When your loved one begins to plan for the future, one of the most reassuring paths forward may be a Continuing Care Retirement Community (CCRC). These unique communities are designed for older adults who want to age in place—in a setting that adapts to their evolving care needs over time.
But what exactly is a CCRC, and how do you know if it’s the right choice for your family? This comprehensive guide will walk you through what CCRCs offer, how they work, what they cost, and how to make an informed decision.
What Is a Continuing Care Retirement Community (CCRC)?
A Continuing Care Retirement Community—also known as a Life Plan Community—is a residential campus where seniors can live independently while having access to multiple levels of care on-site, including assisted living, memory care, and skilled nursing.
This setup eliminates the need for multiple moves as a person’s health and support needs increase. It's a model built around security, continuity, and convenience—especially helpful for older adults who value stability and for couples who want to remain near each other even if their care needs diverge.
The Three Core Levels of Care in a CCRC
A hallmark of CCRCs is their ability to offer a continuum of care, which typically includes:
1. Independent Living
- Private apartments, villas, or cottages
- Housekeeping, meal plans, and maintenance services
- Fitness centers, social clubs, transportation, and wellness programming
2. Assisted Living
- Support with activities of daily living (ADLs) such as bathing, dressing, and medication reminders
- Nutritious meals and social engagement opportunities
- 24-hour staff availability for peace of mind
3. Memory Care and Skilled Nursing
- Specialized dementia care units with structured routines and secure environments
- Rehabilitation services and round-the-clock medical attention for chronic or acute health conditions
By offering these services in one place, CCRCs reduce the stress of finding new care options and relocating when health declines.
Who Is a CCRC Best For?
CCRCs are ideal for:
- Active seniors planning for long-term care needs
- Couples with different care levels
- Families who want to reduce future caregiving burdens
- Older adults with long-term financial planning in place
Understanding the Cost of a CCRC
The biggest consideration for many families is cost. CCRCs typically involve:
- A large entrance fee, ranging from $20,000 and up depending on the residence size, location, and services
- Ongoing monthly fees, which may range from $3,000 to $7,000 or more depending on the care level and amenities
Types of Financial Models:
1. Life Care (Type A): Higher entrance and monthly fees, but predictable costs even as care needs increase.
2. Modified (Type B): Offers a set amount of care before higher rates apply.
3. Fee-for-Service (Type C): Lower upfront cost, but you pay market rates for care as needed.
Each model carries different financial implications, so it’s crucial to weigh the options with both a tax advisor and elder law attorney.
What to Look for in a CCRC Contract
CCRC contracts can be complex. Before signing, be sure to:
- Verify refund policies: What percentage of the entrance fee is refundable? What happens if the resident leaves or passes away?
- Ask about waitlist obligations: Will you continue to pay monthly fees until a new resident is found?
- Review financial disclosures: Request audited financial statements and understand the community’s debt and solvency.
- Clarify care access: How easily can residents transition between care levels? Is there a guarantee of space?
Testing the Waters: Why a Trial Stay Matters
Many CCRCs offer short-term trial stays or “respite” opportunities for prospective residents. This is an invaluable way to:
- Experience the daily life and atmosphere
- Observe the level of care and staff responsiveness
- Try the dining and wellness options
- Speak with current residents
Spending a few nights on campus can make a big difference in assessing whether it feels like “home.”
Additional Pros and Cons to Consider
Pros:
- Aging in place with seamless transitions between care levels
- Rich amenities and wellness programs
- Reduced family caregiving burden
- On-site medical services
Cons:
- High initial cost and monthly fees
- Limited Medicare coverage
- Contract complexity
- Possible waitlists or limited refund options
How Geriatric Care Managers Can Help
Choosing a CCRC isn’t just a housing decision—it’s a life plan. At LiveWell, our Geriatric Care Managers (GCMs) provide invaluable guidance during this process. We help families:
- Evaluate and compare local CCRCs based on your loved one’s preferences and care needs
- Review financial models and understand cost implications
- Interpret complex contracts with legal and financial professionals
- Plan for transitions between care levels
- Coordinate medical, emotional, and logistical support before and after the move
Our goal is to ensure your loved one thrives—not just lives—within a CCRC or any other long-term care option.
Secure Peace of Mind with the Right Senior Living Choice
Is a CCRC the Right Move for Your Loved One? Let LiveWell Help You Decide.
📞 Contact LiveWell today to schedule a free initial consultation and discover how our experienced care managers can support you and your loved ones—during the holidays and beyond.
