Have you contacted Pope Architects in Minneapolis, they might be an option, they just completed our new 63 bed ALF in Lincoln Ne. I also have great respect for Adolph and Peterson Construction Company, another great contractor from in Minneapolis, they do work nationally and I would recommend them in a heartbeat.
I'm a Corporate Facility Director for a heath care facility in Lincoln, we own or manage about 700 units of senior care in Nebraska, I was hesitant to contract with an outstate contractor and architect but Pope and A/P did a great job for us.
I have also read where your wife works in Long Term Care, a great contact for her in Minneapolis would be Ecumen, they are a leader in senior living in the upper Midwest, they are a Lutheran based organization with a Christian back ground, another good organization.
Your wife might understand the Green House Philosophy, we were the second one built in the United States and now we have 5 houses and a dedicated Hospice house, honestly this is the future of long term care.
Good luck on your job search.
Joe H Lincoln Ne
www.popearch.comwww.ecumen.orgwww.a-p.comwww.tabitha.orgJoe