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Continuing Care Retirement Communities (CCRCs)

Continuing Care Retirement Communities (CCRCs) offer persons 60 years of age or older a long term continuing care contract that provides for independent living units, residential care/assisted living services, and skilled nursing care, usually in one location, and usually for a resident’s lifetime. Most CCRCs require a substantial entrance fee (e.g., from a low of $100,000 to over a million) to be paid by the applicant upon admission along with monthly fees.

How to Choose a CCRC

Continuing Care Retirement Communities: Is One Right for You? (2009) is a 14- page consumer’s guide that provides essential information to make an informed decision regarding whether a Continuing Care Retirement Community is right for you. It includes a 4-page personal questionnaire insert, Points to Consider for CCRC Consumers, to aid in your decision-making. Click here for a free copy of the Guide and the insert, Points to Consider for CCRC Consumers.

How to Find a CCRC

Profile of CCRCs in California (PDF) provides a snapshot of the number and types of CCRCs; lists providers planning to expand capacity; identifies applications for new CCRCs or conversions of existing long term care facilities to become CCRC providers; and lists multi-facility for-profit and non-profit providers.

 

The California Department of Social Services, Continuing Care Contracts Branch, regulates CCRCs, and maintains a website with general information on CCRCs (http://www.calccrc.ca.gov/):


Provider Financial Information

CCRC providers are required to submit annual financial reports to the Continuing Care Contracts Branch.

 

Before reviewing these reports, download a copy of the Guide to CCRC Financial Reports. (pdf) The reports are scanned, listed alphabetically by provider name, and cover the past three years: http://www.calccrc.ca.gov/PG3358.htm

Non-Profit CCRCs, comprising 72.1% of all CCRCs in California, must also file IRS Form 990 with the State Attorney General.  

 

Before reviewing the 990s, download a copy of the Guide to IRS Form 990. (pdf)

 

View copies of your provider’s Form 990 for the last three years here:

Registry Search
: http://rct.doj.ca.gov/MyLicenseVerification/Search.aspx?facility=Y

CCRC residents' Rights

The law governing CCRCs is contained in the California Health and Safety Code, Chapter 10 of Division 2, Sections 1770 and following. Click here for a copy of the most recent statute.

Key Resources

  • CCRC Legislation from 2006 to present.

  • Legal Resources: Presents relevant cases, IRS rulings, and other key resources.

  • Major Reports

  • Relevant Articles and Books concerning CCRCs.

  • California Continuing Care Residents Association (CALCRA) is the only independent voice for over 20,000 residents in California's Continuing Care Retirement Communities.

  • National Continuing Care Residents’ Association http://www.naccra.com: Promotes CCRC model and minimal federal regulations with oversight at the state level. Associated with LeadingAge, the national provider association. NaCCRA hosts a website including a bi-monthly newsletter, model statutes on a wide variety of key issues, and a Learning Center http://www.naccrau.com/default.html with webcasts on key issues for providers and residents.

  • CCRC Corner – Compilation of articles on CCRCs from a consumer perspective written by Professor Lillian L. Hyatt, MSW, and CCRC resident, that have appeared in the CANHR newsletter, The Advocate. Articles are grouped by the following categories: About CCRCs; Resident Rights; and Oversight & Enforcement.