Continuing Care Retirement Communities Ratings


Ingleside At Rock Creek In Washington Dc

What Is a Continuing Care Retirement Community (CCRC)?

Ingleside at Rock Creek has a number of activities for residents to enjoy, including many intellectual programs and discussion groups. Features include a beauty and barber shop, computer room, garden and patio space, pool, and local transportation among others. A number of apartment sizes and options are available, with residents able to tailor their accommodation and redecorate to their own taste.

Always Visit Communities In Person

You will need to rely a little bit on intuition and pay attention to how any given retirement community youre considering makes you feeleither from the look of their website and marketing materials or when youre visiting campus for a tour.

Remember helping your children or grandchildren choose a college? This process is not unlike that one. The easiest way to get to know different communities is to visit their campuses and facilitiesand on multiple occasionsto truly explore retirement living up close and in person.

What Are Some Signs That Its Time To Consider Moving To A Ccrc

Generally, there might not be any signs. To make the most of a CCRC and your investment in it, you should make the move while youre still healthy and active and can enjoy the social life that independent living can offer. Perhaps you know that youre ready to let go of home maintenance like lawn care and snow removal. Maybe youre already aware of hereditary or diagnosed medical conditions that might make everyday life a little bit harder for you as you age. If youre thinking of the future and want to minimize changes that will come down the line, it might be time to consider a CCRC.

If you value security and you want to have peace of mind knowing that your changing medical needs will be met now and in the future, then a CCRC may be the right move for you. This option is a great choice for active adults that want to enjoy having a sense of community, nearby friends, and plenty of activities to enjoy.

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Will I Own My Own Home At A Ccrc

Whether you purchase or rent your residence will vary depending on the specific CCRC you choose. Some communities do allow you to actually purchase your residence in the community while others may offer you the ability to have equity in the residence you choose. If you are renting, remember that the monthly payment you pay not only covers the amount of your rent, but fees for services, amenities, and maintenance. Before making your move, check carefully to determine whether you will own your new home outright, have equity in it, or simply be renting the residence.

How Do I Choose A Ccrc


The earlier you begin considering a CCRC the better. These communities are designed for seniors who are healthy and active enough to live independent, full lives. Most CCRCs offer premium recreational activities and amenities tailored to the desires of active seniors. Since these communities make it possible to move seamlessly from one kind of care to the next, its a flexible, comprehensive type of senior care that is a perfect option for seniors who want to enjoy their golden years without worrying about big moves or home and grounds maintenance in the future.

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How Does A Ccrc Compare To Home Care

With home care, services can vary based on unique needs. These may include medication monitoring, help with self-care, meal delivery, housekeeping, transportation, companionship, and minor health care services. However, once more advanced medical care is needed, other options may need to be considered.

Both CCRCs and home care make it possible for seniors to enjoy aging in place. The cost per hour for home care can range between $14 – $40 per hour: multiply this by how much help you might need every day and compare it to the CCRC costs we outline in the next section.

Look At Compliance Scores Reports And Ratings For Healthcare Services

One of the key reasons many adults begin considering retirement communities, either for themselves or for a senior loved one, is the healthcare resources they offer. While the term nursing home doesnt really fit most modern retirement communities anymore, the government agencies that license and oversee the healthcare services available often use that terminology.

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What Are Some Key Signs That It May Be Time For A Ccrc

Even if youre loved one isnt quite ready to move out of their home, taking the time to find out whats available in their community helps them get prepared for a future move that ideally should enhance their future. You should also encourage them to take a long, serious look at whether a CCRC is right for them before an unforeseen health crisis forces them to make a quick decision that might not be as ideal as theyd like. While you help your loved one with their continuing care decision, consider these five signs its time to earnestly look for a CCRC.

Goodwin House Bailey’s Crossroads In Falls Creek Va

What is a Continuing Care Retirement Community (CCRC)?

This large and comprehensive community offers assisted living, nursing homes, and continuing care communities. While Goodwin House Baileys is 500, people are spread out in their own accommodation and it never feels too busy. Along with a wealth of healthcare options, there are also lots of things for residents to see and do, including arts and craft programs, education programs, workshops, and a gym and pool facility.

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The Carlisle In San Francisco Ca

The Carlisle differs from many other CCRCs in that you can purchase the unit instead of renting it. 1 and 2-bedroom apartments are available, with a room service for meals available alongside an in-room kitchenette. Nursing staff and a pharma service is available around-the-clock, with additional health services also available. In many ways this is an upscale facility, with a dress code applied at meal times and a sense of sophistication in the air.

Get Reviews From Current Residents

Accreditation, industry ratings, and government data have their place, but you also need to look at some other factors to determine if a given retirement community is right for you. One of those factors is resident satisfaction.

Many communities are excited about how happy their current residents are and will be happy to share survey data or testimonials with youlikely without you even having to ask! However, you may need to do a little legwork and connect with current residents yourself.

Have friends that already live in a community youre considering? Invite them to have coffee and get their perspective on all the things they loveand maybe some they dontabout living there.

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Wind Crest In Highlands Ranch Co

Wind Crest provides a comprehensive range of services in a maintenance-free community designed exclusively for retirees. Like many communities in this area, this facility is high-end and uncompromising. Wind Crest offers access to licensed geriatricians, with these experts more than capable of meeting the unique healthcare needs of older Americans. Amenities include a computer room, creative arts studio, beauty salon, and classrooms just to name a few.

Continuing Care Retirement Community

Continuing Care Retirement Community

Continuing care retirement communities provide retirees with alternative living options, their specificity lying in the continuum of care available to all residents. Also known as life plan communities, they offer senior adults the possibility to spend their golden years in a comfortable setting, with access to a wide range of amenities and services. What is a CCRC?

What does a continuum of care mean? Well, all residents of life plan communities begin their life in a CCRC with independent living, provided they can live and function on their own. When their health needs become more complex and they require assistance with daily living activities, they can transition toward assisted living.

To determine whether a resident is suitable for admittance or not, the respective facility might require the on-site physician to perform a thorough examination. Both the health status and the level of independence are assessed, and these are often compared to previous medical records.

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What Is A Continuing Care Retirement Community

Continuing Care Retirement Communities , also known as life plan communities, allow seniors to “age in place” at a single facility while their health needs change over time. While you can start out living completely independently in a condo, skilled nursing, assisted living, and other services are also available if and when they’re needed. Unlike many other retirement options, CCRCs recognize the fact that most seniors want to live independently for as long as they possibly can.

Chuck Robinson, CFP

In a typical scenario, a CCRC resident will rent or purchase a condo within the community, with a range of accommodation sizes and styles available. A tiered price structure and program will be available according to the amount and type of services needed or desired. As the person ages and their healthcare needs change, they can keep living in the original condo for as long as possible and transition into an on-site nursing facility if required.

CCRCs offer a number of benefits over other forms of retirement living:

  • Independent condo living
  • Nursing and healthcare services
  • Additional services

The services available are generally comprehensive and flexible, with residents able to change their program based on need. Along with nursing and healthcare services, these facilities also provide detailed housekeeping, transportation, meal preparation and delivery, and emergency help if needed.

Why Do Continuing Care Retirement Communities Charge An Entrance Fee

Moving into a CCRC is an investment in your future. The entrance fee is a contractual upfront cost . An entrance fee guarantees housing and medical services throughout your lifetime.

Part of the CCRC’s entrance fee may be based on the location, size, and type of residence. For example, an oceanfront single-family cottage in an expensive ZIP code will be priced higher than a standard studio apartment in a town with a lower cost of living.

As entrance fees can be pricey, many residents sell their existing homes to finance the entrance and monthly fees associated with a CCRC.

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How Well Will It Take Care Of You In The Future

Check out the assisted-living or nursing facilities or, at the very least, send your adult kids for a tour. Beyond the general feel of the facility, focus on the staff vibe: grumpy or engaged? Ask independent residents if they have spent time in the care units for an injury or illness or visited friends there.

If a CCRC has a skilled-nursing unit, look up its rating at Though not a perfect assessment, a five-star rating should boost your confidence. Brad Breeding, cofounder of, also recommends asking the state long-term-care ombudsman if there are any complaints on file.

The Solution: A Modified Catastrophe Bond

What is a Continuing Care Retirement Community (CCRC)?

Figure 1 above illustrates a concept for how a modified catastrophe bond structure could be used to socialize the near-term bankruptcy risk of any individual operator, while also accumulating capital to replace the invested capital over time.

Using several operators to create a hypothetical example, this structure would work as follows:

  • A long duration fixed income fund would be raised from institutions and high net worth individuals. An insurance company would be the most likely sponsor of this fund and would serve as the funds general partner.
  • The LDFI would invest in an amortizing preferred share issued by a trust established for the benefit of the residents. These shares would yield a rate of interest through the term of the contract, which is likely to be 15 20 years.
  • The trust would invest this cash with the sponsoring insurance company which would deliver an annuity contract to the trust at a market rate of interest . This annuity would have the same term as the expected term of the APS.
  • CCRC residents would be required to pay a premium, in the range of 3% 5% of current entrance and monthly fees, to the trust that would:
  • Cover the balance of the interest cost
  • Accumulate the required actuarial reserve and
  • Pay back the APS principal once the actuarial reserve requirement has been met.
  • The trust would pay interest only to the APS while it is accumulating equity equal to the required actuarial reserves.
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    Consider The Format Of Particular Communities

    Many of our Lancaster County retirement communitiesand all of those affiliated with Explore Retirement Livingfollow the Life Plan or CCRC model. This means that various levels of healthcare will be available within the community if you need it.

    Campus-based CCRC and Life Plan communities offer whats known as a continuum of care, which allows you to access care without leaving the community. Additionally, some communities now have programs that provide care within the living accommodations youre already in on campus. So, if you do require more in-depth care at some point as you age, you wont need to make a physical move to another locationeven on campuslike a personal care wing or memory care unit.

    Benefits Of This Regulatory Structure And Receivership

    The primary benefit of this receivership structure is that the residents are protected in their homes and investments for the remainder of their life. This is accomplished under reasonable market assumptions and without any extraordinary financial contributions from the state through Medicaid or any other type of fiscal program. The added benefit is that secured bondholders are protected in their investments so that CCRCs would continue to have access to the secured lending market.

    Finally, the unsecured creditors who invested in the amortizing preferred shares and the residents heirs who are expecting refundable fees are also able to recapture some of their value over the course of time. These outcomes are materially better for all involved relative to a Chapter 11 filing whereby the only backstop for the residents is Medicaid, the bondholders security is of dubious value relative to the amount of debt, and the refundable fees are a total loss. All of this is enabled by, and dependent on, a regulatory structure that allows private capital to support CCRCs through the CCRC resident trusts as outlined above.

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    Continuing Care Retirement Communities In The United States

    A continuing care retirement community , sometimes known as a life plan community, is a type of retirement community in the U.S. where a continuum of aging care needsfrom independent living, assisted living, and skilled nursing carecan all be met within the community. These various levels of shelter and care may be housed on different floors or wings of a single high-rise building or in physically adjacent buildings, such as garden apartments, cottages, duplexes, mid- and low-rise buildings, or spread out in a campus setting. The emphasis of the CCRC model is to enable residents to avoid having to move, except to another level of care within the community, if their needs change.

    A Why The Need To Study Ccrc’s

    The Village Continuing Care Retirement Community

    CCRCs represent a steadily growing and gradually more stable option for seekers of long-term care for the elderly. The industry, which originated in the early 19th century, mainly through the initiative of religious groups and fraternal organizations, has recently been gaining a more respectable reputation after a series of financial setbacks during the late 1970’s and early 1980’s. The number of CCRCs across the country has now reached approximately 1200, with about 350,000 residents . This number is up from 800 CCRCs only 7 years ago . This growth stirs up numerous questions concerning its possible causes. Do CCRCs present better quality care than other forms of long-term care? Do the elderly prefer the type of age-segregated community life that CCRCs offer? These are questions that can best be answered through an established understanding of the basic structure and philosophy of CCRCs.

    The possibility that CCRCs represent a more cost-effective form of long-term care is the most vital reason that this option deserves attention. Being a form of managed care, a CCRC has an incentive to provide complete care for its residents at the lowest cost possible. Whether this incentive is actually effective in reducing costs, while maintaining quality, should be examined more closely.

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    Iii Quality Of Life In Ccrcs

    The information within this section relies heavily on the findings of William Scanlon and Bruce Layton in the United State GAO Report to Congressional Requesters. Statistics show that CCRC residents have a life-expectancy which is 1½ to 2 years longer than other elderly individuals. It has also been found that CCRCs reduce the risk of disease and disability and improve the health and functioning of their residents. Although little research has been done on what exactly causes these noticeable health benefits, many have attributed it to the more active approach that CCRCs take towards health care.

    CCRCs combine a variety of services which may effect the overall wellness of their residents. These services, along with a clear strategy of health promotion by the communities, attempt to encourage the elderly to be more involved in maintaining their own health.

    Oakmont Of Cardinal Point In Oakland Ca

    Oakmont of Cardinal Point offers a range of living options, including apartments, studio apartments, and companion suites. Continuing care prices start from $3,995/month, with all-inclusive rent and an entry fee of $2,150. This community features a wide range of amenities and services, including housekeeping, technology integration, and associated healthcare and financial services. The resident capacity is 144 and small pets are allowed.

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    The Levels Of A Continuing Care Retirement Community

    Levels of care can vary greatly by CCRC. Below are the most common types of continuing care offered. As you assess each community, ask what care levels are included in your contract.

    • Independent living: This often is the first step in a resident’s life at their CCRC. Active, healthy older adults enjoy the CCRC amenities and maintenance-free benefits, all while living unassisted in their choice of residence.
    • Assisted living: If a senior’s level of care needs increase, assisted living provides 24/7 access to medical and custodial care. While residents are encouraged to be as independent as possible, staff members are available to help with activities of daily living, such as bathing, dressing, or medication management. Assisted living may take the form of private or semi-private apartment-style accommodations.
    • Memory care: Seniors struggling with memory loss due to dementia, Alzheimer’s disease, or other cognitive impairments can transition to the CCRC’s on-campus memory care facility. Specially trained staff provide personalized care with a focus on keeping residents comfortable, engaged, and safe.
    • Skilled nursing care: Similar to assisted living, skilled nursing care includes 24/7 medical and custodial care. However, skilled nursing focuses on short-term care and rehabilitation. For example, residents needing post-surgery wound care, physical or speech therapy after a stroke, or intravenous medication administration would reside in the CCRC’s skilled nursing care unit.

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