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Asbury Communities, Inc

Sarah DiStefano, BSW, Resident Service Support Coordinator, Asbury Communities

What to Know About Continuing Care Retirement Communities (CCRCs)

Sarah DiStefano

Sarah DiStefano

What is a Continuing Care Retirement Community?

When you think about a Continuing Care Retirement Community (CCRC), what comes to mind? Many people mistakenly believe that CCRCs are simply nursing homes where individuals go when they "need to" in the later stages of life. However, Continuing Care Retirement Communities offer much more than that. A CCRC provides a wide range of living options, including homes, apartments and services tailored to adults as they age. Each campus offers varying levels of care, allowing residents to transition seamlessly as their needs change over time.

In this article, I will discuss the benefits of choosing a CCRC, how support staff can enhance your quality of life and how the living environment plays a significant role in determining not just the quantity, but the quality of life.

Understanding the Cost Structure of CCRCs

Continuing Care Retirement Communities typically require an entrance fee, a one-time upfront payment. After moving in, residents pay a monthly rent fee. While these costs may seem daunting at first, it’s important to consider the comprehensive services and support available within the community. The benefits provided often far outweigh the initial expense.

Common Misconceptions About CCRCs

● Loss of Independence: One common misconception is that living in a CCRC leads to a loss of independence. However, the various levels of care offered provide residents with different degrees of independence.

● Flexibility in Living Arrangements:

● Condominiums & Garden Homes: Residents in these settings enjoy the highest level of independence. These residents have access to:

● Social events

● Wellness & aquatic centers

● Meal services

● Housekeeping & maintenance

● On-site physician services

● Off-campus activities, just as they did before moving into the community.

The key to making the most of a Continuing Care Retirement Community is recognizing the need for care before it becomes critical.

Transitioning Through Levels of Care

As your needs change, a CCRC allows you to transition to different levels of care while maintaining as much independence as possible. Here’s an overview of the care levels:

● Residential Living / Independent Living

At this level, residents typically live in individual apartments. They enjoy the same level of independence but also have access to moderate assistance as needed, such as:

  Medication management

● Assistance with daily activities like bathing and dressing

● Ongoing support from nursing staff or private caregivers

● Assisted Living / Personal Care

When independent living is no longer feasible, a CCRC can offer Assisted Living or Personal Care apartments with 24/7 nursing staff. These residents receive more support than in previous care levels, but they still maintain a significant amount of independence. These settings are regulated by state guidelines to ensure residents receive the appropriate care.

● Skilled Nursing Facility (SNF)

The highest level of care, the Skilled Nursing Facility (SNF), is regulated by both federal and state guidelines, providing the most intensive care and safety oversight. Residents in SNFs require around-the-clock care and monitoring.

The Importance of Recognizing the Need for Care Early

The key to making the most of a Continuing Care Retirement Community is recognizing the need for care before it becomes critical. Proactively transitioning through the levels of care can help avoid a crisis or emergency that might force a move to a Skilled Nursing Facility.

The Role of Support Staff in Enhancing Quality of Life

In any setting—whether in a CCRC or your own home—additional support can make a significant difference in your overall quality of life. A CCRC offers a multidisciplinary team of professionals, including:

● Social workers

● Nurses

● Chaplains

● Therapists

● Dietitians

● Security staff

These dedicated team members provide vital support, education, counseling and assistance, ensuring that residents thrive and succeed. Additionally, families often need help recognizing when a transition to a higher level of care is necessary.

Living Your Best Quality of Life

A chaplain I work with once said, "To live your best life, you need to be in the right level of care." This statement rings true because the quality of life is what matters most. You could live to be 100, but if you’re not thriving and enjoying life, what’s the point?

So, when you’re considering downsizing or planning for retirement, think about the many benefits that a Continuing Care Retirement Community can offer. It’s not just about aging—it’s about thriving in an environment that supports your independence, well-being and overall happiness.

The articles from these contributors are based on their personal expertise and viewpoints, and do not necessarily reflect the opinions of their employers or affiliated organizations.