What is a Continuing Care Retirement Community?

March 4, 2025

Discover Continuing Care Retirement Communities (CCRCs) and their benefits. From independent living to skilled nursing care, find the perfect fit for your needs.

Understanding Continuing Care Retirement Communities

Continuing Care Retirement Communities (CCRCs) are residential communities designed to provide a range of housing options and care services for seniors as they age. These communities offer a continuum of care, allowing residents to transition seamlessly between different levels of care based on their changing needs.

What are Continuing Care Retirement Communities (CCRCs)?

Continuing Care Retirement Communities, often referred to as CCRCs, are specialized senior living communities that aim to meet the evolving needs of older adults. These communities typically offer a combination of independent living, assisted living, and skilled nursing care, all within one campus or community.

CCRCs provide a variety of housing options, such as apartments, cottages, or townhomes, allowing seniors to choose the type of residence that suits their preferences and lifestyle. Residents in CCRCs have access to a range of amenities and services, including dining options, transportation, housekeeping, and maintenance.

One of the unique aspects of CCRCs is the age-in-place model. This model allows residents to age comfortably in one place, knowing that their changing care needs can be met without the need to relocate to a different facility. As seniors require more assistance or healthcare services, they can seamlessly transition from independent living to assisted living or skilled nursing care within the same community.

How CCRCs Differ from Other Senior Housing Options

CCRCs differ from other senior housing options, such as independent living communities, assisted living facilities, or nursing homes, primarily because of the continuum of care they offer. While other senior housing options may focus on a specific level of care, CCRCs provide a range of care services to accommodate the changing needs of residents.

Here's a comparison of CCRCs with other senior housing options:

CCRCs provide a comprehensive approach to senior living, ensuring that as residents' needs change, they can receive the appropriate level of care and support within the same community. This continuity of care offers peace of mind to seniors and their families, knowing that their future needs can be met without the stress of relocating or searching for alternative care options.

Understanding the concept of CCRCs and how they differ from other senior housing options is crucial when considering the best living arrangement for yourself or a loved one. By exploring the various levels of care, benefits, considerations, and operations of CCRCs, individuals can make informed decisions about their long-term housing and care needs.

Levels of Care in CCRCs

Continuing Care Retirement Communities (CCRCs) offer a range of care options to meet the evolving needs of residents as they age. These communities provide a continuum of care, ensuring that individuals can transition seamlessly between different levels of care within the same community. The key levels of care in CCRCs include independent living, assisted living, and skilled nursing care.

Independent Living

Independent living is the starting point for many residents in a CCRC. This level of care is designed for individuals who are generally healthy, active, and capable of living independently. Residents in independent living units typically have access to a wide range of amenities, including recreational facilities, dining options, and social activities. Supportive services such as housekeeping and transportation may also be available.

Independent living in a CCRC allows residents to maintain their autonomy and enjoy a maintenance-free lifestyle while benefiting from the security and peace of mind that comes with living in a community specifically designed for older adults.

Assisted Living

Assisted living within a CCRC is intended for individuals who require some assistance with daily activities but still desire an independent lifestyle. This level of care provides residents with assistance in areas such as bathing, dressing, medication management, and meal preparation. Trained staff members are available around the clock to provide support and ensure the well-being of residents.

Assisted living units are designed to promote safety and accessibility, with features such as grab bars, emergency call systems, and wheelchair accessibility. Residents in assisted living also have access to community amenities and social activities, fostering a sense of belonging and engagement.

Skilled Nursing Care

Skilled nursing care, also known as nursing home care, is the highest level of care offered in CCRCs. This level of care is designed for individuals who have complex medical needs or require round-the-clock monitoring and assistance. Skilled nursing care provides comprehensive medical care, including medication management, wound care, rehabilitation services, and assistance with activities of daily living.

Skilled nursing care units within CCRCs are staffed by licensed healthcare professionals, including registered nurses, physicians, and therapists. These units are equipped with advanced medical equipment and have protocols in place to ensure the safety and well-being of residents.

The availability of these different levels of care within a CCRC allows individuals to age in place, meaning they can remain in the same community and receive the appropriate level of care as their needs change over time. This continuum of care is a key advantage of CCRCs, providing peace of mind for residents and their families.

Benefits of CCRCs

Continuing Care Retirement Communities (CCRCs) offer several benefits for older adults looking for a comprehensive and supportive living environment. Let's explore some of these advantages in more detail.

Age-In-Place Model

One of the key benefits of CCRCs is their age-in-place model. This means that as residents' needs change over time, they can transition seamlessly between different levels of care without having to move to a new facility. CCRCs provide a range of services, from independent living to assisted living and even skilled nursing care. This allows individuals to remain within the same community and receive the appropriate level of care as their health needs evolve.

Continuum of Care

CCRCs offer a continuum of care, ensuring that residents have access to the support they need at every stage of their retirement journey. This comprehensive approach provides peace of mind, knowing that as health conditions change, necessary care services are readily available within the CCRC. Whether it's assistance with daily activities or specialized medical care, residents can receive the appropriate level of support without the need to relocate to a different facility.

To better understand the continuum of care in CCRCs, let's look at the different levels of care typically offered:

Community Living and Social Activities

CCRCs foster a sense of community and offer a wide range of social activities and amenities for residents to enjoy. These communities often provide a variety of recreational programs, fitness facilities, dining options, and organized events to promote social engagement and companionship. The opportunity to connect with peers and participate in shared interests can enhance residents' overall well-being and quality of life.

Living in a CCRC also provides a support system and a sense of belonging. Residents can build lasting friendships, share experiences, and create a supportive network within the community. The social aspect of CCRCs contributes to a vibrant and fulfilling retirement lifestyle.

By offering an age-in-place model, a continuum of care, and a vibrant community atmosphere, CCRCs provide a comprehensive and supportive living environment for older adults. These benefits make CCRCs an attractive option for individuals seeking a secure and fulfilling retirement lifestyle.

Considerations When Choosing a CCRC

When considering a Continuing Care Retirement Community (CCRC) for yourself or a loved one, there are several important factors to take into account. These include financial aspects, contract types, and location and amenities.

Financial Aspects

Before choosing a CCRC, it's crucial to carefully evaluate the financial aspects associated with it. CCRCs typically require an entry fee, which can vary widely depending on the community and the type of residence chosen. In addition to the entry fee, there are also monthly costs for services and amenities provided by the community.

It's important to understand the financial structure of the CCRC and determine if it aligns with your budget and long-term financial goals. Take into consideration factors such as the refundability of the entry fee, any potential increases in monthly fees over time, and the availability of financial assistance programs, if needed.

Contract Types

CCRCs offer different contract types, and understanding these options is vital when making a decision. The most common types of contracts include:

  1. Life Care Contracts: These contracts typically require a higher upfront entry fee but provide unlimited access to a full range of care services as needed, without significant additional costs.
  2. Modified Care Contracts: With this type of contract, residents have access to a specific level of care for a predetermined period, after which additional care may incur additional costs.
  3. Fee-for-Service Contracts: These contracts involve paying for care services as needed, separate from the monthly fee. This type of contract may have lower upfront costs but can result in higher expenses if extensive care is required.

It's essential to carefully review and understand the terms and conditions of the contract, seeking legal advice if necessary, to ensure you are comfortable with the financial obligations and level of care provided.

Location and Amenities

The location and amenities offered by a CCRC can greatly impact your overall experience and quality of life. Consider the community's proximity to family and friends, as well as access to healthcare facilities, shopping centers, and recreational opportunities.

Furthermore, explore the amenities provided by the CCRC, such as fitness centers, swimming pools, dining options, and social activities. These amenities can enhance your lifestyle and contribute to a vibrant and engaging community.

When evaluating different CCRCs, create a checklist of desired amenities and prioritize them based on your preferences and needs. This will help you narrow down your options and select a community that aligns with your lifestyle and interests.

By carefully considering the financial aspects, contract types, and location and amenities, you can make an informed decision when choosing a CCRC. Remember to visit multiple communities, ask questions, and gather all the necessary information to ensure that the chosen CCRC meets your individual requirements and provides a comfortable and fulfilling retirement living experience.

How CCRCs Operate

Continuing Care Retirement Communities (CCRCs) operate on a unique model that provides a range of services and care options for older adults. In this section, we will explore how CCRCs operate, including the entry fees and monthly costs, services and amenities provided, and resident rights and responsibilities.

Entry Fees and Monthly Costs

CCRCs typically require residents to pay an entry fee upon admission. This fee is an upfront payment that secures a place in the community and allows access to the various levels of care available. The entry fee can vary depending on factors such as location, size of the living unit, and the amenities offered.

In addition to the entry fee, CCRCs also charge residents a monthly fee. This fee covers the cost of services and amenities provided, as well as the ongoing maintenance and operation of the community. The monthly fee may vary based on the level of care required, the size of the living unit, and the location of the CCRC.

It's important to carefully review the financial aspects of a CCRC, including the entry fee and monthly costs, to ensure they align with your budget and long-term financial plans. Understanding what is included in the fees and any potential increases or additional charges is essential for making an informed decision.

Services and Amenities Provided

CCRCs offer a wide range of services and amenities to enhance the quality of life for their residents. These can include:

  • 24/7 security and emergency response services
  • Regular housekeeping and maintenance services
  • Transportation services for medical appointments and shopping
  • Access to fitness centers, swimming pools, and recreational facilities
  • On-site dining options and meal plans
  • Social and educational programs

The specific services and amenities provided can vary from one CCRC to another, so it's important to inquire about the offerings of each community you are considering. You may also want to consider any additional services or amenities that are important to you personally, such as pet-friendly policies, wellness programs, or cultural activities.

Resident Rights and Responsibilities

Residents of CCRCs have certain rights and responsibilities that contribute to a harmonious living environment. These can include:

Rights:

  • The right to privacy and security
  • The right to participate in decision-making processes
  • The right to access appropriate levels of care and services
  • The right to a safe and comfortable living environment

Responsibilities:

  • Adhering to community rules and regulations
  • Paying fees and charges in a timely manner
  • Respecting the rights and privacy of other residents
  • Participating in community activities and events

Understanding the rights and responsibilities as a resident in a CCRC is essential for fostering a positive and respectful community atmosphere. It's advisable to review the community's policies and guidelines before making a commitment to ensure they align with your lifestyle and values.

By understanding how CCRCs operate, including the entry fees and monthly costs, services and amenities provided, and resident rights and responsibilities, you can make an informed decision about whether a CCRC is the right fit for your needs and preferences.

Is a CCRC Right for You?

Deciding whether a Continuing Care Retirement Community (CCRC) is the right option for you or your loved one requires careful consideration of various factors. Evaluating your needs, visiting and researching CCRCs, and making an informed decision are essential steps in this process.

Evaluating Your Needs

Before considering a CCRC, it's important to assess your current and future healthcare and lifestyle needs. Ask yourself the following questions:

  1. What level of assistance or care do you require now or anticipate needing in the future?
  2. Are you looking for a community that offers a continuum of care, from independent living to assisted living and skilled nursing care?
  3. What are your preferences for housing, amenities, and social activities?
  4. What is your budget and financial situation?

By evaluating your needs and preferences, you can determine if a CCRC aligns with your lifestyle goals and healthcare requirements.

Visiting and Researching CCRCs

Once you have identified the potential benefit of a CCRC, it's crucial to visit and thoroughly research different communities. Consider the following steps:

  1. Schedule visits to multiple CCRCs to get a sense of the environment, amenities, and available services.
  2. Take note of the quality and cleanliness of the facilities, as well as the friendliness and competence of the staff.
  3. Engage with current residents to gain insights into their experiences and satisfaction with the community.
  4. Research the reputation and history of the CCRCs you are considering. Look for any regulatory or financial issues that may impact its stability and ability to provide care.

By visiting and researching various CCRCs, you can gather the necessary information to make an informed decision.

Making an Informed Decision

After evaluating your needs and researching CCRCs, it's time to make a decision. Consider the following factors:

  1. Assess the financial aspects, including entry fees, monthly costs, and any potential additional charges for higher levels of care.
  2. Examine the contract types offered by the CCRCs, such as life care contracts or fee-for-service contracts, and ensure you understand the terms and obligations.
  3. Evaluate the location and amenities of each community, considering factors such as proximity to family, medical facilities, and recreational opportunities.

By carefully weighing these considerations, you can make a decision that aligns with your needs, preferences, and financial situation.

Remember, choosing a CCRC is a significant decision that impacts your future well-being. Take the time to thoroughly evaluate your options and seek professional advice if needed. By making an informed decision, you can find a CCRC that provides the level of care, community, and lifestyle you desire.

Sources

https://seniorservicesofamerica.com/blog/what-is-a-continuing-care-retirement-community/

https://www.brookdale.com/en/our-services/continuing-care-retirement-communities/what-is-a-ccrc.html

https://www.actsretirement.org/retirement-resources/resources-advice/retirement-communities/what-is-a-ccrc/

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Geriatric Care Statistics

Dual Diagnosis In Older Adults

Residential Care Facility Statistics

The Complete Guide to Senior Living Options

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Hospice Care While Living in a Nursing Home

Traditions Health: Hospice & Palliative

What Does In-Home Hospice Care Provide?

Homestead Hospice & Palliative Care

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Do Nursing Homes Provide Hospice Care?

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Affordable Housing Options For Retirees

How To Deal With Elderly Parents Anxiety?

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Heart-Healthy Foods For Seniors

Assisted Living Benefits

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Does Speech Therapy Help Alzheimer's?

Dual Diagnosis in Older Adults

Prescription Drug Misuse Among Older Adults

Alcoholism in the Elderly

Treatment for Substance Abuse in Older Adults

Overcoming the Dangers of the Elderly Living Alone

Living Alone with Dementia

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Activities to Enjoy if Someone Has Alzheimer's or Dementia

NHA Turnover and Nursing Home Financial Performance

Nursing Home Affiliated Entity Performance Measures

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Living Alone with Dementia: Lack of Awareness

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Meaningful Activities for Dementia Patients

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Personal Hygiene: Caregiver Tips for At-Home Hospice Patients

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Home Safety for Older Adults

An Aging-in-Place Strategy for the Next Generation

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This Is What Happened When My Parents Moved In

Arthritis Awareness Month

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Telemedicine in the Primary Care of Older Adults

What is End-Stage Dementia?

Cooking Activity Ideas for Seniors & the Elderly

Late-Stage Dementia and End-of-Life Care

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A Beginner's Guide to Power of Attorney for Elderly Parents

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Depression in Elderly Parents: How to Help

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Eating Right for Chronic Kidney Disease

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Dementia and End of Life Planning

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The Power of Creative Writing Exercises for Senior Minds

Wordfind: Cultural Activities for Seniors

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What Services Do Senior Centers Provide?

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Does an Older Adult in Your Life Need Help?

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What Are the Causes of Hypertension in Older Adults?

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Caregiving: Taking Care of Older Adults

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Heatstroke - Symptoms and Causes

What Is Long-Term Care?

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What Are the Four Levels of Hospice Care?

Home Health Aide Duties: What Does an HHA Do?

How Many Hours Can a Home Health Aide Work?

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Pros And Cons Of Nutritional Supplement Drinks

How Long is the Average Hospice Stay?

In-Depth Guide on Taking Care of Elderly Parents

Nourishing and supplementary drinks

Can I Afford a CCRC? Here's What You Need To Know

Guardianship-Acting for the Disabled Adult

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Does Medicare Cover Palliative Care?

Helping an Elder Make a Power of Attorney

Medicare and End-of Life Care: What to Know About Coverage

Guardianship and Conservatorship of Incapacitated Persons

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What to Do When You Can't Care for Elderly?

Older Adults and Mental Health

End-of-Life Care: Managing Common Symptoms

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End-of-Life Care and Hospice Costs

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Does Medicare Cover Memory Care Facilities?

Can I Take Care of Elderly in My Home?

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Long-Term Care Facilities: Types and Costs

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Hospice Care at Home Cost: What You'll Pay

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The Ultimate List of Aging in Place Home Modifications

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8 Useful Mobility Aids for Seniors with Disabilities

What Is Pet Therapy for Seniors?

Transportation for Older Adults

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Nursing Home vs. Memory Care: What's the Difference?

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What is the Average Length of Stay for Rehab?

Unpacking Assisted Living

Why Do Seniors Want to Stay in Their Homes?

Palliative Care vs. Hospice: Which to Choose

How to Report a Home Health Aide?

What Is A Home Health Nurse?

How Long Can You Stay in Acute Rehab?

What is Home Nursing Care and What Does it Cover?

The Right Alzheimer's Care for Your Loved One

Difference Between Hospice and End-Of-Life Care

Taking Care of Elderly Parents Quotes

Top 10 Complaints from Home Care Clients

How to Get an Elderly Person into a Care Home

Your Guide To Luxury Senior Living

Aging in Place: Growing Older at Home

What Qualifies for Acute Rehab?

The Mental Health Benefits of Socializing for Seniors

How Much Does Inpatient Physical Rehab Cost?

What Is The Difference Between Acute And Subacute Rehab?

Inpatient Rehab Physical Therapy

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The Benefits of Socialization for Seniors in Senior Living

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Falls and Fractures in Older Adults: Causes and Prevention

What are Acute Care Rehab Facilities?

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Assisted Living Activity Calendar Ideas

Why Inpatient Rehabilitation

6 Smoothies & Shakes for Seniors

Supplement Drinks for Elderly: Dietitian Recommendations

What Is Acute Rehabilitation?

Top 5 Incredible Home Made Nutritional Drinks for Seniors

What Is a Continuing Care Retirement Community?

What Are Palliative Care and Hospice Care?

Twelve Self-Care Tips for Seniors

Dietary Supplements for Older Adults

The Importance of Nutrition For The Elderly

What is Palliative Care for the Elderly?

Nutritional Needs for the Elderly

The Best Nutrition Drinks for Adults and Seniors

Essential Vitamins and Minerals for Seniors

Providing Care and Comfort at the End of Life

What To Look For in a Senior Rehab Facility

Why Is Self-Care Important for Seniors?

Alzheimer's & Dementia Care Options

Help With in-Home Care for Someone With Alzheimer's

How To Find In-Home Care For Disabled Adults

What is Personal Care? | Helping Hands Home Care

Specialized Care Facilities - Senior Living

Top 10 Tips For Caring For Older Adults

How Many Skilled Nursing Facilities are in the U.S.?

Importance of Elderly Care Services

Specialized Care Facilities Differ From Nursing Homes

Best Special Care Units for Older Adults

Senior Rehab: Better Care Options After a Hospital Stay

What are the Benefits of a Senior Rehabilitation Center?

Differences Between Skilled Nursing Facilities and Hospitals

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Senior Continuing Care Communities

How Much Does a CCRC Cost?

How Continuing Care Retirement Communities Work

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The Top 10 Benefits of a Skilled Nursing Facility

Who Should Go to a Skilled Nursing Facility?

What is a Skilled Nursing Facility?

3 Main Benefits Of Continuing Care Retirement Community

Family Medical Care Center

Home Care for Disabled Adults

7 Benefits of In-Home Care for Older Adults

Home Care Services for Seniors: Aging in Place

Personal Care Needs of the Elderly

Caregiver Duties for Disabled Adults

A Guide to VA Nursing Homes

What Are the Types of Nursing Homes?

Hospital vs. Freestanding: Which setting is the best?

What is Urgent Care Medicine?

Requirements for Nursing Home Administrator Licensure

What is Data Privacy in Healthcare?

When Is It Time for a Nursing Home?

Kaiser Permanente and Senior Care Coverage

Nursing Home Employee Background Checks

Types of Services Offered at a Skilled Nursing Facility

Do VA Benefits Pay for a Nursing Home?

Skilled Nursing Facilities

Moving Into a Nursing Home: A Packing List

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Acute Rehabilitation vs. Skilled Nursing

Types of Skilled Nursing Care

Average Cost of Skilled Nursing Facilities in 2024

When Medicare Stops Covering Nursing Care

Inpatient Acute Rehabilitation Centers

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Best Gift Ideas for Nursing Home Residents

How does a Patient Qualify for Skilled Nursing Care?

Veterans Eligibility for VA Nursing Home Care

6 Nursing Home Resident Necessities

What Qualifies a Person for a Nursing Home?

The Q Word Podcast: Emergency Nursing

How to Find In-Home Care Financial Assistance

What Is a Home Health Aide? A Career Guide

Levels of Healthcare

Types of Home Health Care Services

Differences Between Assisted Living and Nursing Homes

What Aged Care Homes Provide

What To Bring To A Skilled Nursing Facility

What Is A Home Care Grant

Does Medicare Pay for Nursing Homes?

What to Expect from Skilled Nursing

What is In-Home Care?

How Much Does Long-Term Care Insurance Cost?

Skilled Nursing Facility vs. Nursing Home

Skilled Nursing Facility Levels of Care

What to Expect When Working in a Nursing Home

Nursing Home Costs and Payment Options

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Nursing Home Requirements: Who's Eligible?

What Caregivers Should Know About Nursing Home Care

How Can I Pay for Nursing Home Care?

Understanding the Four Levels of Hospice Care

The Top Amenities Every Skilled Nursing Home Should Have

A Guide to Nursing Homes

Guidance for Elderly Individuals on Handling Disabilities

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