Building Costs for Nursing Home

NursingHome

Hi. I'm wondering if some quantity surveyors could help me out. I'm exploring potentially building a nursing home with a colleague. I was wondering if someone could help me out with costs, just for the building alone - to make it acceptable, warm, fit for somewhere you'd put a loved one, but as cheaply as possible.

I'm thinking 2000 SQM, over two floors to save on roofing costs, or would it be better single story but timber framed?

Assume land costs don't matter, or planning costs etc and don't include costs to fit out - i'm looking for a rough cost just for the shell, windows and doors in, roof on and plumbed / electrical work done.

Thank you in advance.

Gumbo

NursingHome wrote: »

Hi. I'm wondering if some quantity surveyors could help me out. I'm exploring potentially building a nursing home with a colleague. I was wondering if someone could help me out with costs, just for the building alone - to make it acceptable, warm, fit for somewhere you'd put a loved one, but as cheaply as possible.

I'm thinking 2000 SQM, over two floors to save on roofing costs, or would it be better single story but timber framed?

Assume land costs don't matter, or planning costs etc and don't include costs to fit out - i'm looking for a rough cost just for the shell, windows and doors in, roof on and plumbed / electrical work done.

Thank you in advance.

Good luck with that.
You need detailed professional advice in person, not from boards.ie
You have Fire Safety Certs to consider, Disability Access Certs to consider, lifts, Fire Strategy, sprinklers etc etc

This is not like building a house to shell and core and tipping away on the inside over the weekends.

Its a major build and detailed costings will need to be thought out considering specific site constraints such as water, electrics, sub station requirements.

Dudda

To build on kceire's point above that you need a professional it's not just any architect either. You need an architect with experience in this area. The architects office I work in do a few but I wouldn't go near them as I just don't have the knowledge. I stick to education projects and protected structures which I know as healthcare accommodation is very specialist.

A massive amount of regulations and guidelines exist for this. Crazy stuff you can't think of like how to remove the body of a deceased without upsetting other residents. How to design for people with early Alzheimer's so they can find their way back to their room and not climb into the wrong bed beside someone.
The back up facilities for the bedrooms are huge. Kitchens's, dining rooms, stores, clean linen, dirty linen, sluice rooms, day rooms, quiet rooms, prayer rooms, visitor and family rooms, medical and examination rooms, staff rooms, plant rooms, administration offices, etc. You need a huge amount of bedrooms to offset the cost of the support rooms required and almost all bedrooms now need to be single ensuite rooms which have to be wheelchair compliant so the bedrooms are huge. I'd question if you'd squeeze enough into 2000 sqm to make it viable to run.

Unless ye have three million EACH along with the site AND HAVE EXPERIENCE IN THE AREA then don't bother going any further.

tricky D

Staff accommodation also needs to be considered.

NursingHome

Thanks all for input.

I have got quotations for fire certs, lifts, all of those elements unique to the building requirements for a nursing home.

What i don't have is the 'easy' bit - which is costs for a basic building spec, which is why I turned to this thread for help.

If anyone can help with costs (choose the cheaper option of single story, or two story, and go from there) for a building, from foundations right through to electrical work for around 2000 sqm, i'd greatly appreciate it.

antoinolachtnai

You could start by looking at

https://www.building.co.uk/data/mini-cost-model-nursing-homes/3092916.article

That will give you the ballpark at least for the sort of investment you are talking about.

I don’t think you are really going about this the right way. You don’t build the least-cost structure for something like this. You build the home to be as profitable as possible which in practice means keeping operating costs as low as possible whilst still offering the same or a higher level of care than competing operators.

There is no point in an unfitted nursing home. You have to price all the way to the place being ready to roll. You need the building and for our to proceed on an integrated basis. Anything else and you are just setting up for interest bills.

The first step if you have a suitable site is that you really need to find an operator who will lease or buy the finished building off you. You need to understand their requirements and make your investment from there.

NursingHome

I plan to run the home, i'm trying to build it in the most economical way possible.

antoinolachtnai wrote: »

You could start by looking at



That will give you the ballpark at least for the sort of investment you are talking about.

I don’t think you are really going about this the right way. You don’t build the least-cost structure for something like this. You build the home to be as profitable as possible which in practice means keeping operating costs as low as possible whilst still offering the same or a higher level of care than competing operators.

There is no point in an unfitted nursing home. You have to price all the way to the place being ready to roll. You need the building and for our to proceed on an integrated basis. Anything else and you are just setting up for interest bills.

The first step if you have a suitable site is that you really need to find an operator who will lease or buy the finished building off you. You need to understand their requirements and make your investment from there.

antoinolachtnai

NursingHome wrote: »

I plan to run the home, i'm trying to build it in the most economical way possible.

I think you are trying to break the design and costs down into bits which you will then integrate. It will be very hard to get it to work this way. You run the risk of not having the knowledge and resources to do the integration well which could destroy your quality and costs. If you are depending on a bank or some sort of institutional equity for finance they will want the comfort of a recognized architect or designer.

If you plan to run the home then I would definitely bring in a developer who specialises in this And who will agree some sort of purchase price or lease with you. If you want to develop this, it needs an architect At the very least but probably a host of other professionals too. Others will know better but I think a QS would need to be in a bad way to get into the project as you have cast it. it is just too difficult for them to give you the figures you need.

There is also the bigger macroeconomic problem. You have a few years of planning and possibly fundraising ahead of you. No one really knows what it will cost to build in 2022. It’s not just a question of a few percent. We are at a volatile time. No one knows where technology and labour costs will lead us.

The only thing you know for certain is that there will be more old people during the home’s working life from 2025-2085 than there are now, so the most important thing is not really the capital cost (which in the end will work out at less than a few thousand per bed per year out of a yearly fee of maybe seventy thousand euros) but the quality and long term sustainability.