Purchased by Central City Concern two years after it originally opened as a hostel, the 16 x Burnside Recovery Center embraces its residential and hospitality origins to establish a long-term drug and alcohol recovery space that feels anything but institutional. CCC knew that the hostel’s previous use would make for a great adaptive reuse conversion. Certifying that the design of the space is more hospitality than hospital, the IMD waiver allowed 16 x Burnside Recovery Center to retain more of its rooms than a typical recovery facility. As an adaptive reuse project, there were some elements of 16 x Burnside Recovery Center that needed to change in order function as a first-rate residential treatment facility. We met with user groups to determine essential needs, leading us to reduce the number of beds within the structure from 284 to 74, converting the unneeded rooms into public lounges, quiet rooms and milieu space. Several new medication dispensary areas on each residential floor makes use of Dutch doors and glass partitions to safely and efficiently deliver care to residents along with the addition of therapist offices which grants residents the ability to meet one-on-one with caseworkers as desired as they progress through their rehabilitation journey. The original coffee bar and retail space was converted into meeting areas for support groups of various sizes and the hostel’s bar was removed to double the scope of the kitchen, and an unused stage was incorporated into the open dining area as raised seating. An intake office on the ground floor replaced the hostel’s check-in desk with more resident and food storage created in the back-of-house area. The division between staff and resident areas in 16 x Burnside Recovery Center is very clear cut, with back-of-house offices on the first floor and a staff break room kitchen area, as well as a balcony patio, on the fifth floor – an important consideration since the building is in operation 24 hours a day. Even for staff, the building is one of abundant amenities and high-quality considerations. Safety and security measures such as sightlines in the hallways, key fob-secured doors, and safety lights in restrooms that alert staff if someone is potentially OD-ing were included to ensure that even with the freedom to go at their own pace, residents are still being looked after and kept safe. Sensory rooms repurpose hostel spaces and provide a respite for overstimulated residents. Because 16 x Burnside Recovery Center is a voluntary rehabilitation clinic, residents are granted the freedom to face recovery on their own terms. Free range of the facility, including a ground-floor patio area and communal spaces on every floor, prevents the building from feeling institutional and encourages residents to create and follow a routine that works for them. Even though CCC regularly provides clean sheets and towels, a separate set of laundry machines for residents allow them to wash their own clothes and maintain a schedule, as well as their sense of autonomy is encouraged.