Posts Tagged ‘Senior Housing’

Are Publicly Funded Campuses of Care a Fraud in British Columbia?

Friday, March 25th, 2011

For quite a long time health authorities in BC have been extolling the virtues of the campuses of care they are creating where people can “age in place”. Most of the campuses are combined assisted living/residential care combinations—there are very few examples in BC of true campuses where housing for independent seniors (no services at all) is part of the campus. That model—the full spectrum—is common in the US, where it is known as Continuing Care Retirement Communities (CCRCs). The reason there are so few true campuses in Canada is because of our health care system. US seniors buy into CCRCs so they can be assured of access to the kind of care they need, no matter what it might be, as long as they live. Canadian seniors generally assume that the government will look after them when they get old and frail.

Most of the campuses in BC are subsidized by the government—“funded”, in the jargon. Access to funded spaces, residential care beds or assisted living units, is controlled through health authority case managers. Case managers are responsible for the needs of all the people in their areas, not just the people who may live on a campus. That means that there is absolutely no guarantee that if you live in an assisted living unit and you need a higher level of care that you will be able to move next door.

Health authorities are very sensitive to the needs of couples who may need to separate because of different health care situations and there is a lower incidence couple separation than there used to be. But aside from some couples, the promise of aging in place on publicly funded campuses is really a fraud, at least for most people.

Unless those people who need help have the ability to pay for everything themselves, in which case they can move to a few (but only a few) true campuses of care in BC or alternatively, bring all the services they need into their current homes, aging in place can be a very tough objective to achieve.

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55+ Housing in the US still weak

Tuesday, November 23rd, 2010

A recent report from the National Association of Homebuilders clearly indicates that active adult housing in the US is still in recession. The 55+ single-family Housing Market Index (HMI) measures builder sentiment based on current sales, prospective buyer traffic and anticipated six-month sales for the 55+ single-family market.  A number greater than 50 indicates that more builders view conditions as good than poor. In the third quarter of 2010, the index came in at 15, a five-point drop from the third quarter of the previous year. Present sales dropped four points, to 15. Expected sales (six months into the future) dropped six points, to 24. And traffic of prospective buyers fell seven points, to 11.

The condo HMI also dropped from the third quarter of 2009 to the third quarter of 2010.

This is hardly surprising news. With the overall US housing market still very soft, strength in the active adult sector would be anomalous. All those folks planning to move to Sun City first have to sell their houses to someone else.

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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.

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My Book: A Few Steps Closer to Publication

Monday, 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!

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2011 Census (Reprise)

Wednesday, 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.

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Lowest and Highest Incomes in Canada for 65+ Households

Wednesday, 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

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Disability Rates: Do they Mean Anything?

Friday, 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.

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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.

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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!

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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.

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