SLIDE 1
Ex panding t h e wor ld of possibilities for aging.
Senior Housing as We “Know” It:
- “Active” Senior Housing
- Supportive Senior Housing
- Assisted Living
- Nursing Homes
- Continuing Care Retirement Communities
Senior Housing as We Know It: Active Senior Housing Supportive - - PowerPoint PPT Presentation
Senior Housing as We Know It: Active Senior Housing Supportive - - PowerPoint PPT Presentation
Ex panding t h e wor ld of possibilities for aging. Senior Housing as We Know It: Active Senior Housing Supportive Senior Housing Assisted Living Nursing Homes Continuing Care Retirement Communities The Field Of
SLIDE 2
SLIDE 3
The Field Of Aging Services Is Evolving
Source: Adapted from previous Greystone and LarsonAllen LLP presentations
Spectrum of Services
Community Based Services Wellness Programs Senior Membership Geriatric Assessment Case/Disease Management Health & Wellness Centers Independent Living Intentional Community Personal Care Assistance Assisted Living Telehealth & Home Technologies Day Care Medical Social Home Health Skilled LTC Respite Care Palliative Care Skilled Nursing Care Hospice Outpatient Therapies Subacute Rehab Diagnostic & Treatment Center Long Term Acute Hospitalization Acute Hospitalization Dementia Assisted Living Board & Care Intermediate Care
Want driven Need driven Preventative Long-term care Hospital Active adult communities Continuing care retirement communities/multi-level campus
Housing w/ Services
SLIDE 4
Senior Characteristics Based
- n Housing
Homeowners:
- Most seniors (almost 80%) are
homeowners
- 50% of senior homeowners are
- ver age 75 and 12% are over age
85
- Age, frailty and disability go hand
in hand
- 8% of seniors under age 75
(renters and home owners) are disabled and 50% over age 85 are disabled Living in Assisted Housing:
- Growing older and more frail
- Twice the prevalence of disability
as their home owner counterparts
- One-third have difficulty with
routine activities
- 12% have cognitive impairments
- Almost 40% of older Section 202
residents are over age 80
- A 1999 survey estimated that
30% of Section 202 residents transferred to a nursing home
SLIDE 5
The 2012 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs
- The national average daily rate for a private room in a nursing home is
$248, while a semi-private room is $222 up from $239 and $214 respectively in 2011.
- The national average monthly base rate in an assisted living
community rose from $3,477 in 2011 to $3,550 in 2012.
- The national average daily rate for adult day services remained
unchanged from 2011 at $70 in 2012.
- The national average: hourly rates for home health aides ($21)
remained unchanged, while the homemaker hourly rate increased by 5.3% from $19 in 2011 to $20 in 2012.
SLIDE 6
Demographics Define the Market
Projected U.S. Seniors Population (2010 to 2050)
6
10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000 100,000 2010 2015 2020 2025 2030 2035 2040 2045 2050
(In Thousands)
65 Years & Over 75 Years & Over 85 Years & Over 100 Years & Over
Source: U.S. Census Bureau National Population Projections (released 2008, based on Census 2000)
5 Year Increments
SLIDE 7
U.S. Disability Trends
Percentage of Adults Ages 6 5 and Older w ith Disabilities, 2 0 0 0 -2 0 4 0
Source: “Meeting the Long-Term Care Needs of the Baby Boomers: How Changing Families Will Affect Paid Helpers and Institutions,” Johnson, Richard W., Toohey, Desmond and Wiener, Joshua M., May 2007.
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SLIDE 8
Emerging Models of Housing and Services
- Expansion of HCBS, offering more flexibility
- CCRC and skilled nursing offering community services
- Program of All Inclusive Care for the Elderly (PACE)
- Small house models for care settings
- Co-housing
- Village networks
- Affordable housing with services
- Promoting deinstitutionalization
- Facilitating nursing home diversion programs
- Better managing dual eligibles
- State Driven Innovation
- Service Coordination
SLIDE 9
Major Obstacles to an Evolving Senior Housing Market
- Not all providers or policy makers will buy into the concept of aging-
in-place
- Inability for federal, state and local agencies covering a myriad of
issues to work together
- Licensing/regulation
- Liability
- Fair housing laws
- Difficulty bridging housing and aging services
- Resources
- Limited understanding/capacity of many housing providers
- Resident opposition
- Affordability
SLIDE 10