Based in Asheville, North Carolina The Vision Group specializes in the development, concept design and planning of sustainable healthcare, senior living and wellness communities. With our collaborative partners, we create “human centered” environments with a focus on brand, budgets and timelines. Our holistic approach integrates real estate, marketing and operations into the design process.Working out of the Historic Grove Arcade Building in downtown Asheville our team exudes the vitality that has kept this landmark building on the hit list of historic building officianados and Travel Magazines for nearly a century!


Clients today are looking for solutions to the rapidly evolving senior housing market. Confronted with an increasingly frail resident at entry, “ageing in place” in Independent Living and the “household” model for assisted living and nursing, the focus on design is vital. The largest impact with older adult’s relationship to their environment is loss of balance, cognitive impairment, loss of strength, visual impairment, hearing impairment, and increased sensitivity to cold, drafts, and direct sunlight.


A growing part of the design industry’s work is in the field of Evidence Based Design (EBD) and Research. The Vision Group has utilized both quantitative and qualitative research in select projects since the early 90’s beginning with Medical Practice specialties. Recent research includes Environmental cues in “culture” building, increased resident engagement from “Main Street” renovations and a variety of POE’s which have helped the continuous improvement of our work in the senior care space.


The staff understands the philosophy behind both the quality of care and the design of the physical environment, they are unlikely to take full advantage of the building or enable residents to optimize the design. Organizing communication, eliciting shared objectives and evolving a “Vision into a Reality” is the foundation of any successful project. The Vision Group aligns the owner’s critical success factors in a building project across staff, design, construction, end-user and the marketing team to insure that what is built is utilized in the way that was envisioned, to allow a systemic, sustainable facility improvement over time; we call this Generative Space.


Real estate costs compose an average of 10% of an organization’s fixed cost. But the consequences of these decisions are also realized in staffing cost, brand perception and financial positioning. Enterprise strategy involving site selection, lease vs purchase options tax consideration, public incentives and entitlement negotiation, must factor into short term and long term strategic planning. A solid real estate strategy forms a foundation for sustainability and profit.