Senior Housing Blog

Posted by kmancer on November 27th, 2009

Welcome to the Lumina Services Senior Housing and Health Care Blog. Our hope for the blog is that it provides a forum for discussion about the very wide range of topics we are interested in.

Posted in Senior Housing | Comments Off

My Book: A Few Steps Closer to Publication

Posted by kmancer on July 26th, 2010

I have posted a couple of times about my forthcoming book currently titled The Future of Seniors Housing: Planning, Building, and Operating Successful Seniors Housing Projects. The original goal was to publish mid-year but now it’s looking more like fall. However great progress has been made over the last few months and I am feeling much less anxious than I have for a long time. There are now seven chapters in the book plus the introduction.

I have said many times that the book has practically killed me and that if I had known yada yada yada. I don’t know if that is entirely true though. I might have written it even if I had fully realized how much work it would be.  Because, as all of you who read this blog know, seniors housing is an endlessly fascinating field. It is such a cliché to describe things as labours of love, but that’s how things get to be clichés in the first place—because they are true!

So, coming soon!

Tags: , , , , , ,
Posted in News, Senior Housing, Seniors' Housing | No Comments »

Sarah Palin School of Public Policy: Stephen Harper, Tony Clement and the 2011 Census

Posted by kmancer on July 22nd, 2010

The furor over the 2011 Census reminds me of Sarah Palin claiming she understood international relations because she could see Russia from her front door. That is how all of us will have to operate in the future—without benefit of actual facts guiding our decisions.

I have noted in past posts how we rely on data from the long form to analyze seniors’ housing markets, including data on income and housing. I haven’t noted though how often we rely on mobility data to understand demographic patterns affecting markets and communities. Data from the long form tells us how many people of various age groups lived at the same address five years earlier, how many lived in another community in the same province, and how many lived in another province.

Well that is just downright intrusive, Tony Clement and Stephen Harper would no doubt say. But of course it isn’t intrusive and the data helps us to avoid mistakes. In my forthcoming book I mention the case of a former client of ours who was planning to build a big seniors’ housing project in the interior of British Columba. He was sure that people from all over Canada would flock to the community, partly because his site was in BC, an assumed magnet for seniors, and partly because it was a good site, right behind the Tim Horton’s. We were able to show him, based on long form data, that his assumption was mistaken and that the prospects for his site were not good.

Normally it is a delicate matter to tell someone that their plan isn’t a sound one but this client was far from perturbed. “You have saved me millions of dollars”, he said, and that is true.

The lack of long form data in so many areas of the Canadian economy and Canadian society is going to be an extremely costly, as well as a futile, exercise.

Tags: , , , , , , , , , ,
Posted in Future, Marketing, Seniors' Housing | No Comments »

Seniors’ Housing Projects: Location, Location, Location–How Important is it Really?

Posted by kmancer on July 15th, 2010

Conventional wisdom suggests that for supportive seniors’ housing projects (meals, housekeeping, laundry etc), walking-distance proximity to stores and services is, if not essential, then at the very least extremely important. But without sitting down and doing the math, I would say that a minority of supportive seniors’ housing projects in BC are located close enough to stores and services so that people could easily walk to them. Some are in locations that are downright pastoral. Of course walking isn’t necessary for all people—many have scooters that enlarge their geographic boundaries. Scooters though are used by a small minority of seniors, meaning that walking distance is more important than scooter distance.

As well, many seniors’ housing projects have their own buses to take people around to shopping and doctors’ appointments, many have small tuck shops that sell various items, and in any case, most meals are provided on site. So why do people need to walk anywhere? I firmly believe that the answer to that question is this: even if people don’t have to walk anywhere, the fact that they could if they wanted to is an important psychological benefit. And for those people who actually do walk to the store or the bank, it’s more than just a psychological benefit—it’s a physical benefit as well.

Proximity to green space seems to be less important than proximity to stores and services. It’s always nice to have a park to walk through but half the time the weather may preclude the walk. But proximity to schools and other places where children play is almost always considered a decided advantage because it gives people something highly enjoyable to watch. Proximity to seniors’ centres is hugely advantageous, not just because it allows residents to participate in outside events and activities, but because it facilitates two-way interaction. It’s easy to invite people living in the community and using the seniors’ centre to come for meals and events at the housing project, which is one of the very best ways of keeping buildings full.  Easy access to public transportation falls into the “it goes without saying” category, whether or not people living in supportive housing projects ever actually take a city bus. Visitors might though and staff almost certainly will.

Of course finding sites that are close to stores, services, schools, public transit, and seniors’ centres is much easier said than done. When “affordably priced” is added to the list, finding a suitable site begins to verge on the miraculous, especially in centres where land is expensive.

Tags: , , , , , , , , , , ,
Posted in Seniors' Housing | No Comments »

2011 Census (Reprise)

Posted by kmancer on July 14th, 2010

As the government is still persisting in its wrong-headed plans to ruin the 2011 Census, I thought it would be useful to explain in a little more depth why the Census information is so critical for seniors’ housing analysis.

Here is an example of a table we always use when we are doing a market study or a community housing needs assessment.  Here are just a few of the things this table tells us:

  • 83% of the 55+ households in this community are homeowners.
  • The average income of the renters is $38,509 compared to $73,094 for the owners.
  • Single (non-family) renters over the age of 85 have the lowest average incomes.
  • Although not shown in the table, the detailed data indicate that there are 565 renter households aged 65+ in this community with an income lower than $14,999. These are the households facing serious challenges in terms of meeting their housing needs.

Owners

Renters

Family Hshlds

Non-Family

Family Hshlds

Non-Family

Total

Avg Inc

Total

Avg Inc

Total

Avg Inc

Total

Avg Inc

55-64

4,880

$101,729

1,030

$47,153

600

$61,629

510

$30,613

65-74

2,450

$67,633

815

$36,961

220

$41,969

405

$28,178

75-84

1,140

$63,158

1,030

$32,375

125

$35,366

265

$26,375

85+

200

$50,621

255

$24,358

60

$47,584

235

$24,220

Sadly, we will never have this level of knowledge about seniors’ housing markets in future years because all of this information comes from the long form.

For-profit and not-for-profit developers, communities, governments, market analysts—we will all be forced to guess what is going on. Tragic.

Tags: , , , , , , , , , ,
Posted in Future, Market Studies, News, Senior Housing, Seniors' Housing | No Comments »

Lowest and Highest Incomes in Canada for 65+ Households

Posted by kmancer on July 7th, 2010

Note that this is the last time we will be able to discuss this issue, thanks to the Conservatives’ completely bone-headed and inexplicable decision to gut the 2011 Census. No other country in the world runs its Census the way Canada does, or will in 2011. It is a tragic mistake that will take years to correct. I have written to Tony Clement, the Minister who decided to gut the Census, Stephen Harper, my MP, the Globe and Mail, and all of my colleagues who rely on Census data to make sense of our world and I encourage you to do the same. I am surprised the outcry hasn’t been louder. It’s not just the seniors’ housing field that will be severely impacted of course. Please do what you can.

So for the last time for a long time, here are average incomes and rates of homeownership for 65+ households across the country. The lowest incomes are in Newfoundland and Labrador and the highest in Ontario. The proportion of homeowners is fairly similar throughout the country except for Quebec, which has a much higher incidence of renting across all age groups compared to other provinces. It’s interesting that Manitoba is the only other province with a homeownership ratio in the 60s, although average incomes are higher than the national average and house prices are comparatively affordable. Why would that be so? The only thing I can think of is that the incidence of life lease is relatively high in Manitoba. Unlike all other provinces, life lease residents are considered renters in Manitoba so that might explain the lower incidence of homeownership.

65+ Owner Household Incomes - 2

Tags: , , , , , , ,
Posted in News, Senior Housing, Seniors' Housing | No Comments »

Disability Rates: Do they Mean Anything?

Posted by kmancer on July 2nd, 2010

Understanding disability rates and how they affect housing market behavior, in particular moves to supportive housing or assisted living, is a very difficult thing to do. Statistics Canada tells us that 43% of the 65+ population in Canada have some degree of disability, primarily mobility, agility, pain, or hearing. Of those with disabilities, 60% are mildly or moderately disabled, while 40% have severe or very severe disabilities.  What “mild”, “moderate”, and “severe” mean is not easy to define. Statistics Canada uses a complicated rating system to categorize disabilities. At any rate, the question is how these disability rates affect housing market behavior.

To establish a context for his discussion, it’s useful to reflect on the fact that the huge majority of houses in Canada are neither “visitable” nor “accessible”, meaning they do not accommodate aging in place. So does this mean that when people become disabled in some way will they move to supportive housing? Maybe not all people, or even a majority of people, but some quantifiable proportion? Alas, no. We know that entrance into service-enriched housing such as supportive housing or assisted living is primarily need-driven, which means that people move into these types of environments not because they want to but because they have to. However that does not necessarily imply the presence of a disability—people may move because their spouse died and they are afraid to stay alone, or because they are isolated, or not eating properly, or because they have lost their driver’s license. And couples with disabilities are much less likely to move to supportive housing than individuals because they are able to help each other. If there were some way to quantify demand based on disability status we would have to adjust for the number of couples in a market area, which would further complicate an already suspect analysis.

As a result of all these confounding variables, in my view it is not possible to arrive at any conclusions at all about the demand for service-enriched housing in a community by applying national disability rates to the seniors’ population and assuming that some arbitrary proportion of that group will choose to move to service-enriched housing. Some market analysts do this I am sad to report. Be careful if you are working with one.

Tags: , , , , , , , , , ,
Posted in Market Studies, Seniors' Housing | 1 Comment »

US Occupancy Rates have Declined in 11 of 12 Quarters Since 2007

Posted by kmancer on June 24th, 2010

As we have often commented in this blog, the US is light years away from Canada in terms of the quantity and quality of available research on the seniors’ housing and health care industry. The mission of the wonderful National Investment Center (NIC) is: “To advance the quality of seniors housing and care by facilitating informed investment decisions through best-in-class data, research, networking events and professional education” and they do a great job of that.

One of the many useful things they do is track occupancy data by quarter for five categories of housing and health care—freestanding IL, combined IL, freestanding AL, combined AL, and CCRC. (Remember that AL in the US is almost exclusively private pay).

A recent NIC Newsflash points out that occupancy rates for all five categories have declined more or less continuously since the first quarter of 2007, when they reached a cyclical peak of 92.3% (on average). First quarter 2010 data indicates an average occupancy rate of 88.0%.

Assisted living performed best over the period (decline of 2.7%) and freestanding IL the worst (decline of 6.2%). CCRCs ended up in the middle with a decline of 4.1%.

This is not remotely surprising. The US housing market has been hammered over the last few years. People more able to postpone a move into service-enriched housing (i.e. potential IL residents) have done exactly that.

Tags: , , , , , , , , , , ,
Posted in Future, News, Senior Housing, Seniors' Housing | No Comments »

Are disability rates improving? And if they are, why?

Posted by kmancer on June 21st, 2010

Many people (myself included) share the view that disability rates among the seniors’ population have been declining. For example, here’s a headline from a National Association of Aging document dated May, 2001: Dramatic Decline in Disability Continues for Older Americans. And what’s the evidence? Between 1994 and 1999, the percentage of Americans over the age of 65 with disabilities declined by 2.6% per year.

In answer to the obvious question: “why”?, the article suggests several possible reasons—improvements in maternal health early in the 20th Century;  better control of infectious childhood diseases; behavioural changes such as declines in the incidence of smoking; better management of diseases such as hypertension;  better drugs; and even increases in education levels.

But a recent article in Public Policy and Aging Report suggests that declines in disability rates are due not to medical science, but to “disability-friendly” environmental changes including curb cuts, disabled access ramps and elevators, and transportation services. Improvements in assistive devices (walkers, wheelchairs, scooters) have also enabled people with mobility impairments to get around better on their own.

The Public Policy and Aging Report article is focused mostly on physical impairments that impede a person’s ability to interact with the built and social environment but it also refers briefly to the positive impact of higher education levels on rates of cognitive impairment.

It is interesting to think about this. Disability is not defined as an impairment per se, but as a “social construct insofar as it reflects the ease or difficulty that individuals with physical impairments experience interacting with the built and social environment.”

Tags: , , , , ,
Posted in Future, Senior Housing, Seniors' Housing | No Comments »

Americans Moving to Canada in Search of More Affordable Seniors’ Housing and Health Care?

Posted by kmancer on June 15th, 2010

I read a comment about this recently. The writer was hypothesizing that as costs for seniors’ housing and health care rise in the US, Americans might move to Canada or Mexico in search of more affordable alternatives.

In both cases (i.e. Canada and Mexico) the fly in the ointment for Americans actually contemplating such a move would be health care and immigration policies, but aside from that, are costs really cheaper in Canada? My first reaction was scepticism but upon re-reading a few brochures I picked up at the recent ALFA conference in Phoenix, I thought: “well, maybe it IS cheaper in Canada, at least for some types of housing and health care”.

For example, at the Forum at Desert Harbor, the daily rate for a private room in the long term care component of the campus is $280, which is to say just over $100,000 per year. There aren’t many private pay long term care facilities in Canada that are charging $280 per day.

But at the same time, the rate at the Forum for a two bedroom 922 square foot independent living apartment is only $2,868 per month (the meal package includes breakfast and one other meal). The Forum is an upscale project with lots of amenities including a lakefront location, a pool, and a grapefruit tree, to say nothing of that desert climate.

Americans would have a tough time finding a similar value in Canada. The trick at the Forum is obviously to stay out of long term care!

Tags: , , , , , , , , , , , , , ,
Posted in Future, Seniors' Housing | No Comments »

What a Difference Four Years Makes

Posted by kmancer on June 10th, 2010

This week I am working in Stony Plain, a community of about 12,000 people 20 minutes west of the West Edmonton Mall, as these things are always described in the Edmonton area. It’s not where you are relative to downtown Edmonton, it’s where you are relative to the West Edmonton Mall.

On my way here I stopped off in Devon, a town of about 6,000 people midway between Stony Plain and the Edmonton International Airport. There are only 275 people over the age of 75 in Devon and yet there is a 61 unit supportive senior’s housing project (Discovery Place, The Heights) that has only one vacant unit. It is situations like this that keep market analysts humble.

But getting back to the topic of this blog, the current issue of the Edmonton Condo Guide includes a handy chart comparing year-to-date statistics for the four year period between April 2006 and April 2010. In terms of the sales-to-listing ratio, the trough over that period was in 2008, when the ratio was 37% compared to an astonishing 91% in 2006. Things have improved since 2008, but in the first four months of 2010 there were 12,365 listings on the Edmonton MLS compared to 5,645 sales. That’s a long way from the heady days of 2006—7,779 listings; 7,100 sales.

You can see the evidence of the hangover everywhere in Stony Plain. “Immediately available condos”, “condo units for rent”, “move in now”—signs like this are common. It’s nothing like Phoenix, but it is a bit unsettling all the same.

Tags: , , , , , , , , ,
Posted in Marketing, Senior Housing, Seniors' Housing | No Comments »