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 nursing homes. 







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