Hughes Associates A&E was selected to provide conversion plans for LewisGale Hospital Alleghany Fifth Floor. The design changed offices and patient rooms into a much needed, secure, Geriatric Psychiatric Unit for the region. The 34-room renovation included 15 patient rooms, nurses station, separate rooms for quiet and lively activities, offices, waiting and support rooms. Anti-ligature design measures and life safety systems specifically for elderly psychiatric patients guided the project. Ensuring a safe and secure unit required working with the local Fire Marshal to relocate an existing smoke barrier. The project cost came in under budget and on schedule.