St. John's Health

Sage Living

Sage Living skilled nursing facility offers the only program in the region for long-term care of elderly clients.

Jackson, Wyoming
St. John's Health Foundation
AndersonMasonDale Architects


Total Square Feet

Efficiency and comfort for healthcare

The Big Picture

The Sage Living complex occupies the northwest corner of the St. John’s Medical Center, on the edge of the National Elk Refuge. The facility features 72 beds, long-term care neighborhoods, a memory support neighborhood, as well as a 11,000-square-foot town square for reception, staff offices, and dining and culinary services. A 6,000-square-foot basement was constructed, providing ample space for central services, laundry, and storage. This center replaced the old five-star St. John’s Living Center facility. At the time of construction, it was the only program in the area to provide long-term nursing care with private rooms, specialized Alzheimer’s and dementia support, and an acute physical and functional rehabilitation program for those recovering from injuries and illnesses such as strokes, traumatic injuries, COPD, and heart failure.

Ingenuity in Action

Along with some cold winter months,  the project’s complex shoring plan presented some challenges. The multifaceted process took two months to coordinate and two months to execute:

  • A 15-foot basement wall was built, and the plan called for dirt to be placed on one side of the wall.
  • The team realized they needed a dual-situation shoring plan to allow the foundation to be backfilled prior to having the required slab-on-grade and deck-slab poured.
  • Soil engineers determined the soil could be 1:1 instead of the traditional 2:1.
  • Geofoam was used in the east and west wings of the facility as backfill to continue operations before concrete was placed in the basement.
  • Temporary shoring was placed in areas that needed backfill first.
  • Excavation stayed open in the few areas not being worked on to control costs.

This up-front planning and ingenious approach led to solving the shoring issue and successful pours of the slab-on-grade and deck-slab.

beds in the new facility
patient rooms remaining open during construction
The little details
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