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The 6 different terms for housing types and the GrandView differences are as follows:

1. Active Adult/55+ Adult Communities:

  • Maintenance-free, age restricted communities
  • At least one household member to be at least 55 years old.
  • No assistance to the residents.
  • Organized leisure & recreation activities.
  • May either have to move out of home or arrange/coordinate own health care services in the event that their needs change.

What’s the GrandView Difference? Answer:

  • Amenity rich environment
  • Choice of never having to move, all services can be brought into home
  • Support services are offered on an al-a-carte basis
  • Support services coordinated/delivered by GrandView or Owners choice of provider

2. Assisted Living (AL):

  • Communities provide assistance/care with Activities of Daily Living & Instrumental Activities of Daily Living.
  • Middle ground between independent living and a nursing home.
  • Communities range from a stand alone residence to being one level of care in a CCRC (continuing care retirement community).
  • Usually apartments include studio and one bedroom models.
  • Kitchenettes usually feature a small refrigerator and microwave.
  • Can include transportation, medication management, meals, bathing, dressing, housekeeping, trips to the doctor.
  • Skilled Nursing is usually not included in the services offered.

What’s the GrandView Difference? Answer:

  • If need changes, home and health support can be provided in home.
  • No need to move to an “assisted living” facility.
  • Skilled nursing services can also be brought into to home if needed.
  • Services at GrandView are individualized and directed by them /family member.
  • Services paid for only if used.

3. Continuing Care Retirement Community (CCRC):

  • Senior housing campuses which provide a continuum of care including: independent living, assisted living and skilled nursing.
  • Have various entry requirements that can include physical and mental examinations.
  • Individuals must be fully independent to “enter” into a CCRC.
  • Individuals must show proof of ability to pay entry fee, & on-going, monthly fees (rent, meal plans, services, amenities etc.).
  • Individuals sign a contract when entering a CCRC which determines residence cost, type of amenities and health care services.
  • Three main types of contracts: extended, modified, and fee-for-service. * Each one covers a different length of medical care costs.
  • Entry fees may be partially or fully refundable ( w/o interest) based upon contract.
  • Entry fee contracts are typically lifetime leases, not deeded ownerships.
  • The “resident” cannot sell nor rent out the unit.
  • Resident does not have the final determination of what services are provided in the home vs. a requirement of moving to the assisted living section of the CCRC campus.

* Extended contract (AAHSA, 1999), in which individuals agree to pay an entry fee up front and a monthly fee for the rest of their life. Monthly fees usually only increase due to inflation or increased operating costs. This type of contract covers almost all of the health care needs of residents throughout their stay.

Modified contract, which generally has a lower entry and monthly fees than an extended contract. However, there is a set limit on the number of days of health care per year that an individual can receive, and each resident is responsible for all costs beyond that limit. Like an extended contract, the costs of this agreement can only go up based on inflation and increased operating costs.

In a fee-for-service contract, individuals pay as they receive care , but have a priority access to the on-grounds Assisted Living and Nursing Home facilities. Entry fee costs to the CCRC are lower than the other types of contracts. Fee-for service costs can increase with inflation, operating costs, and with the amount of long-term care usage.

What’s the GrandView Difference? Answer:

  • No complicated contracts, physical examinations or “lifetime leases”.
  • Individual actually buys home.
  • Owner pays for health/support services only if and when needed.
  • Since support can be brought directly to each home, the requirement to be relocated to another part of the campus or even off-site can be eliminated.
  • GV condominium homes are owned by those who reside there and not by a developer or provider.
  • The owners determine the direction/services and culture of GrandView.

4. Independent Living (IL):

  • Multi-unit senior housing development that may provide services (i.e. meals, housekeeping, social activities, transportation).
  • Can be a stand-alone community or,
  • Can be the entry level in a CCRC.
  • Term may also be used to describe housing with few or no services, such as “Senior Apartments”.
  • Amenities can include libraries, spas, golf courses etc.
  • IL tenants must be able to perform their own basic activities of daily living.
  • IL tenants must need little or no assistance with medical issues.
  • To remain in IL, individual must typically have the ability to maintain their lifestyle without custodial or medical assistance.
  • IL rates are monthly, based upon size/location of apartment and type of amenities.

What’s the GrandView Difference? Answer:

  • The majority of individuals consider themselves to be independent.
  • Owners though aren’t “on their own”.
  • Have support of GV team.
  • GrandView will assist with the coordination and/or provision of any support services needed, delivered in the owner's home.

5. Life Services Retirement Community (LSRC):

  • A residential neighborhood of condominium homes that give seniors choice, control and deeded ownership of their home.
  • Offers the same type of full-service benefit and amenities as most CCRC’s.
  • The LSRC brings a full menu of support and health care related services on an a la carte basis to the owner in the privacy of their own home, for life.
  • A true “aging in place” residence - owner will never be required to move in order to receive personal care or nursing services.
  • No entry physical or health requirements.
  • Monthly fees cover various services and amenities (meal plan, transportation etc).
  • Individual can sell or rent out the home and benefit from any profit.
  • As an owner, the individual also has voting rights in the operation of the LSRC.

What’s the GrandView Difference? Answer:

  • GrandView of Roxborough is a Life Services Retirement Community.
  • GrandView provides ownership in a resort-style setting.
  • Owners have the ability to maintain complete choice and control.
  • GrandView provides mature adults the next option in the ever changing active adult housing market.

6. Nursing Home (NH) / Skilled Nursing Facility (SNF):

  • Provides care for those who have more serious health problems
  • 24 hour nursing care is also provided.
  • Of all the home and care options available, nursing homes are the most regulated.
  • There is more of an emphasis on patient care and less on privacy and sense of home.
  • Nursing homes can also be a part of a CCRC.

What’s the GrandView Difference? Answer:

  • The need for a nursing home may be eliminated at GrandView.
  • Owner’s can receive nursing and other skilled and support services within their home.
  • This will be their option and their decision dependent upon their individual choice, comfort level and insurance/financial resources.