Thanks to Put B for finding this article. The fact that there are very limited laws in Washington State governing CCRCs remind me that joining WACCRA is a very good way to have a voice in our futures.
Rich Gifford, a Fountaingrove Lodge resident, watering his garden. The complex in Santa Rosa, Calif., is part of a category of housing called a Continuing Care Retirement Community, which allows people to age in one place for a relatively fixed price.
By Scott James
The restaurant at Fountaingrove Lodge has a sweeping view of California’s Sonoma County, a panorama one might expect at a five-star resort. The grounds include an impressive wine cellar, spa, bank, fitness center, movie theater and a large outdoor swimming pool.
“I love the water aerobic courses,” said William Baird, 71.
But Fountaingrove Lodge is a not a resort — it is a retirement community, part of a new breed of luxury supportive senior housing. These upscale communities offer a continuum of care from independent living to failing health, allowing people to age in one place for a relatively fixed price, but with amenities common in exclusive hotels and high-end cruise ships.
Now, as the baby boom generation is about to enter its most senior years, billions of dollars are being invested in a building surge for high-end housing. The investments will test limits of consumer spending in an industry where regulations are inconsistent or lacking, and contracts are criticized for being confusing and complex.
The potential market is huge. By some industry estimates, 20 percent of baby boomers, or about 15 million people, have saved enough to afford private continuing care, with many expected to demand a very high standard of living.
Mr. Baird and his husband, John Kennedy, moved to Sonoma in 2013 from San Francisco. Mr. Baird was skeptical of retirement communities, but “we loved the design. The quality of the finishes is quite good. It’s what you’d do in your own home.”
The community had made news as one of the first retirement communities marketed to older L.G.B.T.Q. people, a group that gay rights activists said has historically faced discrimination at care facilities. Mr. Baird and Mr. Kennedy bought a 1,800-square-foot apartment.
Fountaingrove Lodge is part of a category of housing called a Continuing Care Retirement Community, or C.C.R.C. Industry experts said there were nearly 2,000 C.C.R.C.s nationwide with about 700,000 residents. Many require entrance fees and monthly charges that cover services, care and food.
“You’re basically investing in your future health care and future needs,” said Stephen Maag, director of residential communities for LeadingAge, an association that represents organizations and businesses in the aging industry. “Then whatever you need within the continuum the community provides will be covered. So you’re basically locking in what you’re going to have to pay for the rest of your life.”
Mr. Maag said the average age nationwide of people entering the communities is the low 80s. Residents tend to stay seven to 10 years.
Entrance fees average about $300,000, but in the luxury category that can be substantially higher. Entrance fees for the largest units at Fountaingrove Lodge, two-bedroom bungalows, are about $1 million, with monthly charges of more than $6,000.
“Our occupancy rate is 100 percent,” said Robert May, the executive director, in October. Mr. May said there were 100 residents and a waiting list of nearly 70. (The need is acute for any housing in Sonoma County after last year’s wildfires destroyed thousands of houses.)
Demand is also high in North Dallas, where construction of the $140 million Ventana by Buckner luxury complex is due to be completed next year. The 186 apartments, ranging from 950 to 2,000 square feet, with concierge-level services and fine dining, have entrance fees from $400,000 to $1.8 million and monthly charges as high as nearly $11,000.
The mission is to “completely treat everyone like a V.I.P.,” said Rick Pruett, the executive director. “All those little touches, like you’d see at some of the finer operating hotel chains and resort centers.” Eighty-one percent of units are reserved.
Similar luxury communities have opened or are in development in Southern California and Arizona.
Recently Related Companies of New York reported a partnership with Atria Senior Living, a housing management company, to develop, own and operate $3 billion of upscale supportive housing for older people in the nation’s top urban centers, including New York City, San Francisco, Boston, Los Angeles, Miami and Washington.
“For our whole careers, we’ve been in the luxury housing business,” said Bryan Cho, executive vice president of Related Companies. “So we’re very excited about channeling all that talent into providing the best-in-class environment for seniors.”
Although early in the process, the Related-Atria plan is to offer rentals and not charge entrance fees.
Those fees can be confusing and daunting, often representing a large portion of someone’s savings or the proceeds from the sale of a home. Unlike a traditional property purchase, there is no real estate agent advocating for the buyer, and the industry is not federally regulated. Only 38 states have varying regulations, and contracts can be complex.
For example, sometimes portions of entrance fees go to residents’ estates upon their deaths, or are refunded when people leave. But getting those funds back could take months or years waiting for the unit to be resold. And there has been litigation over refund policies.
Because people have little control over how or when their units are resold, New Jersey recently passed a law that required operators to issue refunds in the order units were vacated. That means getting paid back “when the next unit is sold, rather than when your unit is sold,” said Katherine C. Pearson, a professor at Dickinson Law School at Pennsylvania State University, an expert in C.C.R.C.s.
Such details have people seeking assistance, and Brad Breeding has gained a following with MyLifeSite.net, a blog that reports on the industry and dispenses advice.
Mr. Breeding said it was rare for a community to go out of business, making the risks relatively low. For example, in his home state of North Carolina, where he said C.C.R.C.s are firmly regulated, there have been no reported failures. Still, he recommended hiring an elder care lawyer to review a contract.
“You’re not selling a mattress here,” Mr. Breeding said. “You’re selling somebody’s complete lifestyle in a retirement housing plan, and they’re putting a lot of money into this.”
C.C.R.C.s in varying forms have existed for decades, first as faith-based institutions to support widows. They evolved into communities that appealed to people who have saved for retirement and have a vision for how they would like to live.
“Maybe you want to go in while you’re still healthy and you can really enjoy yourself and find people and build a life,” said Sandy Lieberman, owner of SeniorSource, a San Diego company that matches older people locally with housing options. “These are people with money,” Ms. Lieberman said, noting that the vast majority of older Americans do not have these levels of resources.
Experts say the luxury sector has been small, but with 10,000 Americans turning 65 years old every day, that is about to change — it is nicknamed the “me” generation for a reason.
“Baby boomers are being a very demanding customer,” said Mr. Maag, adding that the industry must respond “to a consumer that has pushed back on everything they’ve touched in the last 60 years.”
Living that good life comes at a cost, and not just financial. The executive chef at Fountaingrove Lodge is classically trained and previously worked with some of the nation’s best chefs, including Wolfgang Puck.
“People put on 10 to 15 pounds in the first few months, and then they have to diet them off,” Mr. Baird said. “The trick is to not eat three meals a day.”
Please, someone, give us one instance of the luxury “care” provided to the residents at the CCRCs hyped in this article. This ad is a come-on to investors, foremost, and to potential residents next. It is public relations, a puff-piece, yet one more infomercial along with many of this sort, now published without the warning “Advertisement” written above them. If you are a fan of the continued existence of newspapers, you likely have read that the print media are hurting from the rise in the use of the Internet. Newspapers have stooped to presenting public relations pieces to consumers and investors as if they were news reports to bring in falling revenue.
So we can read more online now about “product placement” and “infomercials” and the monetary kickback they provide. In examples of this trend such as this article, we read about CCRCs as “resorts” or “fine hotels”. Spas, gourmet food, speakers and ballroom dancing may be major incentives to buyers while we are still “independent”. But these “luxuries” are cheap compared to what will mean most to us as we become dependent on personal services. Too soon most residents need individualized MEDICAL CARE and ACTIVITIES OF DAILY LIVING ASSISTANCE. If we live to graduate to assisted living, memory care or nursing home (skilled nursing), we now become critically EXPENSIVE to the facility (CCRC.)
We sign up for a “continuum of care”. But only readers who have much experience with long term care facilities (CCRCs, for instance) know what life is like for residents of most CCRCs. All but a few residences have residents who defend themselves against these nasty practices, among countless more: above all, isolating residents, especially from anyone who would defend their interests; keeping residents unaware of their legal rights; keeping employees and visitors unaware of these rights; using intimidation to instill fear in all the above; over-working and under-paying staff; poorly or not at all training staff; not disclosing the deficiencies and infractions found by the state and federal surveyors and by fire department inspections; forbidding participation in the financial and other business decisions which directly effect residents; and maintaining the status quo by playing the residents off against eachother.
This care is what we need to read about, talk about, and face directly, before we no longer have the capacity to do so. Many of us have begun this conversation. If you find yourself caught up in the fantasy known as Stockholm Syndrome (taking the side of one’s captors), but you still have the strength required, will you please join the discussion?
Oops. The third sentence in the third paragraph should begin: “Only a few….”, instead of “All but a few….”
And toward the end of the same paragraph: “affect” residents, not “effect” residents.
You may wonder why, as a non-resident of a CCRC, I “contribute” to a blog for Skyline residents. I write because of more than my two years as a community long term care ombud at Skyline Terraces and other King County LTC facilities. For six years I commuted between my home in Seattle and the CCRC where my mother lived. For three years, I stayed in her apartment once a month, for a week at a time. When she moved to the CCRC nursing home, I rented a room nearby keeping the same monthly schedule. I ate most meals with my mother, sometimes with her boyfriend too, also a resident, and/or with her sister who lived independently in the same CCRC. My aunt and her sister-in-law were resident council officers.
My mother then moved to Seattle where she lived for two and a half years in a local CCRC. What I learned about long term care I tell to groups and anyone who will listen. It is only when I mention reporting neglect and abuse of residents to state and federal surveyors that my listeners jump under the nearest tables or chairs.
My regards.