CCRC Explained
Big decision. Big money. Get it right.
What CCRC means
Continuing Care Retirement Community. ALL levels of care in one place — independent → assisted → memory → skilled nursing. Move once + age in place. Often called "Life Plan" community.
3 contract types
- Type A (Life Care) — pay big upfront ($300K-$2M+) + monthly fee. Care levels included even if you need them later. Most predictable.
- Type B (Modified) — middle ground. Some care discounted, some pay-as-you-go.
- Type C (Fee-for-Service) — pay full market rate as needs change. Lowest entry, highest risk.
- Type A best for those scared of running out of money. Type C for those healthy + DIY budgeters.
Realistic costs
- Entrance fee — $200K-$2M. Refundable 50-90% to estate (depending on contract).
- Monthly fee — $3K-$8K independent, more for higher care.
- Annual increases — 3-6% typical. Lock in early for best rates.
- Healthcare costs — Medicare still pays for medical, CCRC for "non-medical" care.
- Some financial advisors say CCRC = "buying long-term care insurance you don't want to use".
Pros
- Predictable cost (Type A).
- One move — never have to relocate as needs change.
- Spouse can stay even if other goes to memory care.
- Built-in friends + activities.
- Healthcare on-site for emergencies.
- Often more amenities than independent senior community.
Cons + risks
- Big entrance fee ties up assets.
- If CCRC goes bankrupt — refund may be lost.
- Annual increases can outpace pension/SS.
- Once in, hard to leave (entrance fee partially non-refundable for years).
- Some CCRCs require minimum income / assets.
- Quality varies — research carefully.
Vetting checklist
- How many years operating?
- Owner — non-profit, religious, or corporate?
- Audited financial statements (request).
- Occupancy rate. (Above 85% = healthy.)
- Resident reviews (visit + ask alone).
- State accreditation (CARF International is good signal).
- Refund policy in writing.
- Health care quality at facility level.
Hire CCRC-experienced lawyer
For big-money CCRC decisions, hire elder-law attorney who specializes in CCRC contracts. $1,500-3,000 review can save $500K of regret. Especially Type A contract review.