Approximately 6.5 million people in the United
States today require assistance with the activities of daily
living, and this number is expected to double by 2020. In
2004, states reported that a total of 36,451 licensed
facilities with 937,601 units or beds. AARP estimates that
the number of senior livening communities doubled from 1996
to 2006 and will more than double from present levels in the
next 10 years. Starting in 2012 there will be over 10,000
people a day that goes over the age of 65, and that will
continue for the next 15 years.
Continuum of Care Retirement Communities (CCRCs), also
referred to as life-care communities, provide a continuum of
care, including housing, health care, and various support
services. These communities provide services specified by
contract, usually for the rest of the resident’s life. The
services provided rang from support of independent living,
assisted living, and adult day care to skilled nursing care.
Health care services may be provided directly or through
access to affiliated health care facilities. Most
communities offer a wide variety of contract options. Fees
may be structured as a refundable entry fee plus a monthly
service fee, as a condominium, as a rental or as an
endowment, long-term care insurance may be mandatory.
Residency agreements usually are offered in three versions:
extensive (providing for unlimited long-term care), modified
(providing a specified amount of long-term care per year),
or fee-for-service (providing guaranteed health care as
needed at market rates).
Other than the provision of differing levels of health care,
the operational management of different types of senior
living communities in fact has only subtle difference.
With the shifting trends in health care and the advancement
of health technology, Renaissance Enterprises has developed
a health care system that will capture every segment of the
aging process. Adult Day Care (“ADC”) is the first phase
along the continuum of care, and is major gateway into the
senior Adult Care System. The continuum of care for the
aging population consists of five phases: adult day care,
home healthcare, assisted living, independent living and