Enriching the Lives of Older Adults Is A Connecticut ... · community. And for you to ask...

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Enriching the Lives of Older Adults Is A Connecticut Continuing Care Reti r ement Communi ty Right For You? CCRCs Are Also Known As Life Plan Communities Prepared By Older Adults Who Are Members Of The Connecticut Continuing Care Residents Associati on With Advice From LeadingAge Connecticut

Transcript of Enriching the Lives of Older Adults Is A Connecticut ... · community. And for you to ask...

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EnrichingtheLivesofOlderAdults

IsAConnecticutContinuingCareRetirementCommunityRightForYou?

CCRCsAreAlsoKnownAsLifePlanCommunities

PreparedByOlderAdultsWhoAreMembersOfThe

ConnecticutContinuingCare Residents Association

WithAdviceFromLeadingAgeConnecticut

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January 28, 2019 2

EditorialCommitteeGailJanensch,chair,CecilyGoodman,CarolB.Isaacs,Ute&ArchieHolmes,JosephWaltonThispublicationiswrittenandownedbyConnecticutContinuingCareResidentsAssociation.2019PresidentJohnJohl,EssexMeadows.ItupdatesContinuingCareRetirementCommunities:AGuideBookFortheConnecticutConsumer,publishedbyConnCCRAin2011.Allrightsreserved.Thismaterialmaybefreelycopiedanddistributedforeducationalpurposesonlyandissubjecttoinclusionofthiscopyrightnotice.ÓCopyrightJanuary28,2019 Photo credits and acknowledgements on final page of this publication.

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January 28, 2019 3

Table ofContents Page

WelcomeMessage..................................................................5

WhatDoYouImagineaCCRCIsLike?..........................6

Photos..........................................................................................7

OnePageNottoMiss.............................................................8

HistoryofContinuingCareCommunities.....................9

FinancialFactors..................................................................10

Affordable?..............................................................................11

ReadContract!.......................................................................12

TypesofResidentialContracts......................................13

HealthContracts...................................................................14

LivingUnitChoices..............................................................15

LocationandGrounds........................................................16

CheckListofQuestionstoAsk.......................................17

ResidentRights.....................................................................18

ConnecticutCCRCBillofRights.....................................19

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WhoRegulatesCCRCs?......................................................20

HealthcareOn-Site.......................................................21,22

KnowCareLevels.................................................................23

ListofCommunities..........................................................................26

Resources/Credits...............................................................27

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January 28, 2019 5

”WemovedtocontinuingcareafterseeinghowmyMomthrivedfor14yearsusingallthreelevelsofcare.Myhusband’sDaddiedinhisownbedinahouse,butahousewithoutasafewaytobatheandstairstohisbedroomsopainfultoclimbduetohisspinalcondition.”

— QuotefromaresidentwhohelpedwiththisGuideBook

Welcome!SomeBasicsIfYouAreThinkingAheadAboutLife&LivingWellToTheVeryEnd

Didyouknowthatover5,000olderadultsinConnecticutliveinacontinuingcarecommunity?

Theauthorsofthis“GuideBook”maycalltheirhomea“CCRC”forshort(itstandsforContinuingCareRetirementCommunity).Otherscalltheircommunitiesa“LifePlanCommunity.”Whatevertheterm,theseareplacesdesignedtoprovideservicestohelpyougrowolderinplace,withallthatyoumayneed,tomakeyoufeelsafeandyourfamiliesandfriendslessconcernedaboutyourstatus.

TheauthorsofthisGuideBookliveinsuchaplace.Wearenotsalespeople.Wejustareonestepaheadofwhereyoumaybe,becausewedecidedtomoveintosuchaplace.AndwearemembersofConnecticutContinuingCareResidentsAssociation,theorganizationthatcommissionedthisguide.

Ouraim istoprovideyouwithimportantinformationtohelpyoumakeaninformeddecisionastowhetheracontinuingcarecommunityinConnecticutisrightforyou. And,ifso,whichone?Currently16of18communitiesinConnecticutmeetthefulldefinitionofaCCRC.

ThisGuidehassectionsonFinancialFactors,TypesofHousing,LevelsofHealthcareandmanymorepracticaltips.

Seelistofcommunities,locations&contactinformation(asof2018),onlastpagesofourguide.

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Whatdoyou“imagine”aCCRCislike? TheauthorsofthisGuideBookwouldliketoquotearecognizedauthorandlectureroncontinuing-carelivingbeforeyoureadanyofour“advice.”BradBreeding’snameappearsinourlistofreferencesyouwillfindattheendofthispublication.Manyofushaveheardhimspeak.HispublicationsinbookformandonlinearenotonlyrecommendedbytheConnecticutContinuingCareResidentsAssociation(ConnCCRA),butalsobytheNationalContinuingCareResidentsAssociation(NaCCRA).InarecentfreeonlinepostingauthorBreedingsays:

“Whenyouhearthephrase“retirementcommunity,”whatcomestomind?Perhapsyouenvisionthenursinghomeyourelderlyparentsorgrandparentswerein,withpeoplestaringataTVoreatingoffofcafeteria-styletrays.Or,maybeyouthinkof“abunchofoldpeople”sittingaroundalldayorplayingbingo.

IfthisiswhatyouimagineIwouldrecommendyoutaketimetolearnabouttoday’sretirementcommunitiesthatofferahealthierandmoreholisticlifestylethanthealternatives.Manypeoplehaveanegativepreconceptionofseniorlivingthatmaynotmatchwhatiscurrentlyavailableintoday’sCCRCmarketplace.”

HereinConnecticutyouwillfindsomeofthenation’sbestmanagedcommunities.Thesecommunitiesarenotstatic.Theyareinnovating,expanding,andlisteningtotheneedsanddesiresofcurrentandprospective

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residentswhoexpectinaretirementcommunitywhattheyhaveathomeandwhattheymayneedinthefuturethathomecannotprovide.

Take a look at some CCRC choices in our

small state!

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JustTimeFor1Page?ReadThis...ADecisiontoEnterContinuingCareIsUnlikeAnyYouHaveMadeBefore!Youareconsideringalifeandfinancialdecisionthatisdifferentfromchoosingahome/condo/rental.

WhyisthemoveintoaCCRCunlikepreviousmovesyouhavemade?Herearesome“whys.”#1Differentbecauseyoucannotgetamortgage.Youwillberequiredtoputdownalumpsumofcashfortheentirecostofyourunit,plusmakemonthlypaymentsforservices.#2Differentbecausethisdecisionlikelyisfortherestofyourlife!#3Differentbecausemovingintocontinuingcarewilltakesomelifestyleadjustments.Downsizing.Yourneighborswillbemuchcloser,notacrossthestreet.Andsmokingmaynotbeallowedeveninyourunit.

PVisitseveralcommunitiesbeforedecidingtomovein!AsyouvisitvariousCCRCsbealertastohowyou“feel”abouteachone.Isitfor“you”?When youvisit, donot just talk to the marketingpeople, asktomeetresidentsaswell.Mostofthesecommunitieshaveguestroomswhereyoumaybeabletospendone ortwo“trial”nights. Atminimum,taketheMarketingDepartment’soffertoarrange tohave amealin the diningroomwith residentswhomay have similarinterests. Thiscan provideawonderfulopportunitytofindoutwhat residentsappreciateabout theircommunity.Andforyoutoaskquestions.Askmany,manyquestions!PFindexpertstogiveyouadvicebeforesigninganything!Anattorney.Afinancialadvisor.Someoneindependentfromthecommunityyouareconsidering.PSeetheResourcesSection!ThereareprintandonlineexpertswerecommendonPage26.

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BRIEF HISTORY OF CCRCsHistoryAsearlyasthe1900ssomereligiousorganizationsintheUnitedStatesofferedaprecursortotoday’sCCRCs.Theconceptgrewinthe1960sandsincethe1990shasexpandedthroughoutmuchoftheU.S.A.StatessuchasPennsylvania,California,Florida,NewJerseyandVirginiahaveahigherconcentrationofthisformofretirementliving.InConnecticut,wehaveseveralcommunitiesthathaveprovidedthiskindoflivingformorethan40years.StateofCTDefinitionofaCCRCContinuingCareRetirementCommunities(CCRCs)arealsosometimesreferredtoas“LifePlan”communities.Throughcontractualagreements,continuing-carecommunitiesprovideresidentswithavarietyoflivingaccommodationsandmanyservices,includinglong-termhealthandnursingservices.Variouslevelsofcare,generallystartingatIndependentLivinginresidentialapart-mentsorcottageswiththeavailabilityofAssistedLiving(offeringhelpwithdailyactivities)andSkilledNursing,asneededareprovided,onthecampus.Eachresidentmustenterintoacontinuing-carecontractwithaCCRCinordertoobtainresidency.Everyresidentisrequiredtopayasubstantial,lump-sumentrancefeeandmonthlyfeesinexchangeforhousingandhealth-relatedservices.Thesefeesvarydependinguponthecommunity,thetypeoflivingunitchosenandwhetheroneortwoindividualsoccupytheunit.

Continuing-carecommunitieshavedifferentpoliciesregardingtheavailabilityandtermsofentrance-feerefunds.Housingunitscanbeapartmentsinhigh-riseorlow-risebuildings,townhouses,gardenapartments,cottagesorfree-standinghomes.Unitscanrangeinsizefromstudiostothreebedrooms.Residentsaregenerallynotentitledtohaveequityintheirunits;instead,theyareentitledtouseoftheirunitsinexchangeforthefeestheypay.CCRCsarenotlicensedinConnecticut,buttheymustregisterwiththeConnecticutDepartmentofSocialServices(DSS).AndadheretoChapter319hhofConnecticutGeneralStatutes,ManagementofContinuing-CareFacilities.Variouscomponentsofhealth-carepackages,however,arelicensedbytheStateofConnecticut.A2015provisionnowallowsCCRCsresidentstoformanelectedResidentCouncil.NEWTRENDS...• Moreflexiblemealplansarebeingofferedinsomecommunities.Soask.

• Secondoccupantsofunitsmaybeotherthanaspouse.Askaboutthisondayoneandinlateryears,couldadifferentsecondpersonmovein?

• SomecommunitiesareexperimentingwithwaystobridgethejumpfromyourcurrenthometoIndependentLivinginacontinuingcarecommunity.Inthis“model”participationstartsinyourownhomewithsomeservicesprovided.Andyouhavelimitedprivilegestocometothecampusforuseofcertainfacilities.Ortodineoccasionallyorattendevents,forexample.Allforafeeofcourse.Twomembercommunitiesareofferingthisoption.

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FINANCIAL FACTORS ThisIsAnInvestmentDecision!Signingthecontracttoenteracontinuingcarecommunityisaninvestmentdecision,notjustahousingorhealthcaredecision.ThisconcepthasbeeninConnecticutformorethan40years.AllCCRCsinConnecticuthavesurvivedtheupsanddownsofbusinesscycles,butinotherpartsofthecountry,afewhavefailed.Youwanttolearnaboutthefinancial“health”ofcommunitiesyouareconsidering.Investigatethecommunityusingtipsprovidedhereandfromyourowntrustedsources.Aprospectivecontractsignerisadvisedtofirstconsultanattorneyorotherprofessionalexperiencedinmattersrelatingtoinvestmentsincontinuingcarecommunities!WhoOwnsTheCommunity? Whoownsthefacilityisimportanttoknowbeforeyousignthecontract.Isthecommunitythatinterestsyouownedbyasingleentityorpartofachainofplacesinotherstates?Isitownedbya“for-profit”entityora“non-profit?”Isitownedbyareligious-affiliatedentity?AmongthefacilitiesinConnecticutmorearenon-profits,butsomehaveconvertedtofor-profitstatusandnewfor-profitonesmayopeninourstate.

Non-ProfitorFor-Profit? Thisfactorreallyshouldnotmatter,butitdoeshavesometaximplicationsyoushouldbeawareof.Forinstance,forprofitspaypropertytaxesinthecommunity.Non-profitsdealwithobligationstothecommunityunderdifferentlaws.This“for-profitornon-profit”statusmayimpactyourowntaxfilings.LearningtheactualownershipofaforprofitmaybehardtodeterminebecauseownershipmaybebyRealEstateInvestmentTrusts,calledREITsbytheinvestmentcommunity.For-profitcommunitiesatpresenthavenoresidentsonOwner’sBoardofDirectorswhilesomenon-profitsdo.Thismatterofresidentrepresentationattheverytopofacommunity’smanagementiscurrentlyadiscussiontopicamongresidentsofsuchcommunitiesacrossthecountry.InitialInvestmentvs.MonthlyFeesThecontractyouwillsignwillhavethreebigparts:1)Theinitialcashpaymentdetailsthatwillbeabiggerorsmalleramountbasedonthesize/floorplanofthelivingunityouchooseANDareyouonepersonmovinginortwo?2)Thehealthcareplanyouselect;3)Thescheduleofmonthlyfeesthatwillinclude(forexample)feesforusingacommunitycartotakeyoutothedoctoretc.Thefeesmaygoupbyapercentagemostyears,generallyinJanuary.Bylawyourcommunitymustprovide30daysnoticebeforefeesareincreasedalongwithanexplanationandanopportunityfordialogueandcomment.Thelump-sumentrancefeecannotgoupordown,becausethatdollaramountissomethingyouandmanagementagreedtowhenyoubothsignedthecontract.

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AFFORDABLE? WhatManagementWillAskofYouWhenyoudecidetosignacontract,youwillbequestionedaboutyourpersonalfinancestodeterminewhetheryouhavesufficientassetstoputdownplustocontinuetomeetthemonthlyservicefee.Yourassetsandliabilitiesaswellasyourinvestmentportfolio,annuityandretirementincomemustbedisclosed.Generally,youwillberequiredtopresentcopiesofrecentincometaxreturnsandrecentbankandinvestmentaccountstatements.Ifyouhavelong-termcareinsurance,disclosethat.Youwillberequiredtomakeadepositwhenyousignthecontract.Manypeoplerelyonthesaleoftheirpresenthometomeettheoutlayrequiredbythetotalentryfee.Beforemovingin,anybalancewillbedue.Somecommunitiesmayofferabridgeloansoyoucanpaythebalancepriortothesaleofyourprevioushomeorcondominium.Notalldo. WhatIfIRunOutofMoneyLaterOn?CCRC/LifePlanCommunitiesdonotwanttoacceptanyonewhomightrunoutofmoney.Basedonyourfinancialdisclo-sures,Managementgenerallyhastheexperiencetojudgeifyoumightrunoutofmoney.Butrunningoutofmoneydoeshappen.Managementdoesworktofindasolutionwithresidentswhofindthemselvesinthispredicament.SomepeopledomoveawaytoalessexpensiveplaceormoveinwithafamilymemberoutsideofthecommunitywhentheynolongercanaffordtheCCRC.Youshouldaskwhatsolutionstothisproblemareavailablebeforeyousignthecontract.

WhatAreSomeSolutions?Somecommunitiesoffercontractsthatpromisetoneverstopprovidingsafehousingifmoneyrunsout.Thismayeitherbeinthecommunityitselforinasisterfacilitynearbythatislessexpensive.Ifthecontractinvolvestherighttoarefundofaportionofyourentrancefee,somecommunitiesmaypermittheuseoftherefundamounttopayyourmonthlybills.Notallrefundablecontractspermitthis.Somecommunitieshavean“aid”programthatcanpayaportionofthemonthlybill,butnot100percent.Youmustapplytoseeifyouqualifyandtolearnhowmuchwillbeoffered.Donotbeembarrassedtoaskaboutthesebeforesigningthecontract.WhatIfINeedAssistedLivingOr???MostofuscannotpredictifwewillneedlevelsofhealthcarethataremorecostlythanIndependentLiving.Youmustaskaboutthesecostsbeforeyousignthecontract.KeepinmindthatMedicareplusyourMedigapinsuranceandmedicaldeductionsmaylightentheburdeninasmallway.Butundermostcontractshigherlevelsofhealthcarecomewithsignificantlyhighercosts.(SeeContractTypes.)Yourfinancialexpertshouldcloselyreviewthisaspectofthecontract.AskifaidprogramsofferassistanceonceyouleaveIndependentLivingforahigherlevelofcare.

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READ CONTRACTS! GetACopyoftheContractYouareentitledtoacopyofthecontractforreviewbeforesigning.Ifyouaredecidingbetweentwoplaces,obtainthecontractfromeach.Thesearelongdocumentsandcanbeoverwhelming.Ideallyyouwillhaveampletimetoreviewthedocumentsyourselfandbyotherexpertsyoulikelywillhire.Butifthereisawaitinglistforthetypeofunityouareseeking,yes,youwillfeelpressure.Solineupyourpotentialadvisorsbeforeyoustartseriouslyvisitingcommunities.

WhoCanHelpYouUnderstandtheContract?Thecommunity’sMarketingDepartmentwillgooverthecontractwithyou.Butlikelyyouwouldnotmakeanydecisionaboutaninvestmentofover$100,000withoutinvolvingyourfamilyortrustedfriends.Sogoevenfurther!Pleaseseekappropriateprofessionalhelpbeyondthisguidebookletorfamily.ConsultanattorneyorotherprofessionalexperiencedininvestmentsinCCRCs.Plantospendtimewithexpertsbeforeyousignacontract.AndseetheResourcesSectiontolearnofbooksorwebsitesspecializinginCCRCs.

AreContractsDifficultToMaster,Yes!Thestraightanswerisyes.TheMarketingteammaynothaveexplainedeverydetail.ButYOUmustunderstandthewholecontract,includingpartstheymightnothaveemphasized.Havingyourprofessionalslookingoutforyourinterestsisamust!Nevertheless,instaterequiredannualsurveysofresidents,mostpeopleadmittheydidnotfullyunderstandthecontractstheysigned.Butthesesurveysalsoshowthatmostresidentsaresatisfiedwithcommunitieschosen.Peopledomoveaway.InConnecticutanannualConnCCRAsurveyofIndependentLivingoccupantsshowsourcommunitiesmaintaincloseto90percentoccupancyratesyearoveryear.Thecontractspellsouthowmuch,ifanyamount,youcanrecoverifyouleavethecommunity.Lookintolanguageaboutanyrefundableprovisions.Askyourattorneytoexplainthatparttoyoubeforesigningacontract.CanContractsBeNegotiated/Changed?Generally,contractscannotbenegotiated,butifthecommunityhasvacancies,whynotask.Oncesigned,contractsarefinal.Reasonablecost-of-livingincreasestomonthlyfeesshouldbeexpected.CommunityManagementThecontractmaynottellyoualotaboutthecurrentmanagementteam.Youshouldaskwhotheexecutivedirectorisandhowlonghasthatpersonbeeninthatjobandinthecommunity.ComparethiswiththeDisclosureStatement.Ifkeymanagementisnew,followuponthis.TakeNoteof“NoTipping”LanguageEmployeeslikelyareforbiddentoaccepttipsofcashorgoodsforanyreason.

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CONTRACT TYPES ContractsVary,SoStudyThem!MostcontinuingcarecommunitiesrequireyoutoenterattheIndependentLivinglevelandthen,asneeded,youmaytransitiontoAssistedLivingServicesorothercaresuchasaMemoryServicesorSkilledNursing.Noteveryoneusesallthreelevelsofcareduringone’syearsinthecommunity.AcurrenttrendistoencourageresidentstoremainattheIndependentlevelmadepossiblebyhiringextradutyaideswhenneeded.TheIndependentLivingsettinggenerallyisthemostaffordablelevelinaCCRC,dependingperhapsonthesizeoftheunityouhaveselected.IntroductiontoContractsMostcontractscoverfivemajortopicsandcommunitiesmayofferyouuptothreehealthcare“typesofcontracts.”Typesofhealthcarecontractsarediscussedindetailonanotherpage.Thisfactdemon-strateswhyreadingthecontractandgettingfinancialadviceisimportant.FiveKeyContractTopicsfollow:1. EntranceFeeAmountDetailsThissectionisstraight-forwarddealingwiththeentrancefeeamountforyourunit,plusamonthlyfee.Iftherearetwoofyou,youlikelywillneedtopayasecondpersonentrancefeeandasecondpersonmonthlyfee.ThiswillincludethetypeofhealthcareyouwillhavewhileinIndependentLivingandthepaymentarrangementsshouldyoulaterneedahigherlevelofhealthcare.

2. FeesforServicesDetailsForexample,whatmealplansareoffered.Orwhatwillitcosttohavethecommunitytransportyoutoyourdoctorortheairport?Orwhatwillitcostifyouaskforextraservicesnotcoveredbyyourcontract.Chargesforservicesmaygoupacertainamounteachyear.Lookthroughthecontractforthedetailsshowingfees.Askaboutpastorpendingincreasesinsuchfees.

3. FinancialFacts&FuturePlansManypagesinthecontractorintheDisclosureStatementaredevotedtoinformationabouttheownerofthecommunity,discussionoffutureplans,financialstatementsandprotectionsavailablefromthestate.

4. MealPlansMostcommunitiesofferaspartofyourmonthlyfee30/31daysofacontinentalbreakfastandahotmainmealinadiningroom.Mostalsohaveacaféopenforhotfoodatbreakfastandavarietyofchoicesatlunch.Hoursvary.However,somecommunitiesnowareofferingmoremeal-planchoicesandcaféserviceintotheeveninginlieuofthefullformalserveddinner.Askaboutwhatdiningchoicesyouwillbeoffered.

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5. HealthcareServicesAtVariousLevels&CostsWhenyousignthecontract,youalsowillsignupforthehealthcareservicesthecommunitywillofferyouandthecostarrangements.Thecostsandservicesdifferamongcommunitiesandyourunderstandingthesedifferencesisvital.

HEALTH CONTRACTS ThereAreThreeTypesBealerttothebigdifferencesinhealthcoveragebeingofferedbythecom-munitiesyouareconsidering.Areyoucomparing“applestoapples“or“applestooranges”?Yourout-of-pocketcostsmightbesignificantlydifferentdependingonwhatyouchooseandwhatactuallyhappensasyouageinplace.Thisdecisionisagamble.TypeAThisisoftencalledalife-carecontract.Youmaypayahigherentrancefeeandahighermonthlyfee.Inexchangeforthis,youcanliveinthecommunityfortherestofyourlifeandpaythesamemonthlyfeeevenifyoumovetothenursinglevel.Inshort,youareself-insuringagainstwhatitmaycostifyouneedhighermedicalservicesinAssistedLiving,MemoryCareorSkilledNursing.Notallcontinuingcarefacilitiesofferthiscontracttype.Generally,thecommunitiesthatdorequirea90percentrefundablecomponent.Shouldyourunoutofmoney,Managementmaybeabletoapplyfundsfromtherefundableamounttocoverwhatyounolongercanpay.YourcommunitylikelywillofferataxadvisoryletterinMarchforyoutosharewithyourtaxpreparerwhowillhelpdeterminewhat

youmaybeabletodeductonFederalincometaxreturnsinlightofcurrentorchangesintaxlaws.NOTE:Ifyoulivetotheendofyourlifeneverusingahigherlevelofcare,thismaynotbeawisechoice.Butthereisnowaytoknowhowyourlifewillgo.Therearestudiesthatindicatethatfewerthan20percentofthosemovingintoIndependentLivingeverusedSkilledNursingservices.Butthecostsifyoudoneedahigherlevelofcarearesignificant.Checkwhatprivatehealthinsurancecoverageyouhave.TypeBThistypeofcontractcombinessomeaspectsoffeeforservicesandsomeguaranteesofavailabilityofAssistedLiving,MemoryCareandSkilledNursingifneeded.Thisisdonebydiscountinghigherlevelsofcarefordefinedperiodsoftime,beforemarketratesarecharged.Somecontractsofferrefundableentryfees,butmaybecontingentupontheresaleofyourlivingunit.YourcommunitylikelywillofferataxadvisoryletterinMarchforyoutosharewithyourtaxpreparerwhowilldeterminewhatyoumaybeabletodeductonFederalincometaxreturns.TypeCThistypeofcontractisaplain“feeforservice”contract.Ifyouneedservicesasidefromhousingandamenities,youwillpayfortheservicesyouuseata“market”rate.So,ifyoueventuallyneedAssistedLiving,MemoryCareorSkilledNursing,monthlyfeeswillincreasedramatically.Ifyouhavelong-termcareinsurance,thismaymakethiskindofcontractacceptable.Also,highnet-worthindividualsmaybeokaywiththisplantype.Askyourtaxpreparerwhetheranyexpensesmaybedeductible.

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LIVING UNIT CHOICES SeePhotosofAllHousingOptions!IfyouhaveaccesstoacomputerandtheInternetyoucanlearnmuchaboutthelivingchoicesandservicesavailable.Thelistofcommunitiesinthisguidehavelinkstowebsiteswhereyoucanseeapartmentfloorplansandphotosofthediningroom,thelibrary,exerciseroomsandsoforth.Themarketingstaffwillgiveyoucolorbrochureswhenyouvisit.Whenyouvisit,asktoseeseveralfloorplans.Askthecostofeach. MainBuildingoraCottage? Doyouwantthediningroomandactivitiesjustdownhallortheelevator?OrareyouOKwithgoingoutsiderainorshinetogettothefunstufforforbreak-fastordinner?Notallcommunitieshavecottages.Butbecarefulofmakingadecisionwith“loveatfirstsight”thinking.Whataboutfiveyearsfromthepresent?Yes,itispossibletomovewithinacommunitybutitgetshardertodosoasyougetolder.

WhatFloorPlansAreOffered&AvailableWhenYouWantToMoveIn?Isthereawaitinglistforthelivingunityouwant?Howlong?Whatdoeseachstyleandsizecost?Think,willyourfurniturefit?Willyougetthesunlightorshadeyouprefer?Willitbealongwalktothediningfacilitiesortothemainentrance?Willnewcarpetingbeinstalledandinwhatcolor?Sameforpaintchoicesforwalls.Whatwindowtreatmentsarepossible?Askifthecommunityoffers(asanincentivetocome)theservicesofaconsultantwhowillhelpyoudecidewhatfurnishingstobring.Askaboutdoorkeysandpoliciesregardinglockingdoors.VisitAllLevelsofCare!EvenifyoudonotneedAssistedLivingorotherlevelsofcare,asktovisitthese.Somedayyouoryourpartnermightliveatoneoftheselevels.

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LOCATION / GROUNDSWhereAreYouWillingtoRelocate?MostoftheCCRC/LifePlanCommunitiesareinsuburbanoreven“country”Connecticut.Afewareinacity.Thoseinacitydohavebeautifullylandscapedgroundswithwalkingpathsandgardens.Theothersnotonlyhavegorgeousgrounds,butmaybeclosetowhereyouoryourfamiliescurrentlylive.Thestatement“location,location,location”iskeytoyourthoughtprocessaboutwhereyouwanttoliveoutyourremainingyears.UseThisListToPrioritizeLocationsHereisachecklisttohelpyouprioritizewhatyouwanttobenear:1. Family&friends?2. Hospitals?3. Doctor,dentist,specialists?4. Highways,airports,trains,buses?5. Golf,beach,tennis,majorleaguesportvenues?

6. Theaters,museums,musicvenues?7. Shopping,groceries,pharmacies?8. CitieslikeBoston,NewYork,Hartford?9. Otherneeds?

Parking&SnowRemovalAskwhereyouwillbeparkingyourowncarifyouarestilldrivingandwhereyourguestswillbeabletopark.Learnwhatfeesmaybechargedforcoveredparkingspots.Picturetheentirecampuswhentherewillbeheavyrainorsnow.Whatsnowremovalserviceswilldealwithlocalroadsleadingtoyourcommunityandwithinthecommunityincludingroadwaysandsidewalks?Willcarsparkedinoutdoorspacesbeclearedoff?Ifstillworking,willsnowremovalaccommodateyourschedule?

Gardening&OutdoorSports!Whenyoumakeavisittoacommunity,becertaintoaskforatourofthegrounds.Somehaveareaswhereresidentscangardenandsomemaynot.Aretherehikingtrails,puttinggreens,arelationshiptoanearbygolfcourse,boccecourts,ponds?Pet(s):Yours&OtherResidentsHowmanydogsorcatsorotheranimalsarepermitted?Whatotheranimaltypesareallowed?Whataretherulesregardingservicedogs?Isthereachargeforhavingapet?Anysizelimitations?Wherewillyoubeallowedtowalkyourdogandtherulesregardingcleanups?Whataretheleashrules?Whatareasofthebuildingsaredogsnotpermitted?Inbadsnowfalls,willstaffmakeitpossibleforyoutogetsafelytotheoutdoorpetwalkingareas?Whatareproceduresforregisteringcomplaintsaboutpetbehavior?Outdoor&IndoorSecurityAskaboutsecurityattheentrancetothecommunity,aboutwhenmaindoorsarelockedandhowonegetsin.Andwhathappensifyoudonotcomeoutofyourunitinthemorning?Doesanyonecheck?

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CheckListtoAskAbout

PersonalConsiderations CommunityAmenities24-hour Security Bank or ATM Basic Utilities Café Hours/Days Basic TV/Phone Library Safety Pendant/Wristband Vending Machines Internet/WiFi Computer Room & Help Housekeeping Swimming Pool/Whirl Pool Parking Yourself/Guest Auditorium/Piano/Projection Transportation to doctor/ Gift Shop Shopping/Church Convenience Store Meal accommodations for Gardening/Greenhouse Religion or dietary reasons Woodworking Shop Hearing Loop in Auditorium Transportation to cultural events Snow Removal Entertainment/Lectures/Concerts Pet Friendly Full-Service Dining Room Wheel Chair Transport Private Party Dining Room Visually-impaired Support Wine or Full-Service Bar Handrails in bath areas Clubs: Men’s, Book, Welcoming, Knitting Podiatrist Available Transport to Airport/Train Stations Support Groups For Hearing etc. Life-Long Learning Classes Ways to Support Charities Religious Services/Chaplain

HealthcareOnSiteWellness / BP Clinic

24-hour Emergency Service Physical Therapy Services

Visiting Podiatrist Orthopedic Product Vendors

Personal Trainers Dietician Services

Personal Certified Nursing Assistant (CNA) Services

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RESIDENT RIGHTS Yes,OlderAdultsAlwaysHaveRightsWhenyoumoveintoacontinuingcarecommunityyoubringwithyoucertainfederalandstatelegalprotectionsagainstage,disabilityandotherformsofdiscrimination.ResidentscanraiseconcernsaboutacommunitytotheDepartmentofSocialServices(DSS).GeneralconcernscanbedirectedtoConnecticut’sDSSAdvisoryCommitteeonContinuingCareCommunities,whichmeetsquarterly.Thesemeetingsareopentothepublic.Therearetworesidentsofcontinuingcarecom-munitiesthatarevotingmembersofthisCommittee.ThereIsAStateOmbudsmanand…TheOmbudsman’sgoalistopromoteandprotectqualityoflifeandcareforskillednursinghome,residentialcarehomeandassistedlivingresidentsundertheDepartmentofRehabilitativeServices,860.424.5200.ProtectiveServicesfortheElderly,888.385.4225.AlsoaConnecticutCommissiononWomen,ChildrenandSeniors.OverviewofBasicRights!• CCRCresidentsinConnecticutdo

havemorerightsthataremorecomprehensiveandbetterdefinedthaninmostotherstatesthankstolegislationpassedandsignedintolawin2015.ReadmoreabouttheContinuingCareResidentsBillofRightsonnextpage.

• ResidentsreceivingAssistedLiving,

theMemoryCareServicesandthoseinSkilledNursingareprotectedbyanumberofstateandfederallaws.Thesefacilitiesareinspectedbythestate.Resultsarepublicrecords.

OtherAdvocatesforResidentRightsThereareanumberofgroupsthatlobbyforolderadultrights.AARP,forinstance.ResidentCouncilsineachcommunitydo.OurConnCCRAandNaCCRAtoo.LeadingAgeConnecticut, part of the national LeadingAgeÒ,hasseveralmemberLifePlanCommunitiesinourstateandbothlevelsarepowerfuladvocatesforaqualitylifestyleincontinuingcarecommunities.Fighting“ageism”isagoal.OthergroupownerswithmanyCCRClocationsalsoadvocateinWashingtonD.C.andstatecapitalswheretheyoperate.YourelectedStateandFederalrepresentativeslistentoolderadultconcernsbecausewevote!Ifyouareinterestedinsuchmatters,lookintotheResidentCouncilatcommunitiesyouareconsidering!

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CONNECTICUT’S CCRC BILL OF RIGHTS OurStateHasMoreProtectionsThankstohardworkbyCCRCresidentsacrossthestate,theConnecticutlegislaturepassedandtheGovernorsigneda“CCRCResidentBillofRights.”Weareoneofaveryfewstateswithsuchalaw.ItwentintoeffectOctober1,2015.ItappliestoallnewcomerstoCCRCsorLifePlanCommunitiesafterthatdate.Someofitsprovisionsdobenefitthoseofuswhobecameresidentspriorto2015.Forinstance,ourcommunitiesnowmustprovideuswithwrittennoticeofanyproposedrateincreases30daysbeforetheytakeeffectalongwithanexplanationoftheincreaseandanopportunitytodiscussit.Theyalsomustshareplansofsignificantrenovationsorexpansionplansbeforethesebegin.Thatgenerallywasnotthecasebeforepassageandisnotthecaseinmanystates.OverviewofNewProtectionsTheBillofRightshasfivegeneralprotectionsthatdidnotexistbeforePublicAct15-115waspassed.TheformalnameisAnActEstablishingaBillofRightsforResidentsofContinuingCareRetirementCommunities.Thefivebroadprotectionsarelistedbelowasfollows:1. Avoiceinalldecisionsaffectingtheresident’shealth,welfare,andfinancialsecurity.

2. Transparencyregardingthefinancialstabilityoftheprovideroperatingthefacilityatwhichtheresidentresides.

3. Timelynotificationofthedevelop-mentsaffectingthefacility,includingbutnotlimitedto:(a)ownershipchangesoftheprovideroperatingthefacilityatwhichtheresidentresides,(b)achangeinthefinancialconditionoftheprovideroperatingthefacilityatwhichtheresidentresides,and(c)construc-tionandrenovationatthefacilityatwhichtheresidentresides.

4. Independenceindecisionsregardingmedicalcareandassistedlivingservices.

5. Responsibleaccommodationsforpersonswithdisabilities.

Tofindthislaw,pleasegotoportal.ct.gov.InthesearchfieldenterPublicAct15-155.

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WHO REGULATES CCRCs?TheStateRegulatesCCRCs&LifePlanCommunitiesTheStateDepartmentofSocialServices(DSS)haslimitedregulatorypowersovertheIndependentLivingcomponentofallcontinuingcarecommunities.TheDSSdoesnot guaranteethesecurityofyour investmentembodiedinthecontractor thefinancialsolvencyoftheCCRC/LifePlanowner.NordoesDSSinspecttheIndependentLivingareaofaCCRCorLifePlanCommunity.BylawAssistedLiving,MemoryServicesandSkilledNursingpartsareregulatedbythestate.Thestatein-spectsSkilledNursing,MemoryandAssistedLivingfacilities.TheseinspectionsaredonebytheStateDepartmentofPublicHealth.Reportsarepublicrecords.Allfacilitiesmustmeetlocalzoning,construction,fire,healthandbuildingregulations.DSSRequiresDisclosureStatementsStatelawrequireseveryCCRC/LifePlanCommunitytoannuallyfileadetaileddocumentwithcosts,occupancyrates,futureconstructionorrenovationplansandmuch,muchmore.ThisiscalledtheAnnualDisclosureStatement.Youwillbegiventhecurrentversionwhenyoufirstinquireandanyupdatebeforeyousignthecontract.YoualsocandownloadthisfromtheDSSwebsiteandManagementisrequiredtohaveaprintedversionavailabletoresidents.

DisclosureStatementsAreOnline!AllCCRCDisclosureStatementsarelongdocuments.OnecurrentDisclosureStatementis71pages.TheStatementcontainslotsofdetailedinformationaboutthecurrentstatusofthecommunityandaboutfutureplans.Thefinancialsectionmaynotbeauditedifthecommunityownerisaprivately-heldcorporation.ThesestatementsarekeptbutNOTreviewedbytheDSSstaffunlesssomethingcausesaredflag.Yourfinancialadvisororattorneyshouldseeacopy.ToobtainseeResourcesSection.DSSAdvisoryCommitteeForCCRCsTheCCRCBillofRightsgavepermanentstatustothiscommitteethatpreviouslyhadbeenatthediscretionoftheDSSCommissioner.Thecommitteemeetsquarterlywithdatespostedonlineandisopentothepublic.Minutesareavailableonline.Votingmembersincludeowners,executivedirectorsofCCRCs,attorneys,actuaries,thepresidentofConnCCRAandanappointeebytheCommissionerfromoneoftheCCRCcommunities.Gen-erally,thepublicisallowedtoaddressthecommittee.ReputationofConnecticut’sCCRCsOverthelast20years,onlytwoConnecticutCCRCsexperiencedfinancialdifficultiesandinbothcasestheywereabletoreorganizeandbecomefinanciallystableagain.TodayseveralareexpandingandIndependentLivingoccupancyisaround90percentinall.

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HEALTHCARE ONSITE ABigReasonForBeingInACCRC!ComingtoaContinuingCare/LifePlanCommunityisapromiseforlifetimehealthservicesyoumayneed,oftenonthesamecampus.Forexample,ifyourpartnerneedsrehabilitationservicesafterbreakingahip,inmanycasesyoucanvisitthatpartnerwithoutneedingtodriveortaxitothatbedside.RehabservicesareprovidedbyallCCRC/LifePlanCommunitiesoftenonthesamecampus.Generally,Memoryservicesorhospiceareoncampustoo.Somecommunitieshavedoctorsandpodi-atristswhocometothecommunityonaregularschedule.Transportationtonearbydoctorsisaserviceofferedforafee.Askiffeesareabouttoincrease?TourAllHealthFacilitiesWhileyoumaynotneedextraservicesnow,lookatallthecommunityoffers.The mannerinwhich residenthealthcareneeds areprovidedvariesamongcommunities.OverviewofHealthcareServicesHealthcareservicesfallintotwomaincategories: immediateandlong-term.OnceinIndependentLiving,youmayneedimmediatehealthcareatsomepoint.Soaskaboutavailabilityofawellnesscenterorcareinyourunitforaminorburnordizziness.Orwherebloodpressurecanbechecked?Andaboutproximityofprimaryandemergencyfacilities?Inthelong-termcategory,askaboutanywaitingtimestogetMemoryServicesorSkilledNursingandhowisthatresolved?

IsHospice/PalliativeCareAvailable?Yes,mostcommunitiescanarrangetomakethesepain-relievingandendoflifeservicesavailableinIndependentLivingorincoordinationwiththeexistingSkilledNursingservices.Youandyourfamilywillbecalledtoperiodiccareplanningmeetingstodiscussadditionalservices.Theseareattendedbymedicalandsocialworkstaffwhowillreportandmakeyouawareofdecisionsthatshouldbemade.WhatMedicalStaffIsOnDuty?Whatevercategoryoflivingyouareinaskabouthours/daysmedicalstaffisavailable.Adoctor?Anurse,butatwhatlevel?LearniftherearetimeswhenonlyCertifiedNursingAssistants(CNAs)areonduty.Likelyyouwillbeprovidedwithapendanttosummonmedicalassistance?Ifso,willitcoveryouwhileyouareoutsidewalkingyourdogorjoggingontrails?WhatIfINeedAnAideForSomeDays&Nights?WillIhavetofindanoutsideproviderorwillthecommunitybeabletoprovidemewithanAideforlongorshortterms?ArethererulesagainstusingoutsideAides?Ifnot,howcanIbecertainofthesafetyofmyselformypersonalbelongings.Yes,mostcommunitiescanhelpyouarrangefor

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theseservicesandmosthaverulesaboutwhocanbehiredasanAide.CommunitiesgenerallypricetheservicesofanAideatmarketratesorperhapsjustbelow.ThecostofanAidewillbeaddedtoyourmonthlybillifyouuseoneprovidedbythecommunity.

CostsofHealthServicesMustBeFacedJustaslivingathome,costsrarelygodownandyoucanexpectsomecoststogoupincontinuingcare.ButtheadvantageoflivinginaCCRCorLifePlanCommunityisyoucanplanbetterbecauseincreasesaresomewhatpredictable.Andgenerallyhappenonlyonceperyear.

MedicareandPrivateInsurance? Ofcourse,mostcontinuingcareresidentshaveMedicareandprivatemedicalinsuranceevenbeforeenteringaCCRC/LifePlanCommunity.Butjustasinyourownhome,theseprogramsdonotpayforyourhousingordailylivingexpensesandthatistrueinaCCRCaswell,whetheryouinIndependentorAssistedLiving.SomeserviceswithinHealthcareunitsmaybereimbursedbyLong-TermCareInsurance.Medicaremaypayforawalkerormotorizedversion.Yourprescriptionplanswillcontinuetopayforpillsetc.,andanyout-of-pocketmedicalexpensesmaybedeductibleonyourFederalincometaxreturns.Yourcommunitywillprovideguidanceaboutaspectsofyourbillthatmaybedeductible.WhatScreeningWillIHaveToPass?YoushouldaskthisquestionoftheMarketingStaffanddetailsshouldbeexplainedinthecontract.Generally,to

beacceptedintoaCCRC/LifePlanCommunityyouandanysecondoccupantwillbeaskedsomehealthquestions.IfyouoptforaType-ALifeCarecontractyouwillbeaskedforreportsfromyourdoctor(s).DocumentsYouWillBeAskedtoKeepOnFileYouwillhavetoshowproofofapart-mentinsurance.Youwillbeaskedforcurrentcopiesofyourwill;yourappointmentofahealthcarerepresentative,includingthenameandcontactinformation;ornamesandaddressesofchildrenorclosestfamilyandifthereisa“donotresuscitate”provision(aDNR).IfyoudohaveaDNRorder,theHealthCenterstaffcanarrangeforyoutohaveanofficialDNRbraceletorpendant.

IfYouhaveHearingorVisionIssuesAskAboutSupportServices Ifyoulivewithdecliningvisionorhearing,youwillfindlotsofotherstocommunewith.Mostcommunitiesstrivetoprovidetechnologiesandservicestomakeyourlifeeasier.Becertaintoaskabouthearingloopsinauditoriumsandsupportgroupsetc.

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KNOW CARE LEVELS GeneralAdmissiontoaCCRC’sHealthCenter isusuallybasedontheavailabilityofabed.Ifnone isavailable thefacilityiscustomarilyobligatedtoarrangeforadmissiontoanotherfacilityandtopaytheresident’sfeesnotcoveredbyinsurancesuntil anopeningoccurs.AskabouttheCCRC’spastrecordformeetingresidentneedsoncampus.Theseservicesmustbelicensedbythestateandoraccredited..

AssistedLivingWhenyoubegintoreceiveAssistedLivingservicesgenerallyyouwillpayyourregularmonthlyservicefeeandadditionalchargesbasedonthe levelofservicesand assistancerequired.Medicare doesnot pay for assistedlivingbut may coversomeservicessuchasphysical therapy.Transi-tioning toAssistedLivingmaybeinitiatedinavarietyof waysguidedbyassessmentsmadebyfamilymembers,a resident’s physician,thecom-munity’sMedicalDirectorandothersasneeded.Awidelyutilized standardforadmission toAssisted LivingServicesistheneedforastableindividualtoneedsupport formorethantwo essentialactivitiesofdailyliving.Arestaffemployeesofthecommunity,orfromanoutsideprovider?Askhowlongthatproviderhashadthecontract?FYI,theoften-usedacronym“ALSA“meansAssistedLivingServiceAgency.Memory Care Services Ask ifmemorycareisprovidedon-site? Wher e ? Best facilitieshave a

ratioofstaff toresidentsthatexceedstheaverageforotherlocalfacilities. A s k i f services a r e personalizedtoreflectthe resident’suniqueabilities,interests, andpersonalhistory.Th e go a l s hou ld b e t o sustainthe highestpossible levelofindepen-dencefortheindividual.Doestheunithaveanoutdoorsecurespace?Arethereprivateroomsandalsodoubleroomsatalowerprice?The processfortransitiontoMemoryServiceslikelymirrorsthatwhichoccurswhenaresidentmovestoAssistedLiving.Askaboutwhostaffsthefacilityand itsratingandhistoryofcompliancewithregulatoryrequirements. Skilled Nursing Services TheConnecticutDepartment ofPublicHealthlicensestheSkilledNursingfacilitywithinaConnecticutcontinuingcarecommunity. Whenyouvisitlookforqualityoflifeintheunit.Seeiftheatmosphereismorefriendlythanahospitalcorridor.Doorsmaybeclosedforpatientprivacy,butisthediningareaattractivewithwindowviewsoflovelygroundsandflowersonthetables?Askaboutstaffing.Generally,a

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doctorhasregularhoursinthissection,butaskfordetailsabouttheschedule.AdmissiontotheSkilledNursingispossiblewhenaresidentrequires24hoursofcare,orwhenaresidentisdischargedfromahospitaldirectlytohisorhercommunity’sSkilledNursingunitforrehaboranotherreason.Avail-abilityofabedisalsoafactor,soaskhowoftenisthisaproblem.Medicarehasa48-pageguidetochoosinganursinghomefacilityusefulalsoforevaluatingaCCRCSkilledNursingunit.Accreditationorganizationsalsoofferevaluationtips.Thestatedoesnotrequireaccreditation.(SeeResources)AskWhoCanAccessBedsintheHealthCenter?AsyoutourtheHealthCenter,askaboutindividualsineachofthelivingspaces.AretheyresidentsofIndependentlivingtemporarilyneedingAssistedLiving,forinstance.Oraretheoccupantsfromoutsideofthecommunity?Manycommunitiesrelyonkeepingfacilitiesateverylevelfullbymakingroomsavailabletooutsideclients.Askifthisposesaproblem.In-RoomCommunicationsHowdoesanoccupantcallformedicalorpersonalhelp?Askifthebedsidetelephonecanbeusedtomakelongdistancecalls?IsthereWi-Fifortheoccupant’ssmartphoneorlaptopcomputer.WhatTVchannelsareoffered.AskToSeeSpecialNeedsBathingFacilitiesWhatequipmentisavailableandarethereenoughbathingroomsfortheSkilledNursingorMemoryUnitoccupants.Somecommunitiesmayoffermemoryassistanceinapartments.

OTHER . . .RehabilitationServicesFindoutifthereareseparatewellness,fitnessandrehabilitationfacilitiesforresidentsatalllevelsofthecommunity.Asktoseethespaceandequipmentineach.Alsoinquireaboutthecredentialsofthestaff.Arestafffromanoutsideserviceprovider?Howlonghasthecurrentproviderbeenundercontract?CheckOutAllExerciseFacilities Isthereagymandaswimmingpool?Seeifthefacilityhastheequipmentyouliketousenow,plusequipmentthatmaybemoreappropriateforyouasyouageinplace.Askwhatexerciseclassesareofferedincludingintheswimmingpool?Isthefacilityexclusivelyfortheuseofresidentsorcanitbeusedbyoutsiderswhomaygainaccesstoallareasoftheexercisefacilitythrougha“club”membership?

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LISTOFCOMMUNITIESINCT

ArborsatHopBrook.Manchester*www.arborsct.com/about-us2018JanuaryAnnualFinancialFiling&DisclosureStatement2018MarchAnnualFinancialFiling&DisclosureStatement

AshlarVillage,Wallingford*www.masonicare.org/locations/ashlar-village2015AnnualFinancialFiling2016DisclosureStatementPart12016DisclosureStatementPart2

CovenantVillageofCromwell*www.covenantvillageofcromwell.org2018DisclosureStatement

Duncaster,Bloomfield*www.duncaster.org2018DisclosureStatement

EdgehillSeniorLiving,Stamford*www.edgehillcommunity.com 2018DisclosureStatement

ElimPark,Cheshire*www.elimpark.org2016AnnualFinancialFiling2017DisclosureStatement

EssexMeadows,Essex*www.essexmeadows.com2018DisclosureStatementJuly2018ChangeofOwnershipNotice

EvergreenWoods,NorthBranford*https://evergreen-woods.com2016DisclosureStatementDisclosureStatementAddendumNoticeofChangeofOwnership

McAuley,WestHartford*http://themercycommunity.org/2017DisclosureStatement

MeadowRidge,Redding*www.meadowridge.com2018DisclosureStatement

PomperaugWoods,Southbury*www.pomperaugwoods.com/2018DisclosureStatement

SeaburyatHome,Bloomfield2018DisclosureStatement

SeaburyRetirement,Bloomfield*www.seaburylife.org2018DisclosureStatement

StoneRidge,Mystic*https://stoneridgelcs.com2018DisclosureStatement

Watermarkat3030Park,Bridgeport*3030park.watermarkcommunities.com2017DisclosureStatement

WatermarkatEastHill,Southbury*https://easthill.watermarkcommunities.com2018DisclosureStatement

WhitneyCenter,Hamden*www.whitneycenter.com 2017DisclosureStatementDisclosureStatementFeeScheduleDisclosureStatementExhibitA*=MembersofConnecticutContinuingCareResidentsAssociation.TheDSSwebsitelists3retirementcommunitiesthatarenotConnCCRAmembers

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ResourcesWithspecialappreciationtoMagMorelli,LeadingAgeConnecticut

ConnCCRA–JohnJohl,[email protected] NaCCRA–JimHaynes,ofVirginia,Presidentjhaynes@avgroup.comNaCCRA.comFindotherhelpfulpublicationsaboutthisformofolderadultliving.

2018BradBreeding(CCRCauthorandspeaker)FreeWebsitePosts• August7CanIAffordaLifePlanCommunity?• July 16 Evaluate the Financial Viability of a CCRC Evaluate the Financial

ViabilityofaCCRCWithOurFreeGuide• June5What’sImportanttoCCRCProspects?ConsumerSurveyResults:What’s

ImportanttoCCRCProspects?NewYorkTimes:Dec.4,2018/Sonoma,CA,CCRCarticlehttps://www.nytimes.com/2018/12/04/business/retirement/continuing-care-retirement-communities-baby-boomers.html AuthorFredHerbhttp://agingsmartly.org/Wikipedia.orgContinuing care retirement communities in the United StatesCTDepartmentofSocialServices(DSS)• DSS&itsappointedcommissioneroverseeCTCCRC/LifePlanCommunities• CCRCExpert/AdvisortoDSSCommitteeonContinuingCareRetirement

Communities:RichardWysocki,DSSAnalyst/[email protected]• ContinuingCareFacility-Reimbursement• DocumentsandForms.Thefirstcommunityinalistof18willbeArborsandthen

alphabeticaltoWhitneyCenter.NursingHomeAccreditation• CommissiononAccreditation ofRehabilitation FacilitiesContinuingCare

AccreditationCommission(CARF-CCAC)• JointCommissiononAccreditationofHealthcareOrganizations(JCAHO)ConnecticutProtectiveServicesfortheElderly–888.385.4225ConnecticutCommissiononWomen,ChildrenandSeniors-860.240.1475

PhotoCredits:NaCCRA,Watermark,Bridgeport;WatermarkatEastHill;EssexMeadows;StoneRidge;Edgehill;PomperaugWoods;GailJanensch.QuestionsorCorrections:GailJanensch/[email protected]/203.856.4360

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