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Consider community with all levels of care

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By Jim Miller
Posted on April 03, 2024

Dear Savvy Senior:

Can you help me identify some good senior living communities that offer all levels of housing and care, from independent living to nursing home care? I am in my late 70s and know I need to downsize from my current house, but I want my next move to be my last.

—One Move Mary

Dear Mary,

If you want your next move to be your last, an all-inclusive retirement community — also known as Life Plan Community or a continuing-care retirement community (CCRC) — is a great option to consider. Here’s what you should know, along with some tips to help you locate one.

What are Life Plan Communities?

Life Plan Communities are different from other types of senior housing because they provide all levels of housing, services and care in one convenient location.

While the appearance and services of Life Plan Communities can vary greatly, most provide apartments or sometimes single-family homes for active, independent older adults. In addition, they also offer onsite assisted living for seniors who require help with basic living tasks like bathing, dressing or going to the bathroom, and nursing home care for residents when their health declines.

Life Plan Communities also provide a variety of resort-style amenities and services that include community dining halls, exercise facilities, housekeeping, and transportation, as well as many social and recreational activities.

But be aware that all these services come at a hefty price. Most communities have entry fees that range from less the $100,000 to more than $1 million, plus ongoing monthly fees that generally range from $2,000 to $5,000 for singles ($3,000 to $6,000 for couples) depending on the facility, services and the contract option you choose.

With more than 2,000 Life Plan Communities in operation throughout the U.S, finding a facility that fits your lifestyle, needs and budget will require some legwork. Here are some steps that can help you proceed:

Make a list: To find Life Plan Communities in the area you want to live, go to MyLifeSite.net and Caring.com, which provide online lists. [Ed. Note: You can also find them in this newspaper as well as the Montgomery County Seniors’ Resource Guide.] Once you’ve located a few, call them to find out if they have any vacancies, what they charge and if they provide the types of services you want.

Take a tour: Many Life Plan Communities encourage potential residents to stay overnight and have a few meals in their dining hall. During your visit, notice the upkeep of the facility and talk to the current residents to see how they like living there. Also, check out the assisted living and nursing facilities, and find out how decisions are made to move residents from one level of care to another.

Do some research: While on your tour, find out who owns the community and get a copy of their most recently audited financial statement and review it. Also find out their occupancy rate. Unless it’s a newer community filling up, occupancy below 80% can be a red flag that the facility is having financial or management problems.

To investigate the community’s long-term care services call your state long-term care ombudsman (see LTCombudsman.org), who can tell you if the assisted living and nursing care services had any complaints or problems. You can also use Medicare’s nursing home compare tool at Medicare.gov/care-compare.

Understand the contract and fees: Most Life Plan Communities offer three types of contracts: Life-care, or Type A contracts, which have the highest entry fee but cover all levels of long-term care as needed; Type B, or modified contracts that have lower entry fees but limit long-term care services in the initial fee; and Type C, or fee-for-service contracts, which offer the lowest entrance fees but require you to pay extra for long-term care if you need it.

You also need to find out what yearly price increases you can expect. How much of your entry fee is refundable to you if you move or die? And what happens if you outlive your financial resources?

To help you sort through all this, consult with your financial advisor or lawyer before committing.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of The Savvy Senior.

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