Continuing Care Retirement Community

Continuing Care Retirement Center is a facility that you can live at for the rest of one's life and move from independent, assisted and nursing care based on what the needs are. They are also known as Life care facilities

Continuing Care Retirement Communities (CCRC) allow for movement within the facility with flexible accommodations to meet one's changing needs. Some facilities may accommodate residents with Alzheimer's or other memory loss diseases. CCRC are usually are long term and a contract is signed and are not designed for short-term living. CCRC's usually offer: access to coordinated social activities, dinning services, housekeeping, scheduled transportation, emergency call monitoring, health care when needed, and a fully accessible or adaptable environment.
Continuing Care Retirement Community's are usually set in suburban and rural settings where there is space for a campus like environment. CCRC's usually offer a variety of living units. Most of the older units have about 100 units but with the rising needs for these facilities they are growing. They are typically low rise and there is usually a common building that gives a centerpiece to the units.
There are 1,900 Continuing Care Retirement Communities in the US. There are about 745,000 seniors that live in Continuing Care Retirement Communities.


Large CCRC'sContinuing Care Retirement  Community - Health ArchitectureLarge CCRC;s usually accommodates 400 residents and may have multiple dinning options through out the site. This is to minimize the walking distances for the residents, foster neighborhoods, and give variety. They may also provide duplicate living rooms, activity areas, and staff support. Large facilities will still only have one fitness center, auditorium or chapel so it is important to keep these in close proximity to the residents to minimize travel distances.

Medium CCRC's
Medium CCRC's usually accommodates 200-400 residents and will have a variety of programs and activities. It will work off of one service support line for things like the kitchen, laundry, loading and administration. Assisted living and long term care will usually have there own dinning and living areas, but they do share some activities. The fitness, auditoriums or chapel need to be in close proximity to the assisted living and long term care units.

Small CCRC'sSmall CCRC's have less then 200 residents. These facility may have difficulty to afford the variety that the market calls for. Typically small communities find that there is a need to have more shared spaces, staff and resources. They may also be affiliated with other organizations to give more amenities like fitness, activities and social opportunities.
Program
Many of the program elements in a CCRC are similar to facilities with individual care level facilities but there are some differences.
Independent Living: There can be more variety in housing products. Typically the cottage-style housing units can come in a variety of styles.
Common Areas: Dinning areas will provide more variety in response to the community. There will be a formal dinning room but also there could be a bistro, grill room or cafe. There will be living rooms but there has been a need for continual of hobbies, so craft rooms, green houses, wood shops music rooms are added. Libraries are expanding to become a resource area. Multipurpose rooms are becoming larger and more elegant. Fitness programs are expanding with the increased awareness of healthy aging.
Outdoor space:Passive and active activity spaces will be included including: porches, patios, terraces, gardening, and walking.
Assisted Living: Some residents with Alzheimer's or dementia may live in this area. There may even be a separate area for Alzheimer's. Typically the number ranges from 10-20% of the number of units.
Health center (long term care): These facilities offer short-term care, for things like rehabilitation after a hospitalization. These beds are some times combined with beds for long term care. Both would be provided with 24 hour care.

Trends
  • communities need to address the needs of the baby boomers who believe that if things are not to their liking it can be changed.
  • there is a heightened health consciousness
  • residents have more self determination- residents may want to be more involved in things like: management decisions and resident councils.
  • residents will be more impatient and demanding
  • with the interests of continual learning things like copying, and printing are needed more
  • Theaters are becoming more popular- maybe provide a home theater
  • dining is leaning more toward the restaurant style with themes and customer participation
  • residents will expect to have flexible eating (take out)
  • combination of living room, den, kitchen, into a Great room
  • bathrooms with multiple sinks and more storage
  • remote controlled lighting, temperature, and security
  • multiple telephone lines
  • community integration: provides the opportunity for seniors to make the houses choices that meet there needs but don't remove them form the community.
  • rise of new CCRC in urban centers to stay connected to cultural institutions
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