Continuing Care Retirement Communities
Presented By
Todd Neavin
Director of Facility Services
Gemma Maver
Director of Marketing and Community Services
Continuing Care Retirement Communities
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Continuing Care Retirement Communities (or CCRC’s) offer innovative and
independent lifestyles for single and married older adults.
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This type of community is different from other housing and care options for
older people in that it offers a long-term contract that provides for housing,
services and nursing care, usually all in one location, for the rest of one’s life.
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Thus, the CCRC is designed to meet your needs in a familiar setting as you
grow older.
Continuing Care Retirement Communities
Some History
The concept of continuing care is not new, but was conceived by some not-forprofit church, fraternal and civic groups in the early 19th century.
The greatest growth in the number of CCRCs has occurred since the 1960’s
with the largest increase occurring during the 1980’s.
In 1990, estimates were that 350,000 older adults lived in 1175 CCRCs across
the nation. In 2000, a reportedly 625,000 older men and women have made
their homes in approximately 2100 CCRCs. Estimates are that these numbers
will double in 10 years.
Continuing Care Retirement Communities
Their Popularity
Reasons why people move to a CCRC:
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Availability of health, long-term care and medical services that allow for “aging in
place”
– For couples, especially, it is the guarantee for a surviving spouse/partner’s care and
ability to be together as higher levels of care are needed.
A predictable way to obtain and pay for future needs, especially health care needs.
Independence, especially as it relates to reducing the burden one would place on a
spouse or children.
Proximity to adult children. Maintain independence without being a burden while
having more opportunities for contact with children and grandchildren
Services and amenities including maintenance, transportation, and a healthier lifestyle
supported by recreational, educational, fitness and wellness programs.
-From the Pathways to Life Quality Study
Ithaca College Department of Gerontology, and
the Bronfenbrenner Life Course Center, Cornell University
Continuing Care Retirement Communities
What They Offer
Typical services and amenities include:
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Meals
Housekeeping
Maintenance of buildings and grounds
Scheduled transportation
Social, recreational and educational activities
Security
Emergency response systems
Health and wellness programs, including fitness centers
Personal care services
Skilled nursing care
Continuing Care Retirement Communities
The Contract
The Continuing Care Contract is a legal agreement between you (the
resident) and a continuing care retirement community.
In exchange for a one-time entry and ongoing monthly fees, this
agreement generally secures living accommodations and services,
including health care services, for the rest of your life.
Continuing Care Retirement Communities
Contract Types
The three most common types of contracts are:
• Fee-for-service Contract: You pay for all long-term assisted living and
nursing care required.
• Modified Contract: Includes a specified amount of long-term assisted
living and nursing care beyond which you are responsible for payment.
• Extensive (or Life Care) Contract: The most comprehensive agreement
which offers unlimited assisted living and long-term nursing care for
little or no substantial increase in your monthly fees.
Continuing Care Retirement Communities
The Cost
The cost structure for most CCRCs is based on the payment of a one-time
entry fee and an ongoing monthly service fee.
The entry fee is based on:
• Type of contract chosen
– Fee-for-service, modified or extensive (life care)
– Refundable options, if available
– Discounts for LTC insurance, if available
• Size and location of the residence selected
• Number of occupants per unit
Continuing Care Retirement Communities
A Word About Quality
Resident Life and Services
Resident Health Care and Wellness
Financial Resources and Disclosure
Governance and Administration
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Must have completed 5 years of successful operation
Occupancy must be at 90% or better
A rigorous self-study process combined with peer review