Building or renovating an assisted living environment takes a very different level of care than standard commercial construction. These spaces need to feel warm, safe, and welcoming for residents while also meeting strict healthcare, accessibility, and life safety requirements. At Streamline Construction, we provide assisted living facility construction services throughout Northern California with that balance in mind every step of the way. We design, build, remodel, and upgrade senior care environments that are functional, compliant, and thoughtfully built for the people who live and work in them. From small improvements to large-scale renovations, no project is too big or too small, and we offer free estimates to help facilities begin planning with clarity and confidence.
Built on Decades of Healthcare Construction Experience
Streamline Construction was founded by Jesse McKenna, who brings more than 30 years of dedicated healthcare construction experience to every project. That background matters because senior living construction comes with layers of complexity that generic builders often underestimate. State compliance, infection control, accessibility standards, phased construction, and resident safety all have to be managed carefully from the start.
Since 2002, we have focused on healthcare and senior care environments with a strong emphasis on doing the work correctly, passing inspections efficiently, and protecting the daily life of the facility throughout the project. We are proud to serve assisted living communities, skilled nursing facilities, and healthcare-related properties throughout Northern California with specialized construction expertise.
Assisted Living Construction Is Not Standard Commercial Work
An assisted living or senior care project has to support two very different priorities at the same time. It needs the comfort and familiarity of a home, but it also needs the safety infrastructure and regulatory precision of a healthcare setting. That means every detail matters, from egress routes and corridor widths to shower thresholds, handrails, alarms, electrical systems, and infection-control planning.
Our team understands the distinct requirements involved in:
- Assisted living facility construction
- Senior living construction
- Senior care facility construction
- Retirement home construction
- Elder care facility construction
- Senior housing construction
- Skill nursing facilities renovations
We help clients create spaces that work for residents, caregivers, administrators, and inspectors all at once.
Specialized Construction Services Across Northern California
Because Streamline Construction is experienced in healthcare and senior care construction, we bring a practical understanding of what facilities throughout Northern California need to keep projects moving smoothly. We understand the importance of planning around active resident care, coordinating with facility leadership, meeting healthcare construction expectations, and completing work in a way that supports safety from the first day of construction through final inspection.
For clients, that means working with an assisted living contractor who understands California healthcare construction rules, HCAI requirements, Fire Life Safety expectations, and the real-world demands of building in occupied senior care environments. Whether your project involves a small update, a phased renovation, an expansion, or a larger facility improvement, we bring the organization and experience needed to help the work move forward with fewer disruptions.
Strict Compliance and Regulatory Knowledge
Senior care construction demands absolute attention to code and regulatory compliance. Our team brings deep experience with HCAI, formerly OSHPD, along with Interim Life Safety Measures, OSHA, Fire Life Safety compliance, and ADA-related requirements. These are not side considerations. They are central to how a project must be designed and executed.
We help clients navigate:
- HCAI and OSHPD compliant remodeling
- ADA accessibility conversions
- Fire Life Safety upgrades
- State healthcare structural requirements
- Inspection preparation and coordination
- Local and state permitting processes
- Electrical upgrades and corrections through our Electrical Division
We only use qualified, licensed subcontractors who are familiar with OSHPD, HCAI, life safety measures, codes, and standards. This experience helps reduce costly surprises and gives clients confidence that the project is being managed with the right level of discipline from planning through completion.
Construction With Minimal Disruption to Residents
One of the most important things we bring to senior care projects is our strict commitment to zero-to-minimal disruption. In occupied assisted living and skilled nursing environments, construction cannot come at the expense of resident peace, safety, or daily routine. That is a standard we take very seriously.
We plan our work around your facility’s schedule, paying close attention to mealtimes, resting hours, staff workflows, and resident movement patterns. We use containment systems, dust control measures, and noise mitigation protocols designed for occupied healthcare-related settings. Our goal is to complete the work without turning daily life into chaos for the people who call the facility home.
End-to-End Assisted Living Construction Services
We provide full-service construction support for new, expanding, and existing senior care properties. With healthcare construction experience, an Electrical Division, and access to qualified, licensed subcontractors, our team can help facilities manage a wide range of project needs with careful coordination.
Our services include:
- Ground-up assisted living construction
- Facility expansions and wing additions
- Memory care unit additions
- Dining hall and therapy area expansions
- HCAI and OSHPD compliant remodeling
- ADA accessibility upgrades
- Fire Life Safety corrections and modernization
- Skill nursing facilities renovations
- Electrical upgrades, repairs, and improvements
- Custom in-house cabinetry for nurse stations and resident storage
This gives our clients one experienced partner from planning through completion, rather than having to manage multiple disconnected vendors.
Our Process Keeps Projects Organized and Compliant
We follow a structured framework designed to support both compliance and smooth execution.
Pre-Construction and Phasing Alignment
We begin by mapping architectural plans, life safety measures, electrical needs, and a project phasing strategy built around your facility’s daily operations.
Permitting and Regulatory Coordination
Our team handles local permitting and works directly with state healthcare inspectors to move plans through the approval process before work begins.
Clean-Containment Construction
We establish dust containment, air management, and noise control systems while maintaining a clean and tightly managed site.
Compliance Testing and Final Handover
We coordinate inspections, complete required corrections, and deliver a finished environment ready for licensure and occupancy.
Why Clients Choose Streamline Construction
Clients choose us because they need more than a general builder. They need a construction partner who understands senior care settings at a specialized level and who knows how to protect the facility experience while getting the work done.
They trust us for:
- More than 30 years of healthcare construction experience
- Senior care construction specialization
- Deep HCAI, OSHA, ILSM, and FLS expertise
- Service throughout Northern California
- A dedicated Electrical Division
- A strong focus on minimal disruption
- Fully licensed and insured California general contracting
- Qualified, licensed subcontractors familiar with OSHPD, HCAI, life safety measures, codes, and standards
- Detailed, compliant project execution
- Free estimates
- Support for projects of all sizes
Frequently Asked Questions
How do you prevent construction noise and dust from disturbing current residents?
We use containment walls, HEPA-filtered air scrubbers, and controlled scheduling to reduce noise, dust, and disruption as much as possible.
How do you help protect clients from cost overruns?
We provide detailed, line-item budgets during pre-construction and use our healthcare construction experience to identify compliance-related requirements early.
How long does an assisted living wing remodel usually take?
Timelines depend on project scope and state review requirements, but our specialized process, in-house capabilities, and coordinated subcontractor network help keep projects moving efficiently.
Are you qualified to handle Fire Life Safety corrections required by California inspectors?
Yes. We specialize in FLS-related upgrades, corrections, and modernization to support ongoing compliance and safe occupancy.
Do you handle electrical work for assisted living and skilled nursing facilities?
Yes. Streamline Construction has an Electrical Division that can support electrical upgrades, corrections, improvements, and related construction needs for healthcare and senior care environments.
Do you offer free estimates?
Yes. We provide free estimates, and we are happy to discuss projects of all sizes. Whether your facility needs a focused repair, a compliance upgrade, or a larger renovation, no project is too big or too small.
Build With a Contractor Who Understands Senior Care Spaces
Assisted living construction has to be handled with skill, patience, and a real understanding of the people the building serves. At Streamline Construction, we provide assisted living construction services throughout Northern California with the healthcare expertise, compliance discipline, and project coordination these environments demand. Whether you are planning a new facility, an expansion, Skill Nursing Facilities Renovations, electrical improvements, or a state-compliant remodel, our team is ready to help you create a senior care environment that is safe, functional, and built to serve with dignity. We offer free estimates, welcome projects of every size, and bring the right team together to help your facility move forward with confidence.
I enjoy working for Streamline Constructions and be part of a great team. From management to office staff and coworkers, everyone treats me respectfully and professionally. It is a great company to work for and it allows me to advance my career in industrial construction in the health care industry.
Justin has been a part of the streamline team for a little over 4 years now. As a small project superintendent he provides support to his facility engineers while taking care of small projects and renovations such as infection control, demolition, floating and hanging drywall and painting being his specialty.
Morgan brings 6 years of office experience to Streamline Construction. Daily, she assists our Human Resources Manager and others in the office with paperwork and other tasks. Her responsibilities include, but are not limited to directing phone calls, filing and tracking subcontractor contracts and insurance.
Jim brings a wealth of expertise to Streamline, with more than 22 years of experience in construction, and 12 years of experience specific to hospital construction. Jim’s responsibilities as a superintendent include scheduling work for his crew and subcontractors, enduring that inspections are conducted as necessary, and meeting with owners and architects.
Clayton has over 11 years of experience in hospital construction and is well versed with OSHPD guidelines and requirements. He supervises and runs projects to ensure their successful completion with his number one focus on client happiness.
Jake has been a member of the Streamline family for 6 years. His responsibilities as a superintendent include taking a team leadership role on challenging builds, scheduling projects and subcontractors, doing job walks, facilitating communication with facility staff and administration personnel, purchasing materials, and conducting site inspections for infection control, cleanliness, PPE, and condition of tools.
Steve has worked at Streamline for more than 5 years, and as Superintendent of the Methodist Hospital site, is responsible for scheduling projects there and ensuring that they are completed correctly, cleanly, and on schedule. Thanks to Steve’s expertise, the impact of construction on hospital operations is minimized, allowing patients to continue receiving the care and attention they need without delay.
Jake has worked for four years at Streamline Construction, and has a total of 10 years in the healthcare construction industry. As a small project superintendent, he provides support to facilities engineers while also taking care of small renovations on outpatient buildings, such as infectious control, demolition, framing, drywall, painting, and taping and floating drywall.
Karry brings more than 30 years of construction experience to Streamline Construction, where he has worked as a small projects supervisor for 5 years. Karry is in charge of Mercy General Hospital’s maintenance program, as well as a number of other OSHPD projects.
Jon has worked in residential and commercial construction for more than 28 years, and has been part of the Streamline Construction crew for the last 12 years. His duties include overseeing employees and subcontractors, keeping projects on schedule and under budget, and ensuring the safety and comfort of patients and medical personnel around construction areas.
Having worked at Streamline for more than 10 years, Brian brings a total of more than 22 years of construction experience to the job of superintendent. His responsibilities include scheduling, coordination, and inspection of subcontractors, as well as ensuring the quality and craftsmanship of work produced by employees, per OSPHD approved drawings.
Teala brings more than 9 years of office experience to Streamline Construction, and has been with the company for nearly 4 years. On a daily basis, she assists our CFO and Human Resources Manager with paperwork and other tasks. Her other responsibilities include, but are not limited to: answering phones, filing, tracking subcontractor contracts and insurance, and tracking waivers.
Robyn has been with Streamline for more than 8 years, and brings with her over 22 years of accounting and tax preparation experience. She is responsible for managing a number of critical office tasks, including operation finances, accounting, human resources, cash balances and forecasts, insurance and bond renewals, payroll and taxes, and acting as a member of the executive management team.
Tim has more than 42 years of experience in construction, and has spent the last 22 of those strictly in healthcare construction. In 2008, Tim was asked by Streamline President Jesse McKenna to join the company as a partner. Today, Tim oversees most projects by working with project managers, developing and bidding new projects, expanding Streamline’s markets, developing relationships with new contacts, and assisting Jesse with the management of the company.
Justin has worked at Streamline for more than 7 years, and has a total of 17 years in the construction industry. In his role as project manager, Justin oversees construction projects at OSHPD facilities, with his responsibilities including value engineering, budgeting, scheduling, writing contracts, and project estimation.
While a relative newcomer to Streamline with two years at the company, Aaron has more than 6 years of experience in healthcare construction, and 15 total years of construction experience. Aaron manages a number of challenging responsibilities, including project scheduling, budgeting, and bidding.
Garson has worked at Streamline Construction for 2 years, and as an assistant project manager is responsible for tasks including processing RFIs and submittals, recording meeting minutes from weekly project meetings, processing contracts and change orders, and assisting with bidding and estimating.
Ryan has worked at Streamline Construction for 3 years, and is responsible for ensuring that all facilities managed by the company are up to date on fire line safety.
Tom has worked at Streamline for 2 years, and brings more than 20 years of construction experience to the company. As a project superintendent, he keeps projects on schedule, schedules subcontractors, checks to make sure that projects are built according to approved plans, makes sure that necessary inspections are conducted throughout the construction process, and ensures the safety of everyone onsite.
Ryan has worked at Streamline for more than 4 years, and works out of the Dignity Health Woodland site. There, he coordinates with on-site engineers to maintain the hospital’s buildings, and works with administration, staff, and patients to ensure that everyone’s needs are met.
Hooman has worked at Streamline for three years, and as a superintendent is responsible for a variety of responsibilities related to the oversight and supervision of projects, including developing relationships with key hospital personnel and construction subcontractors, as well as doing everything possible to surpass the expectations of Streamline’s clients.
Rick has been a member of the Streamline Construction team for two years, working as a small project superintendent. His responsibilities include supporting facility personnel onsite while also independently conducting building renovations.
Desiree has worked at Streamline for more than a year, performing office activities and special projects for Streamline’s senior management, as well as the team as a whole.
Robert has worked at Streamline for 3 years, and in the healthcare industry for more than 10 years. His responsibility is to develop the company both internally and externally. Internally, he develops programs and tools that improve efficiency and safety. Externally, he manages existing client relationships—ensuring that Streamline consistently delivers high quality service—and reaches out to new clients via healthcare organizations such as CSHE. He also manages Streamline’s Sacramento Division, and manages multiple multimillion dollar projects.
Anatolie has worked for Streamline for more than 4 years as a small projects supervisor. His responsibilities include ensuring the timely completion of project duties, filing necessary paperwork, coordinating with facility personnel, submitting receipts and other job-related time and cost records, and ensuring satisfactory coordination with other project personnel.
Cory brings more than 20 years of construction experience to Streamline Construction, where he has worked for two years. As a superintendent, Cory’s responsibilities include overseeing production, ensuring that quality specifications and deadlines are met, and anticipating and averting any potential problems that could lead to delays.