The purpose of this paper is to report the survey of a long-term-care hosipital implementing extension and reconstruction for nursing care facilities. Some results show as follows: (1) Policies of transition to nursing care facilities with downsizing-care -with-private-room are decided in anticipation of institutional change in the near future. (2) By adopting steel construction, the hospital's buildings are relatively easy to extend and reconstruct. (3) One of the factors enabling the hospital to make a newly investment is favorability of the hospital's financial status.
