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Easton Rivera
Easton Rivera

Continuing Care Retirement Communities



En español Continuing care retirement communities, also known as CCRCs or life plan communities, are a long-term care option for older people who want to stay in the same place through different phases of the aging process.




Continuing Care Retirement Communities


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LeadingAge, a nationwide organization of nonprofit and government aging-services providers, recommends that prospective residents ask these 10 key questions when considering a continuing care retirement community.


Once residents move in, they pay monthly maintenance or service fees. Other continuing care communities operate on a rental model with no up-front fee. The average monthly charge across both types of communities in the third quarter of 2021 was $3,555, and rents typically rise about 2 percent a year, NIC says.


CCRCs tend to have higher occupancy than standalone independent living, assisted living and nursing care communities and have seen less of a decline during the pandemic, according to NIC data. CCRC occupancy rates dipped from 91.5 percent in the first quarter of 2020 to 84.3 percent a year later, but had inched back up to 85.4 percent by October 2021.


Some facilities also offer a rental contract, Type D; and an equity agreement to purchase a share of your unit in lieu of an entry fee, Type E. Continuing care retirement community contracts are notoriously complex, so whichever type you get, run it by a lawyer before signing.


Continuing care retirement communities(CCRCs) and fee-for-service continuing care retirement communities(FFSCCRCs) are residential alternatives for adults that offer, under one contract, an independent living unit (an apartment or cottage), residential amenities and access to a continuum of long term care services, as residents' health and social needs change over time. Residential and health care services include:


FFSCCRCs offer fee-for-service continuing care contracts. Fee-for-service contracts include independent housing, residential amenities such as scheduled transportation and social activities, and access to a continuum of long term care services. The long term care services, enriched housing/assisted living and skilled nursing facility care, are available on a fee for service or per diem basis. There is no long-term care benefit included in the contract; the resident pays for long-term care if and when needed.


Continuing care retirement communities and fee-for-service continuing care retirement communities may offer contracts with a variety of entrance fee refund options. The community decides what contract options to offer prospective residents. At a minimum, all resident contracts must provide a refund of some portion of the entrance fee during the first four years of residency. This option is called the traditional declining contract. Under the traditional declining contract, the resident's entrance fee refund is reduced by 2% per month with a one time 4% processing fee. After 48 months of residency, the entrance fee refund is reduced to zero.


While there are no absolute guarantees, the New York State Department of Health has oversight responsibility for the certification and operation of both continuing care retirement communities and fee-for-service continuing care retirement communities.


Currently, there are fourteen (14) continuing care retirement communities that have received a Certificate of Authority from the Commissioner of Health. 12 of these communities are open and are accepting residents. Two(2) have a conditional Certificate of Authority to enter into contracts for a community to be constructed at a future date.


Today's seniors are faced with many attractive options for retirement living. One of these options is a continuing care retirement community, or CCRC. CCRCs offer a long-term continuing care contract that provides for housing, residential services, and nursing care, usually in one location, and usually for a resident's lifetime.


All providers offering continuing care contracts must first obtain a certificate of authority and a residential care facility for the elderly (RCFE) license. In addition, CCRCs that offer skilled nursing services must hold a Skilled Nursing Facility License issued by the Department of Health Services.


The California Department of Social Services (Department), is responsible for the oversight of continuing care providers. The Department's Community Care Licensing Division has two branches that participate in the regulation. The Senior Care Program monitors continuing care providers for compliance with the Community Care licensing laws and regulations regarding buildings and grounds, accommodations, care and supervision of residents, and quality of service. The Continuing Care Contracts Branch is responsible for reviewing and approving applications to operate a CCRC and monitors the ongoing financial condition of all CCRC providers and their ability to fulfill the long-term contractual obligations to residents.


Before reviewing these reports, download a copy of the Guide to CCRC Financial Reports. (pdf) The reports are scanned, listed alphabetically by provider name, and cover the past three years: -care/continuing-care/annual-reports Non-Profit CCRCs must also file IRS Form 990 with the State Attorney General.


Many senior living communities may only offer one or two care levels, like independent or assisted living, while a CCRC will generally have three or four. CCRCs can include any of these levels of care:


Our memory care program is rooted in a person-centered approach that preserves identity and sense of self. Our secure communities provide a daily path of engagement that allows residents to flourish, even with advanced expressions of dementia.


Our skilled nursing communities are here to help you throughout your journey to recovery. Whether you need a long-term stay or short term rehabilitation, we provide around-the-clock licensed nursing care in a supportive environment.


America has an aging population, and as such, more and more people are considering options for where and how they'll live after retirement. Overall, 70% of people currently age 65 or older will need some kind of long-term care according to the federal government.


A continuing care retirement community, which can also be known as a life plan community, is one option you may consider. CCRCs offer most anything older adults may need as they move through the stages of aging, says Andrew J. Carle, an adjunct professor and lead instructor for the program in Senior Living Administration at Georgetown University in Washington, D.C. The gist of it is they (CCRCs or LPCs) include the full continuum of care options," meaning everything from independent or assisted living to memory care and skilled nursing care.


Both CCRC retirement communities and life care retirement communities provide residents with a lifestyle that includes on campus conveniences, services and amenities, such as banks, beauty salons, fitness centers and more. Most importantly, both types of continuing care communities can provide residents with a complete range of lifestyle accommodations, from independent living to assisted living and skilled nursing care.


The real distinction between a CCRC senior living community and a life care retirement community comes down to the kind of contract the community offers. There are generally three types of continuing care retirement community contracts:


All Acts communities are life care retirement communities. Our Type-A extensive life care retirement contract assures that your monthly fee will never increase based solely on if a higher level of care is needed at any one of our communities.


Continuing care retirement communities (CCRCs) are multi-level care facilities that combine residential accommodations with health services for older adults. The goal of a CCRC is to allow residents to receive the appropriate level of care across a continuum, from independent living to assisted living to skilled nursing care, as their health status changes and without having to move out of the retirement community.


This biggest benefit of these types of communities is residents can remain in the community, even if their health care needs change. Residents in independent or assisted living housing can move to the skilled nursing wing to receive short-term care following a serious illness or injury and then return to their room or apartment once they recover. As residents age and their health care needs increase, they can also move to a skilled nursing unit permanently to receive long-term, end-of-life care without having to move out of the community.


Life care communities are simply CCRCs operating under Type A contracts but with one distinct difference. Like standard CCRCs, a life care community offers continuum of care to a resident for life, but residents who become financially unable to pay their monthly care fees are subsidized by the community. Residents continue to receive the same access to services with no interruption in care or change in priority status. In other words, residents are guaranteed the same quality of care and access to care from day one through end of life, regardless of their personal financial situation.


Continuing care is an expensive option, but if your loved one can afford it, they can be confident that once they move in, their needs will be met for the rest of their life. The actual cost for continuing care varies widely from one CCRC to another, and so do payment arrangements, which can be complex.


Residents also pay a monthly service fee for the duration of their residence. This amount varies by community and is based on the size of the housing unit your loved one chooses, level of care required and type of contract purchased. Monthly fees can be between $500 and $4,000, and some communities charge extra for additional services. The biggest determinant of monthly fees is the contract type. While all three types of contracts cover housing, meals, services and amenities, the amount of medical care included greatly varies. 041b061a72


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