Continuing Care Retirement Community (CCRC)
These multiple-level complexes are restricted to seniors over a specified age. They include independent living units (apartments and/or cottages), social activities, dining program, supportive assistance, personal care, and health-related care all on one campus. They include independent living units (apartments and/or cottages), social activities, dining program, supportive assistance, personal care, and health-related care all on one campus. Nursing home care is also included, but may be provided on- or off-campus. Most complexes are built in suburban areas, with various levels of housing and care in separate buildings. Increasingly, urban CCRCs are being developed, with the various levels of housing and care located on separate floors of a high-rise building. Independent living units may be structured as a cooperative, condominium, or rental arrangement. Residents pay for housing, activities, meals, supportive services, personal care, and nursing care with a one-time entrance fee (or purchase price in the case of a condominium or cooperative) and regular monthly charges; long-term care insurance may also be used.
CCRCs are approved for development and regulated as a single entity by the New York State CCRC Council, which is made up of several representatives from outside of state government and several New York State government agencies, including the State Health Department, which oversees the nursing home and personal care services; the State Department of Insurance, which oversees the CCRC's financial structure; and the State Attorney General's Office, which approves condominium and cooperative arrangements.
A major benefit for residents is that they are guaranteed housing, supportive assistance, and a specified amount of nursing home care for life, under a single contract. A life care contract guarantees unlimited nursing home care at the same monthly rate as is paid in the independent living unit; a modified life care contract guarantees a specified amount of nursing-home care at the independent-living-unit rate, with residents paying a per diem rate for additional days in the nursing home; a fee-for-service contract consists of a separate contract and a different monthly rate for each level of housing and care.
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