What Is a Continuing Care Retirement Community

As we age, finding the right living arrangement becomes a crucial decision, not only for ourselves but also for our loved ones. The goal is to ensure a comfortable, supportive, and adaptable environment that can cater to changing needs over time. One of the most versatile and comprehensive solutions available today is the Continuing Care Retirement Community (CCRC).

What Is a Continuing Care Retirement Community (CCRC)?

A Continuing Care Retirement Community (CCRC) is a unique senior living option designed to allow seniors to “age in place.” This means residents can live in one location for as long as they need, regardless of how their care needs evolve. These communities typically offer various levels of care, including independent living, assisted living, on-site healthcare services, and 24/7 access to doctors and nurses. This flexibility ensures that residents can choose the level of help they need through different stages of the aging process.

How Does a Continuing Care Retirement Community Work?

A CCRC functions as a comprehensive solution for senior living needs. The design allows seniors to transition seamlessly from independent living, where they need little assistance, to assisted living, where more help with daily tasks and medical needs is required. For example, if a resident in the independent living section requires more assistance, they can move to an area with higher levels of care within the same community. This setup ensures that residents never have to leave the community as their needs change over time.

Levels of Care Offered by Continuing Care Retirement Communities

CCRCs offer several levels of care, each tailored to meet the specific needs of residents:

1. Independent Living: This is typically the initial stage in a resident’s life at a CCRC. Active and healthy older adults enjoy the facilities and maintenance-free living in their preferred homes.
2. Assisted Living: For those requiring greater assistance, assisted living provides round-the-clock custodial and medical services. Staff members help with activities of daily living, such as bathing, dressing, or medication administration, allowing residents to maintain as much independence as possible.
3. Memory Care: Seniors experiencing memory loss due to dementia, Alzheimer’s disease, or other cognitive disabilities can move to the on-campus memory care facility. Here, specially trained staff prioritize residents’ comfort, engagement, and safety.
4. Skilled Nursing Care: This level involves 24/7 medical and custodial services, focusing on rehabilitation and short-term care. Residents needing post-surgical wound treatment, physical or speech therapy following a stroke, or IV medication administration might stay in the skilled nursing facility.

Pros and Cons of Continuing Care Retirement Communities

CCRCs offer significant benefits, including the security of having care available around the clock and the convenience of a variety of services and activities in one location. This setup provides stability and familiarity for residents as their needs change. However, these benefits come at a cost, typically higher than other senior living alternatives.

Understanding Common CCRC Contracts

When considering a CCRC, it’s important to understand the different contract options available, as these will impact costs and services provided. Common questions to consider include:

• What is the cost structure, and will fees be updated frequently?
• What are the current costs, and how much will they rise in future years?
• What are the payment arrangement options?
• What services are included in the entrance fee, and what additional fees might apply for other services?
• What happens if one partner requires greater care than the other?
• What if there are no vacancies in assisted living or nursing care when needed?
• Are any fees refunded to the estate upon a resident’s passing?
• Is there a cost to leave the community, and can residents get a refund if they decide to leave?

Common CCRC Contract Types

1. Extensive Life-Care Contract: Often known as a “Type A” contract, this agreement guarantees access to different levels of care for life, with no additional costs beyond the initial fees, even if financial resources are depleted.
2. Modified Contract: Known as a “Type B” plan, this contract pre-pays for part of future medical treatment, with the monthly service charge potentially increasing when more care is needed.
3. Fee-for-Service Contract: This contract includes an upfront entrance fee and monthly service fees, with residents paying for medical expenses as they occur. This is often the most cost-effective option.

CCRCs provide a comprehensive, flexible living arrangement for seniors, allowing them to age in place with peace of mind. The various levels of care and contract options ensure that residents can find a plan that suits their needs and financial situation.

1+1 Cares is a referral agency that works for clients and caregivers. We match caregivers with clients and inform them of your requirements. We work for you so you and your loved one can have a safe, enjoyable caregiving experience.