Marian Regional Medical Center

Marian Regional Medical Center is a sole-provider hospital serving the growing population in the surrounding California Central Coast.  With outdated patient rooms that were more than 40 years old, semi-private, and in desperate need of replacement, Dignity Health hired Moon Mayoras to design a new four-story expansion.

The 239,560-square-foot addition to Marian Regional Medical Center provides 181 state-of-the-art inpatient beds. In addition to increased capacity, the expansion replaces outdated pharmacy and nutritional services, and includes a new emergency department (ED) that doubles Marian’s current ED capacity. Moon Mayoras incorporated owner initiatives into the hospital design to enhance elements that promote a therapeutic healing environment, patient safety, and sustainable design.

The design organized the inpatient care units using a four-bed “cluster” concept that allows staff to remain closer to the patient and improves operating efficiency. Each cluster is equipped with its own work counter, charting station, and clean/soiled linen support areas. To optimize operational flexibility in response to clinical variations in bed need, this project provides swing-bed capability, which allows Marian to move bed clusters between inpatient units. The dramatic building image was influenced by the indigenous California Mission Style prevalent in Santa Maria and along California’s central coast. The main entrance is expressed through two monumental towers that rise above the four-story façade and articulate the primary facility access.


Santa Maria, California

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