Posts Tagged ‘Independent Living’

Thoughts on Homecare for Seniors

Tuesday, August 17th, 2010

My 87 year old mother recently spent 2 weeks with us (sorry for letting my posting slip somewhat). Near the end of her visit my son asked me how long I thought she would be able to continue living independently.  She moved from the family home into an apartment eight years ago. It’s not a seniors’ apartment and she still drives. She has all her mental faculties, takes almost no drugs, and does not use any kind of mobility device, although she can’t walk long distances and she shuffles a bit because she is afraid of falling.

So: a very independent senior you might conclude and you would be half right. She IS very independent but only because my three siblings live in the same city she does and they help her a lot. My sister does all her grocery shopping for example. My brothers do various maintenance tasks for her. Without that kind of help her life would be difficult, perhaps too difficult to allow her to remain at home, where she wants to be.

My mother is fortunate to have children close by who do these things for her. But what about people who don’t have kids close by? And, what about the boomers, who, typically, have had fewer children than their parents?

One solution is virtual retirement communities. We have posted about VRCs in earlier blogs and I am convinced they will become a prominent part of the landscape in years to come. Another is intentional communities. Someone I was talking to recently told me about a group of seniors who share the same caregiver. They all live in single family houses but not on the same street. The caregiver goes from one house to the next and is increasingly getting worn out. They have now decided that the obvious solution is for all of them to live together. And that indeed IS a good solution if they can get it off the ground fast enough.

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

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

Thursday, 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 »

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

Thursday, 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 | Comments Off

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

Tuesday, 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 | Comments Off

What a Difference Four Years Makes

Thursday, 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 | Comments Off

What you could do if you had 808 units

Tuesday, June 1st, 2010

I toured Friendship Village in Tempe, AZ while attending the recent ALFA conference in Phoenix. It’s spread over 43 acres and has 575 independent living units (bungalows and apartments), 91 assisted living units, and 142 care beds. There’s a pool, a fully equipped fitness facility (very busy when we popped in at 10:30am), an auditorium, a library, woodworking shops, a billiards room, a 9,000 square foot recreation centre featuring rooms for dancing, weaving, ceramics, video editing, and stained glass, and three dining areas: a cafe that is open all day and looks exactly like a real cafe, a large buffet that’s likewise open all day, and a formal dining room that is open on a reservation basis at dinner time.

The first time I saw a buffet in operation at a new upscale project in Red Deer I was taken aback because of what I assumed would be the difficulty of dealing with a buffet if you had a walker or were just generally unsteady on your feet. But people at Friendship Village seemed to manage just fine – they put their food on the seat of the walker, or staff there was around to help. And it’s worth noting that at breakfast or lunch it’s the buffet or the café and that’s it – no table service is available, which is interesting in itself. Do people stay independent longer if you force them to retrieve their own breakfast and lunch from a buffet?

Aside from the array of amenities you can offer if you have 808 units, the other advantage is that there are people everywhere – in the cafe, in the buffet, in the pool, in the fitness centre. It’s lively! It’s hard to achieve the same ambience if you’ve only got 100 units or so and it’s impossible to offer the same array of amenities. But that doesn’t mean you have to resign yourself to sepulchral silence and meals in the dining room at precisely 11:30 and 4:30. Au contraire – stay tuned for ideas.

Tags: , , , , , , , , , ,
Posted in Future, Seniors' Housing | Comments Off

Fine Dining in Long Term Care: A Contradiction in Terms?

Thursday, May 27th, 2010

Not in Phoenix! Or indeed all over the USA where fine dining in long term care is a definite trend. I toured a state-of-the-art not-for-profit skilled nursing facility in nearby Tempe AZ on Monday. I was profoundly impressed. The goal of the owner of the facility, Friendship Village, was to retain the ambience of a residential environment and avoid any feel of the institutional. Without question they achieved the goal. The hallways are gorgeous—no other word will do although it seems odd to describe a hallway as gorgeous. Unlike every other hallway I have seen in a care facility, they undulate. They are also carpeted, painted in beautiful colors, and highlighted with artwork and furniture at appropriate intervals.  Doorways are recessed. The contrast with many independent living communities I am familiar with could not be starker.

The dining rooms blew me away too— linen tablecloths and napkins! And menu choices! And open eating hours! I don’t like to overdo the exclamation marks but the facility was really unlike anything I have ever seen.

“Ah but what does all this cost?” you are no doubt thinking. Friendship Village is a life care community—residents buy in at the independent living stage and whatever care they need beyond that stage is provided at the same monthly cost. For example, a one bedroom unit may cost $160,000 (assuming no return of capital) plus monthly fees of $2,300 (meals, housekeeping, laundry etc). If someone buying in at this level were ever to require skilled nursing care, they would continue to pay the same monthly fee they paid in independent living (adjusted for inflationary increases).

Tags: , , , , , , , , ,
Posted in Senior Housing, Seniors' Housing | Comments Off