Aerial view of a hospital campus with surrounding green spaces and parking areas
Healing Garden — Phase II Complete
ADA Regrading — Emergency Loop
Stormwater Bioswale — North Lot

Healthcare Site Engineering / Since 2009

We read
site plans
before we
break ground.

Joint Commission Compliant·Zero Facility Closure Days·ADA Slope Certified·Infection Control Setbacks·Stormwater Engineering·Therapeutic Garden Design·Phased Installation·LEED Healthcare·Joint Commission Compliant·Zero Facility Closure Days·ADA Slope Certified·Infection Control Setbacks·Stormwater Engineering·Therapeutic Garden Design·Phased Installation·LEED Healthcare·

/ Case Study Archive / 2022–2026

Three Hospitals.
Three Scales.

Every project below was installed during active patient operations. None required a facility closure day.

01 / Clinic EntranceSingle Building / Cleveland, OH

Northside Oncology Entrance Regrading

A 3.2% cross-slope that violated ADA and collected standing water at the ambulatory entrance.

Site Constraints

Existing slope: 3.2% — ADA maximum 2.0%
Active patient drop-off during all install hours
Chemo suite directly above: zero vibration tolerance
14-day phased install window, nights only

We cut and recompacted 840 sq ft of subgrade, installed a French drain to intercept the redirected flow, and repaved with a 1.8% finished slope. Every pass was done between 9 PM and 5 AM using low-vibration compaction equipment.

14consecutive nights. Zero patient disruptions.
Smooth paved entrance with planted border at a medical clinic, ADA-compliant ramp with linear drain
2024

Patients with mobility aids now enter dry and level.

The finished entrance reads clean — bluestone pavers flush with the threshold, a recessed linear drain invisible until it rains, and a 12-ft planted buffer that replaced the old concrete splash zone.

ADA compliant to 1.8% finished slope
840 sq ft regraded and repaved
Planted buffer: 3 species, no irrigation needed
Joint Commission walkthrough passed first review

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02 / Multi-Building CampusMulti-Building / Pittsburgh, PA

St. Francis Regional Medical Center — Campus Drainage Overhaul

Six buildings, four stormwater zones, one ambulance loop that could never close.

Site Constraints

14.2 acres across 6 interconnected structures
Emergency department loop: zero closure at any time
4 separate stormwater sheds needing unified drainage
Infection-control buffer: 25 ft minimum from any HVAC intake

We phased the work across 11 sections, sequencing around ambulance rotations, supply delivery windows, and shift changes. Each bioswale was sized to handle a 100-year storm event per the county engineer's requirement.

14,200sq ft graded. Zero facility closure days.
Hospital campus aerial view with green bioswale corridors and planted drainage channels between buildings
2023

A campus that drains in an hour and heals in a season.

Three bioswales now run along the north lot, east connector road, and the oncology wing courtyard. The emergency loop was resurfaced and regraded in 72-hour segments on four consecutive Sunday nights.

3 bioswales, 680 linear feet total
Emergency loop regraded: 4 Sunday nights, zero disruption
100-year storm capacity per county standard
Planted with 7 native species, self-sustaining after year 2
03 / Children's Hospital RooftopFull Campus / Indianapolis, IN

Riley Children's — 4th Floor Rooftop Therapeutic Garden

A rooftop rated for 40 PSF holding a garden that needed soil, drainage, and a 10-year maintenance plan.

Site Constraints

Structural load limit: 40 PSF live load
Growing media engineered to 18 PSF saturated
Internal roof drain network: zero penetrations allowed
All materials hoisted through a single 6-ft service hatch

We specified a lightweight expanded shale growing medium at 18 PSF saturated, installed a root-barrier drainage mat above the existing membrane, and designed the planting plan around the structural grid — heavier planters centered over columns, lighter groundcover in the field.

6,400sq ft of therapeutic garden. Structurally safe.
Rooftop garden with raised planting beds, paved sensory path, and green plants at a children's hospital
2022

Pediatric patients look out at living green, not mechanical equipment.

The garden includes a sensory path with varied textures, raised beds at wheelchair height, and a protected corner with seating shaded by columnar serviceberries. Families use it daily. The head of oncology called it the most-used square footage in the hospital.

6,400 sq ft rooftop garden installed at 4th floor
Structural load: 18 PSF saturated, 40 PSF rated
Sensory path: 3 surface textures, fully ADA compliant
Zero roof membrane penetrations in drainage design

/ By the Numbers / 2022–2026

The math behind
zero disruptions.

Every metric is drawn from project close-out reports, not marketing estimates.

Headline Metric

14,200 sq ft

graded without a single facility closure day.

St. Francis Regional Medical Center — Pittsburgh, PA — 2023

0 sq ft

Graded without a single facility closure day

St. Francis Regional — 2023

0+

Hospital campus projects completed

Single clinic to full system refreshes

0%

Joint Commission first-review pass rate

Across all healthcare installs 2021–2026

0

Facility closure days across all projects

Phased installs scheduled around operations

/ Site Walk Request

Schedule a
Site Walk.

Every engagement starts with a free site walk. We bring a level, a tape measure, and a copy of your existing site plan if you have one. The walk takes 45–90 minutes depending on campus size. You'll leave with a verbal assessment and a written scope within 5 business days.

What happens next

01

We confirm the walk

Within 1 business day of your request.

02

On-site assessment

45–90 min with our lead site engineer.

03

Written scope

Delivered within 5 business days, no obligation.

sitewalk@groundshe.com
(614) 882-4400

No commitment required. We confirm within 1 business day.

/ Healthcare Compliance Resource

The Compliance
Checklist.

Every standard a facility director needs to verify before a Joint Commission walkthrough. Assembled from 15 years of healthcare site work.

Healthcare Site Compliance Checklist

PDF / 8 Pages / Updated Feb 2026

Joint Commission Environment of Care (EC) Standards
ADA Slope Compliance — Maximum 1:20 (5%) running slope
Infection Control Risk Assessment (ICRA) Zones
HVAC Intake Setback Distances — Minimum 25 ft
Stormwater Management Plan Requirements
LEED Healthcare Site Credits (SSc1–SSc5)
Emergency Vehicle Access Clearance Standards
Phased Construction Health & Safety Protocols

+ 24 additional line items covering site drainage, planting setbacks, and phasing protocols

Download Our Healthcare
Compliance Checklist

Used by facility directors at 12 health systems to prep for Joint Commission walkthroughs. Free to download — we ask for your email and role so we can send updates when standards change.

No spam. One email with the PDF, and updates when standards change.

12
Health systems use this checklist
100%
First-review JC pass rate
Free
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