits, realities, and impacts of changing to an environment which supports person centered care. We have often times played the devil’s advocate even with committed staff and administrators to push their approach to de-institutionalization even further.

Benchmarking A Parti from the French meaning " to make a decision", often referred to as the big idea, is the chief organizing thought or decision behind an architect's design presented in the form of a basic diagram and / or a simple statement. SWBR has taken the time to study many Green House® and Small House projects and has diagrammed our learnings into easily digested components. Two primary issues driving the plans are creation of welcoming attractive common areas and the location of bedrooms around the common areas. The original Green House® homes of Mississippi Methodist employed an L shape parti. Many Green House® projects then followed suit with this parti. The idea of the plan is that all rooms can be seen from the centralized kitchen area. Since these first homes, the ideas generating building form have changed. SWBR will benchmark various building partis with you to identify benefits of each and to find that most suited to your needs.

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Environments for Person-Centered Care Green House速 and Small House Home Design Designing A charrette, sometimes called a design charrette, consists of an intense period of design activity. SWBR will use this technique to kickoff your design process. Together we will explore the values of your organization and establish specific goals and objectives for the project. This initial work will guide us all through the design process. SWBR has also documented and diagramed multiple areas within many small house homes. Using these diagrams our Design Team can effectively communicate with your team issues regarding specific areas of the home. These diagrams are used to bring you to other projects so that you may evaluate what you like and more accurately describe your expectations and theory of how your new facilities should perform.

We will use these benchmarking exercises to guide you through design of the building parti, elder bedroom, elder bathroom, kitchen, bathing spa, and other critical areas of the home.

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Elder Bedroom Benchmarks


Green House速 and Small House Homes


St. John’s Home Green House® Homes

Owner: St. John’s Community Contact: Mr. Charles Runyon, CEO Phone: (585) 271-5413 Location: Penfield, NY Project Cost: $4.6M Completion Date: Fall 2011

St. John's is leading the way in transforming nursing home services for elders. In partnership with New York State Department of Health and SWBR Architects, St. John's will be the first in the nation to bring elders back to their hometowns, to live in homes, throughout the greater Rochester community. St. John's is planning to build 20 Green House® homes throughout various neighborhoods in Rochester, New York. Each house will be home to 10 elders and it will be adjacent to at least one other Green House® residence. The vehicle for change chosen by St. John's is the Green House® model. In this model, with its Eden Alternative foundational elements, elders are valued, respected, and reintroduced to a home environment, in which they will live during their final years. St. John's intends to extend the principles of this model to include a community approach that brings elders back to a home in their former communities. This is a radical new approach to skilled nursing care, where each element — care philosophy, organizational structure, and architecture — is carefully crafted to remove “institutionalization” from long-term care. Warm, caring relationships are the basis of each day. Residents, referred to as “elders,” live as part of a “family” in the community while still benefiting from the full range of clinical services provided by St. John's.

Featured in the Spring 2012 issue of Environments for Aging Annual Showcase Issue.





Saint Elizabeth Community Green House® Resident Directed Homes

Owner: Saint Elizabeth Community Location: East Greenwich, RI Contact: Steven Horowitz, CEO Phone: (401) 471-6060

SWBR Architects is happy to announce our selection as Architect for Saint Elizabeth Community’s newest building project. Saint Elizabeth Community in East Greenwich, RI has been selected by the state of Rhode Island as the only provider in the state to receive new skilled nursing beds under the state’s Resident Directed Homes Program. Saint Elizabeth and SWBR will work together with The Green House Project to create four new homes of twelve elders each. The project is currently being designed and a Summer 2015 construction start is anticipated. Headquartered in Arlington, VA, the Green House Project staff referred Saint Elizabeth Community to SWBR Architects because of our expertise in person-centered care and The Green House model.



Loretto Health and Rehabilitation Center

The Cottages at Garden Grove

Creating a true community. SWBR Architects is thrilled to announce the completion of The Cottages at Garden Grove, a skilled nursing community of Loretto Health. The new campus of twelve homes creates a true neighborhood and a real community.

Creating community by creating connections

Each house of 8,400 square feet is home to thirteen elders. The neighborhood of homes, adjacent to an existing town library and recreational facility, is arranged as a typical residential development. Each home has a driveway and front walk out to the community sidewalks. On street parking is provided for staff and visitors rather than a central parking lot. The exteriors of each home are unique and most back to a beautiful wooded lot. Inside, each elder has a private bedroom with full bathroom. The heart of the home is open and light filled with views to both the street and backyards with woods beyond.

See this project in the Spring 2015 issue of Environments for Aging Annual Showcase Issue.





Rochester Presbyterian Home Memory Care Residences at Creekstone

Owner: Rochester Presbyterian Home Contact: Nancy Smythe, CEO Phone: (585) 235-9100 Location: Perinton, NY Construction Cost: $6.5M Construction Start: May 2015

Based upon their great success at the Memory Care Residences at Cottage Grove, Rochester Presbyterian Home is excited to be starting construction on another four homes. The new homes will continue to serve Memory Care needs and will be located in Perinton, NY, about 30 miles from the Cottage Grove homes. This new project will allow Rochester Presbyterian Home to more broadly serve the needs of the community. The four new homes will each be licensed for 16 beds although each home will operate with 14 private bedrooms. Each bedroom has been designed at a size to meet the requirements of a double room. The rooms will be used as single resident private rooms unless a couple requests to share a room. The Memory Care Residences at Creekstone proudly extends the long tradition of excellence that has characterized the Rochester Presbyterian Home.


Lake Health District Green House速 Homes

Owner: Lake Health District Location: Lakeview, OR Contact: Charles Tveit, CEO Phone: (541) 947-2114

SWBR Architects is working with Lake Health District in Lakeview, Oregon as Design Architect for their proposed new Green House速 Homes project. Lake Health District will construct three new homes of twelve elders. Two homes will serve skilled nursing needs while the third will be assisted living. The project is anticipated to start construction in Fall 2015. Lake Health is a critical access provider in what is deemed a Frontier County because of its remote location. These new homes will bring much needed services to the residents of Lakeview, OR. Headquartered in Arlington, VA, the Green House Project staff referred Lake Health District to SWBR Architects because of our expertise in person-centered care and The Green House model.


Canandaigua Veteran’s Affairs Medical Campus Community Living Center

Owner: Department of Veteran’s Affairs Contact: Troy Waller, Project Manager Phone: (301) 427-2066 Location: Canandaigua, NY Construction Cost: $220M Completion Date: 2016

The Design Concept for the CLC cottages includes a community-oriented, residential living experience. The program, character and design of the homes are formulated to promote maximum levels of personal independence and social interaction for the veteran resident. In addition to Small House living concepts, specific project goals for the VA Canandaigua Community Living Center include the following criteria: • Organize the Community Living Center Cottages in a manner that promotes neighborhood identity and interaction • Provide direct access at grade to usable exterior space for resident from each cottage • Complement the existing historic campus • Achieve LEED® Silver Certification for all buildings Cottages are designed to provide support to veterans focusing on the following care areas - Dementia, Gero-Psych, Long Term Care, Hospice, Short Term Care and Rehabilitation.

Featured in the Spring 2013 issue of Environments for Aging Annual Showcase Issue.



Rochester Presbyterian Home Memory Care Residences at Cottage Grove

Owner: Rochester Presbyterian Home Contact: Nancy Smythe, CEO Phone: (585) 235-9100 Location: Chili, NY

Rochester Presbyterian Home is an established assisted living home in downtown Rochester, NY. In an effort to expand their mission and value, Rochester Presbyterian Home developed 48 beds of enhanced assisted living in a suburb of Rochester focusing on memory care.

Construction Cost: $5M Completion Date: April 2009

Inspired by the philosophy of the Eden Alternative and the Green House® model, these homes are a dramatic departure from the typical model of elder care. There are no long corridors, nurse’s stations or medication carts. The medical model is replaced with a home where 12 elders live. Each elder has a private bedroom and bathroom. A central hearth area with an adjacent dining room and state-of-the-art kitchen, provide ample living space for the “families.” In addition, each elder has a front porch and a secure patio and courtyard enabling the elders to freely enjoy the outdoors. The Memory Care Residences at Cottage Grove proudly extends the long tradition of excellence that has characterized the Rochester Presbyterian Home.



Baptist Health Small House Skilled Nursing

Client Name: Baptist Health Nursing and Rehabilitation Center Contact: Timothy Bartos, President/CEO Phone: (585) 370-4700 Completion Date: 2015

Baptist Health Nursing and Rehabilitation Center consists of a 48 acre parcel master planned into a five phase project. The first phase includes a three story Assisted Living building and a one story commons building that will serve as the link between the Assisted and Independent populations, and will house activity and support services.

Construction Cost: $31M

The second phase includes the construction of 16 Small House homes and a commons building, which will contain administration and support services for the nursing population. The third phase includes a three story Independent Living apartment building, which will link directly to the commons area and Assisted Living. The fourth phase includes 36 independent living cottages. The fifth phase provides room for growth for both the Assisted Living and Independent Living towers. Adjacent to the developed campus site is a commercial parcel that BHNRC has reserved for a commercial development, such as a bank or medical office. Baptist Health is currently located in Scotia, NY. Upon completion of the Small House component, the existing nursing home will be converted into medical offices and affordable senior housing.



Jewish Home Lifecare Green House速 Project

Owner: Jewish Home Lifecare Location: Mamaroneck, NY Contact: Christopher Ferrari, Administrator Phone: (914) 698-6005

Not a house but a home

SWBR Architects was referred to Jewish Home Lifecare by The Green House Project to provide design review services in an effort to help reduce projected building size and construction cost. After analysis of the design documents SWBR was able to propose a conceptual design which reduced floor plate size by roughly one thousand square feet per floor. The proposed concept was noted by the client to offer elder and staffing advantages as well, reducing travel distances and optimizing service routes. Building massing was analyzed and the pictured concept reduced building volume while promoting a contextual design responsive to the neighboring community.


Eger Nursing Home and Rehabilitation Center Mid-rise Green House速 Concepts

Owner: Eger Nursing Home and Rehabilitation Center Location: Staten Island, NY

The Green House速 concept may be employed in low, mid, and high rise solutions in urban areas or on existing health care campuses. Each home is treated individually with its own entry, service, and public areas for elders. Outdoor space is accommodated through the use of a balcony. Every effort is made to ensure that each house maintains its own unique identity and staff. SWBR Architects has worked Eger Nursing Home and Rehabilitation Center on Staten Island, NY to explore the possibility of a mid-rise Green House速 model on their space constrained primary campus. While sitting atop a hill with a beautiful view, Eger would like to maintain the character of the wooded steep slope site. In this concept views are created to the nearby bodies of water surrounding Staten Island.



Skilled Nursing


Cattarugus County - The Pines at Machias Skilled Nursing Home

Owner: Cattarugus County Location: Cattaraugus County Construction Cost: $12M

SWBR Architects completed programming through construction administration services of a 117-bed Skilled Nursing Home for Cattaraugus County. This new home replaced the existing building on the same site.

Completion Date: 2003

A contextual residential environment has been created in both appearance and function. Residential scale at the living areas provides departure from the institutional arena. Shorter travel distances encourage greater resident mobility and decreased reliance on nursing aides. The new home provides a greater sense of resident personal space and control with a decreased emphasis on sacred “staff territory�. The physical layout promotes staff cross training and staff empowerment. The Pines at Machias home uses the concept of the household unit. A smaller, self-contained unit provides the residents with a more personal, homelike environment. Two 12-bed households offer dementia care. Dining, kitchen, living, individual rooms and bathing all occur within a 12-bed household. Administrative functions and public entry occur in the historically detailed Octagon House at the center of the home. Modeled after 19th Century rural architecture, the Octagon House acts as the hub of the campus around which all of the residential households are clustered.



The Friendly Home Skilled Nursing Facility

Owner: The Friendly Home Contact: Jim Dewhirst, President/CEO Phone: (585) 381-1600 Location: Brighton, NY Construction Cost: $17M

The Friendly Home is one of the oldest, most established Nursing Homes in Rochester. Facing competitive pressures, the Friendly Home was hampered by small double rooms in their existing home, and a lack of storage space. A new entrance addition creates a welcoming first impression to the building.

Completion Date: Spring 2009

After two years of construction, 42,500 new square feet of building additions, newly designed rooms including spacious companion suites, a relocated Transitional Care Center and new Memory Care Center, The Friendly Home’s major addition and renovation project is complete. Since breaking ground on this project in June of 2008, The Friendly Home has undergone a dramatic transformation in size and appearance, as well as in offerings of new amenities and enhanced services. “The new building represents the next chapter in our history, enabled The Friendly Home to best satisfy the needs and expectations of our Members which have changed and grown significantly over time,” notes James E. Dewhirst, President and CEO.



Beechwood Continuing Care Welcome Home

Owner: Beechwood Welcome Home Location: Getzville, NY Completion Date: Spring 2008 Ph. 1, Summer 2009 Ph. 2

Beechwood Continuing Care hired SWBR Architects in the Fall of 2003 to prepare a master plan for the Campus. In particular, Beechwood Continuing Care wished to convert the Beechwood Residence and the Nursing Home into a “neighborhood concept” nursing home model, from the traditional medical model layout. Over the next several years, SWBR Architects developed a series of design options addressing these goals. The renovations were broken into a pilot program and two distinct phases. Under the pilot program a single household was created by Limited Review CON’s in each of the buildings. These households served as test cases for not only the architecture, but also the operations, staffing, and culture change required. Upon realizing success with the pilots, Beechwood then rolled out plans for more extensive renovations broken into Welcome Home Renovations, Phases 1 and 2. This “household concept” has risen out of experiences and research at a number of facilities; notably Providence Mount Saint Vincent in Seattle and the Evergreen Retirement Community in Oshkosh, Wisconsin. The basic premise is to create 18-20 resident “households”, in lieu of traditional 40 resident nursing units.




Independent and Assisted Living


Thompson Health Ferris Hills at West Lake

Owner: Thompson Health Location: Canandaigua, NY Completion Date: 2001 Construction Cost: $18M

Ferris Hills at West Lake has been designed to meet the discerning needs of the Canandaigua independent living for seniors market. The 96 unit independent living, 36 unit enriched living community has been carefully sited upon its sloping hillside to afford the maximum views of Canandaigua Lake from resident apartments and gathering spaces. The 57 acre site retains its natural wooded edges and is improved with the addition of walking paths and water features. Activity areas within the 20,000 SF common area include a greenhouse, arts and crafts, beauty shop, gift shop, dining room and a cafĂŠ. Forty-eight below grade parking spaces have been provided for the residents. The focus of the design is the second-story Club Room, over the entrance porte-cochere, with its stone fireplace and panoramic view. SWBR collaborated with Greystone (development consultant) and LECESSE Construction as members of the design and construction team.



The Highlands at Pittsford Senior Living Community

Owner: The Highlands at Pittsford Contact: Lloyd Theiss, Executive Director Phone: (585) 586-7600

With 198 living units, the Highlands provides varying degrees of senior living for the elderly. The building is divided into three main areas: independent living apartments, the commons, and enriched living apartments (Laurelwood).

Location: Pittsford, NY Construction Cost: $30M Completion Date: Ph. I – 1994 Ph: II - 2000

There are 138 independent living units. There are 6 types of units, all with a full kitchen, but occupants have the option of eating in a community dining room in the commons. The commons is dedicated to resident lounges, a library, arts and crafts room, multipurpose room, fitness room, business center, areas for meetings, barber/beauty shop, management offices, laundry, restaurant-style dining rooms, and a kitchen. The design is in keeping with its 50-acre site in Pittsford, NY. Brick, analogous to that used in downtown Pittsford, was chosen for the exterior. Gales, dormers, porches, and cupolas were used, giving the building traditional detailing and a residential scale. The interior of Highlands at Pittsford, by Bridget Bohacz and Associates, follows similar cues. The entrance surrounds to each apartment, with crown molding and a shelf for packages or personalizing, having the sense of an entry to a home.


The Highlands at Pittsford Cottages

Owner: The Highlands at Pittsford Contact: Lloyd Theiss, Executive Director Phone: (585) 586-7600 Location: Pittsford, NY Construction Cost: $8M Completion Date: 2005

The 36 cottages on the campus of Highlands at Pittsford are designed with “Neotraditional� design concepts in mind; welcoming front porches, an extensive sidewalk system, and unobtrusive rear garages. Cottage designs blend nicely with those of the greater Town of Pittsford. The exterior design, roof lines finish materials and colors are varied to produce a true village environment. Two basic floor plan designs have been customized to meet the needs of each resident. The Hahnemann Club is a cottage community gathering place and includes multi-purpose, wellness and kitchen functions. Construction of this $8 Million project will be complete by the Summer of 2005. SWBR collaborated with CSD Architects and LeCesse Construction as design and construction team members.


Living Communities, Inc. Rivers Run Senior Housing at RIT

Client Name: Living Communities, Inc. Contact: Pat Tobin, President Phone: 585-924-3050 Completion Date: 2009

This project includes 70 cottage units and 82 independent living apartments (with another 38 independent living apartments and a 40 unit assisted living building planned for Phase II) adjacent to the campus of the Rochester Institute of Technology. This senior community is a destination for RIT alumni and its’ significant deaf population. The Atheneum, RIT’s center for adult learning, will cooperate with the new community to provide life-long learning opportunities. Rivers Run is located along the Genesee River and near RIT’s boathouse for the crew team. Correspondingly, the architecture has a nautical flair.


St. John’s Senior Communities Brickstone Active Adult Community

Owner: St. John’s Home Contact: Mr. Charles Runyon, CEO Phone: (585) 271-5413 Location: Rochester, NY Construction Cost: $24M Completion Date: 2012

In association with CSD Architects, SWBR has designed St. John’s Brickstone Community. It is aimed at active seniors and includes 40 apartments, 9 townhouses and 53 bungalow units. The community has been designed with New Urbanism principles in mind; a relatively small, pedestrian-friendly cluster development that includes amenities such as shops and cafes within walking distance to the homes. Rear-loaded parking garages are opposed by front porches that encourage a separation of vehicular and pedestrian traffic. The central winter-garden will serve as a gathering space for Brickstone residents as well as the greater Town of Brighton community.

The community portrays a village character, with larger masses broken into smaller buildings with unique materials and accents.


St. Ann’s Community Cherry Ridge

Owner: St. Ann’s Community, Debra Metzger, Director of Planning Phone: (585) 697-6000 Location: Rochester, NY Construction Cost: $30M Completion Date: 2005

St. Ann’s Community developed Cherry Ridge, their new campus 15 minutes from it’s existing location. The $30 million project consists of 55 patio homes, a 71 unit independent living facility, a 51 unit assisted living facility with multi-purpose space and a chapel, as well as a 24-hour unit care facility. The entire campus portrays an arts and crafts theme, with the chapel serving as the centerpiece. Elements of stone and brick were used for entrances to the new buildings and wood cedar shake, a style of siding, was used as opposed to horizontal sizing, which is used more often today. Potential residents will have the choice of one and two bedroom apartments as well as two bedroom cottage homes. The 1,300 SF cottage homes include a kitchenette, living room, two bedrooms, bathroom and a garage. Common areas shared by residents include a library, café, beauty salon, fitness center and the chapel, which is the centerpiece of the campus, with meditation rooms. Cherry Ridge takes its’ name from the careful site masterplanning aimed to preserve the specimen cherry trees adjacent to Ridge Road, the entry point of the community. All buildings have been designed in a Craftsman style.



Client References We have listed our project experience, but the best credential is the testimony of our clients. Please ask them about our service and capabilities. St. John’s Home

The Friendly Home

150 Highland Avenue Rochester, NY 14620 Mr. Charles Runyon, CEO (585) 760-1200

3156 East Avenue Rochester, NY 14618 Mr. James Dewhirst, Executive Director (585) 381-1600

Department of Veterans Affairs Office of Construction and Facilities Management Mollie West, Health System Specialist (202) 632-5682

Saint Elizabeth Community One Saint Elizabeth Way East Greenwich, RI Steven Horowitz President and CFO (401) 471-6060

Pride Mark Homes, Inc. 2024 West Henrietta Road Rochester, NY 14623 Mr. James Barbato, Vice President (585) 424-4444 Contractor for St. John’s Green House and the Rochester Presbyterian Home

The Green House Project NCB Capital 2011 Crystal Dr. Suite 800 Arlington, VA 22202 Susan Frazier, Chief Operating Officer (703) 647-2314


Clients Served Skilled Nursing Beechwood Continuing Care Canandaigua VAMC MM Ewing Continuing Care The Friendly Home Highlands at Brighton Loretto Pines at Machias Steuben County Home Baptist Health

Independent and Assisted Living

Asbury Pointe Baptist Health Beechwood Blocher Home Christopher Communities Community Missions College Greene Edgewood Summit Sr. Living Community Elizabeth Blackwell Green House® and Small Apartments Ferris Hills at Westlake House Homes Highlands at Pittsford Canandaigua VAMC Hopkins Court Sr. Living Loretto Rochester Presbyterian Home Community Mt. St. Mary’s Apartments St. John’s Home McNiff Commons St. Elizabeth Community Pinegrove Estates Eger Nursing Home and Regency Park Rehabilitation Center RIT Rivers Run Jewish Home Lifecare Rochester Presbyterian Home Lake Health District St. Ann’s Cherry Ridge Baptist Health St. John’s Home St. Johns Brickstone Memory Support St. John’s Meadows DePaul Glenwell Thompson Apartments Highlands at Pittsford Lutheran Home Cottages St. Ann’s Cherry Ridge Highlands at Pittsford Pines at Machias Rochester Presbyterian Home RIT Rivers Run St. Ann’s Cherry Ridge St. John’s Meadows


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