Continuing Care Retirement Community

A Continuing Care Retirement Community (CCRC) is a residential facility that provides multiple support levels for seniors. A CCRC houses units for memory care, assisted living, independent living, and skilled nursing options in a campus format all under the same business entity.


CCRCs use three general types of residential contracts to accommodate a variety of individual needs. However, the types and numbers of contracts offer may vary by state and licensing requirements. Here are examples of contracts that are typical nationwide:


  • Extensive or Life Care contracts, include housing, residential services, and amenities–including unlimited use of health care services–at little or no increase in monthly fees as a resident moves from independent living to assisted living, and, if needed, to nursing care.

  • Modified contracts often have lower monthly fees than Life Care contracts and include the same housing and residential amenities as them. However, only some health care services are included in the initial monthly fee. The contract will be adjusted as the resident’s needs change.

  • Fee-for-service contracts, include the same housing, residential services, and amenities, as the previously noted arrangements but require residents to pay market rates for all health-related services on an as-needed basis.


Management of a CCRC requires expertise in several unique living support arrangements, or several individuals to cover those areas of expertise. For example, the responsibilities of an independent living manager are different than those of an assisted living manager.


In the past, when gauging the affordability of or feasibility of a new Continuing Care Retirement Community is defined by whether the average entrance fee equaled the average home value in the community. People could sell a home and comfortably roll the proceeds into the entrance fee.


But this benchmark does not work today, where affordable in the light of the current economic situations for potential residents must be redefined. Memory Care Management and Consulting can work with you to find ways to keep a CCRC affordable and the preferable market choice.


Contact us for more information if you are considering expanding or modifying your continuing care retirement community.