Continuing care retirement communities (CCRC) -
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Continuing Care Retirement Communities
Care Diagram
Activities of Daily Living
(dressing, personal care)
No Assistance
Comprehensive Assistance
Community Services
(laundary, cleaning, etc.)
Overall Health
(physical, emotional)
Generally Poor
Generally Good
Health Services
(medications, nursing care)
Skilled Nursing
Community Activities
(social events, outings, golf, etc.)
None Offered
Many Offered
(personal freedom)

Services Offered in Continuing Care Retirement Communities

Continuing Care Retirement Communities (CCRC) are residential campuses that provide a continuum of care---from private units to assisted living and then skilled nursing care, all in one location. CCRCs are designed to offer active seniors an independent lifestyle from the privacy of their own home, but also include the availability of services in an assisted living environment and on-site intermediate or skilled nursing care if necessary.

CCRCs offer a variety of residential services including the following:

  • a maintained apartment, townhouse, or other unit
  • cleaning and laundry service
  • meals in common dining areas (# per day varies)
  • ground maintenance
  • security
  • social, recreational, and cultural programs

Health care services:

  • care is covered for contracted services
  • personal care and help with daily activities
  • nursing care
  • rehabilitative care
  • respite & hospice care
  • Alzheimer's & special care clean, furnished room

Payment Options in CCRCs

With Continuing Care there are many different types of contracts and fees to consider. An Extensive contract offers unlimited long-term nursing care for little or no increase in monthly fees. A Modified contract includes a specified amount of health care beyond which additional fees are incurred. Some communities may require residents to purchase long term care insurance as criteria for acceptance. There are also communities that provide services and access to medical care on a month-to-month basis.

Costs and Fees of Continuing Care Communities

Monthly fees generally cover the following:

  • Meals (numbers may vary)
  • Scheduled transportation
  • House-keeping services
  • Unit maintenance
  • Laundry
  • Health monitoring services
  • Some utilities
  • Organized social activities
  • Emergency call monitoring
  • Security

Regulation of Continuing Care Retirement Communities

CCRCs are highly regulated in some states, but not in others. There is no federal agency which oversees them. The Continuing Care Accreditation Commission (CCAC), a private nonprofit organization, accredits these communities. This voluntary process involves a review of finances, governance and administration; resident health and wellness, and resident life.

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