Rancho Los Amigos National Rehabilitation Center

Rancho Los Amigos Outpatient Entry Dusk SmithGroup
Rancho Los Amigos Campus Exterior SmithGroup
Rancho Los Amigos Outpatient Waiting SmithGroup
Rancho Los Amigos Outpatient Waiting SmithGroup
Rancho Los Amigos Outpatient Meeting Room SmithGroup
Rancho Los Amigos National Rehab Center
Rancho Los Amigos Wellness Center Entry
Rancho Los Amigos Outpatient Rehab SmithGroup
Rancho Los Amigos Rehabilitation SmithGroup

Inspired by the rich history of Rancho Los Amigos, historic and classical building elements are reimagined for a new generation. A new, expansive central plaza draws from the elliptical quadrangles or plazas of classical campuses and cities. A series of soft looping paths and interconnected gardens weave through the campus—a restrained allusion to the beautiful tapestries once created on the site—creating a seamless indoor-outdoor rehabilitation environment. It is a complete transformation from outdated to new: from hidden and disjointed to transparent and inclusive.


Los Angeles County, Department of Health Services


Downey, California


Acute Care, Ambulatory Care, Architecture, Government Health, Health & Wellness, Health, Interiors, Lighting Design, Medical Planning, Rehabilitation


209,250 SF

Featured Awards

American Institute of Architects - Healthcare Design Awards, 2021

Fast Company Innovation by Design Awards, Spaces, Places and Cities, Honorable Mention, 2019

Building Design + Construction Building Team Award, Silver Award, 2019

Los Angeles Business Journal, Commercial Real Estate Gold Award, 2018

Southern California Development Forum (SCDF), Best Healthcare Project, 2017

USGBC- Los Angeles, Sustainable Innovation Award, Health & Wellbeing Merit, 2017


View All Awards

USGBC- Los Angeles, Sustainable Innovation Award, Social Equity Merit, 2017

AIA Pasadena & Foothill Design Awards - Citation Award - Institutional/Education, 2017

AIA Pasadena & Foothill Design Awards - Sustainability Award, 2017

Los Angeles Business Council, Los Angeles Architectural Awards, Under Construction Category Winner, 2016

Contract, Healthcare Environment Awards, Conceptual Design Honorable Mention, 2015

Treating patients with spinal cord and nervous system injuries is one of the most delicate specializations in the entire medical field. Before this project began, the exceptional treatment provided at Rancho was being severely hindered by an inefficient layout of outdated, single-story buildings spread over the large campus. To best serve patients in their recovery, the entire rehabilitation process must be holistic and human-centered: the existing Rancho Los Amigos campus was neither. SmithGroup, in collaboration with our design-build partner McCarthy Construction and executive architect Taylor Design, developed a new master plan and transformative design of the campus with holistic recovery as the main priority.

From intervention to rest and recovery, then rehab, and finally, reintegration, every part of a patient’s journey and recovery process was studied to ensure the most efficient and dignified spaces for patient care.

SmithGroup has sought to understand the needs of our operations and the population we serve. They have expertly integrated feedback and have exceeded expectations in all aspects of design.

Jorge Orozco
PT, Chief Executive Officer, Rancho Los Amigos National Rehabilitation Center

Rancho Los Amigos Outdoor Courtyard SmithGroup

The entire campus is now an indoor-outdoor recovery zone, taking advantage of the Southern California climate and extending rehabilitation far beyond the walls of the hospital for patients who may spend months or years in recovery. Expansive, dual-purpose outdoor rooms double as rehabilitation spaces, with healing gardens and terraces, large plazas, and amphitheaters where there used to be old buildings and concrete parking lots. The project also includes a new community wellness center, an expanded and modernized hospital, and a new, three-story outpatient center consolidating ambulatory services for the first time in one location.

Drawing inspiration from a historic Mission Revival building on the site, new and renovated structures are placed around a central plaza defining a new heart of the campus. Accentuating the now cohesive campus and providing a wayfinding cue, an iconic, 107-foot tower gestures to this history while bringing in modern textural elements. Buildings are clad in an undulating, perforated metal scrim reminiscent of the massive orange groves that once dominated the site.

Conceptually, SmithGroup’s design for the campus references the weaving art therapies that became synonymous with Rancho a century ago. A ribbon of respite is woven throughout the campus, with seating alcoves every 150 feet. The materiality of the exterior, the looping pathways of the gardens and finishes in the interior are all a subtle nod to this history.

Rancho Los Amigos National Rehabilitation Center Dusk SmithGroup

This is an incredible project. This organization started back in the 1800s. And just the fact that it survived that long and is still innovating and not locked in to something ancient—and for a population so needy and so deserving of such an incredible facility—it’s really amazing.

Lois Arkin
USGBC, LA Sustainability Innovation Award Juror (founder of the non-profit CRSP (Cooperative Resources & Services Project) Institute for Urban Ecovillages // co-founder of the Los Angeles Eco-Village)

Unique even among rehabilitation centers, Rancho's community transcends the typical label of 'patient,' creating a one-of-a-kind culture. Many former patients return to the campus as volunteers and employees, helping to support and mentor new patients who are learning to rebuild after a life-altering event.

Understanding this, SmithGroup has not only created a place for high-quality care but one that supports and gives back to Rancho’s inclusive community. The central elliptical plaza and buildings house an extensive public art collection. The beautifully landscaped plaza invites the neighborhood in, with ample space to hold community events, concerts, art exhibitions, and farm markets. The first project completed on the campus—the award-winning Don Knabe Wellness Center, comprising a fitness center, aquatic therapy, and advanced physical therapy and rehabilitation technologies—is open to former patients and local residents, as well as current patients.

Rancho Los Amigos Artwork SmithGroup

The ten-foot, lenticular mandala placed in the Don Knabe Wellness Center, one of five art pieces by the de la Torre Brothers installed throughout the complex, depicts the tree of life: a universal symbol of growth, shelter and complex systems, meant to reflect the physical rebuilding work done at Rancho. 

The transformative design of the new campus provides Rancho Los Amigos with the facilities to innovate far beyond what they were capable of in their previous, outdated spaces. The new Rancho Los Amigos campus signals to patients, staff and the community a cutting-edge, destination center of wellness—providing the most advanced rehabilitative technology in a holistic, human-centered environment.