Senior Housing Trends For 2015

Senior Housing Trends in 2015As you can imagine, senior housing is an important topic for boomers and seniors today.  Where to live and perhaps more importantly, how to live, are important considerations when one is no longer able to live independently in their own home.  The senior housing (or as some call it, senior living) industry is also BIG business for some.  There are big bets being placed on what regional markets will be the next best city where you can retire for less, and how to provide services that meet local demands.

One of the interesting trends we’re seeing is the movement out of the suburbs and into the cities for some retirees.  Unfortunately for those that want to move in close, there is much demand but little supply.  The Washington Post reports; “Today, relatively few viable residential options for seniors exist within central cities or densely developed urban areas near city centers. Most senior housing is located instead in low-density suburbs or in small towns, where land is cheap and development costs are lower.”  That means that both private and public investment will begin to focus on this area as the incredibly affluent boomer market will begin to force their hand.

Senior Housing Trends

A recent report by Senior Housing News also identified some interesting senior housing trends for 2015, most notably:

  • The role of technology and services that allow people to live independently will skyrocket.  (See our reports on medical alert systems for an example of technology in demand.)
  • Cost effective senior living solutions are more important than ever.  As folks live longer, their savings become stretched and stretched.  Many are unprepared for the high cost of senior housing, and the role of inflation on their budgets.
  • Remote monitoring technology for those that are aging-in-place will continue to grow.  These solutions provide connectivity to those that choose to remain at home, and/or live independently. The “services market” around connectivity solutions like GrandCare Systems, HealthSense (and others) is going to explode.
  • Employee turnover at senior housing facilities matters.  Not only can it affect the bottom line (employee recruiting, training/re-training), but it also affects the moral of the residents, AND can adversely affect patient care.
  • Brand management is a bigger deal than ever before.  Consumer trust today is paramount, and the internet makes it easy to help or hurt a senior housing community’s reputation in the local (or national) landscape.

What senior housing trends are you seeing in your local communities?  Tell us in the comments below!

The Future of Senior Care: Villages & Robots

Paro Robot Seal future of senior care

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For the last decade, I have worked closely with families who are trying to find the best senior care facility for a loved one. I am fortunate to work in an area (Portland, OR) that offers a plethora of senior housing options, from traditional Retirement Living, Assisted Living, and Memory Care Communities. Portland also boasts an impressive 900+ Adult Care Homes (aka Adult Foster Care or Adult Family Homes) for folks who want/ need a smaller family-style setting.

Future of Senior Care

People often ask me what I think the future holds for elder care. I suspect this question stems from fears of what their own future holds or (most likely) that they are terrified of facing their later years in the current senior care model (which is becoming quickly outdated by the social and medical needs of the boomer generation).  The following ideas and companies are my picks for the “out of the box” thinkers, movers and shakers, and emerging models that are redefining the world of senior care.

Sharing is Caring: Elder CoHousing

While not a new model by any means, cohousing and elder cohousing continues to grow. Cohousing, at it’s core, is intentional, collaborative living in which residents participate in the planning, design, and daily operations of sharing indoor and outdoor spaces.   Cohousing creates strong communities, reduces costs, builds sustainability, and enhances the quality of life for those who can fully immerse themselves into a world of sharing.   Elder cohousing can assure residents that they will be fully supported in the later years by a community that has been established and is prepared to to meet the medical and social needs of the last 20-30 years of life.  To find a cohousing community near you, check out the directory of  I was surprised to see how much this list has grown in just the last five years.  To learn more about cohousing check out the following resources:

Keeping it Normal: Dementia Village

Dementia Village is a community specially designed (think “The Truman Show”) to incorporate all the concepts of normal daily life for seniors with mid-to-late stage dementia.  This beautiful space is located in the town of Weesp near Amsterdam, Netherlands.  It was built in 2009 and has 160 residents.  The residents are broken up into groups of 7 who have similar lifestyles, interests and backgrounds.  Each group manages their own “house” and residents have their own private space.  Daily tasks like grocery shopping, cleaning, cooking and participating in the lifestyle in which the resident has been accustomed to all happen with the assistance of permanent staff for each house.  A theater, supermarket, restaurant and an out-patient care unit are all elements that keep the residents leading busy, normal lives with a dementia diagnosis.  One very unique element from a traditional “memory care” setting is that residents are allowed to move freely inside and outside of the house and through the village, while remaining within a protected environment.  You can see pictures and learn more at the Hogeweyk Dementia Village website.  I was very excited to learn that the first U.S. location for Dementia Village is underway in the SLO, CA area.  It will be called Mahal Cielo Village and will be the first of its kind in the U.S.  The video below is an extensive inside look at Dementia Village.

Resident Centered: Elite Care

Perhaps models like Elite Care exist in other parts of the country, if they do, I am unaware of them.  Elite Care is a Portland, OR based senior housing company who has redefined how senior care is delivered in my neck of the woods.  Elite Care communities are built with the resident in the driving seat, not the staff or company stockholders. Similar to elements of Dementia Village, the mid-sized communities are broken up into small “houses” that are designed to promote safety with autonomy.  While not a “locked” memory care, residents are supervised and monitored through technology, small settings,  and free-to-roam campuses.  In addition, Elite Care puts great emphasis on family involvement through monthly gatherings, free visitor meals, and rooms to rent for out-of-town guests. Walking paths, resident-maintained edible gardens, and on-site chickens are also stand-outs in an industry of structure, regulation and corporate policies.   Elite Care also made my “Best of Portland, Oregon” list last year based on online reviews.

Coming Very, Very Soon: Robots

I write about technology that keeps seniors as independent as possible in their home.  The aging-in-place drumbeat gets louder with each new company and piece of equipment that becomes available.  From medical alert systems, appliance sensors (my review on these coming soon), to full-house activity hubs and interactive software, the list is growing for senior care technology options in the home.  And very soon, Robots.  Robots are already being used in places like Europe and Japan for senior care.

  • Giraff: Think of a mobile Skype robot.  The robot is one part of a complete home-based system that uses a network of sensors to monitor activity.  As of 2014 Giraff is being tested in real homes around Europe.
  • Paro Therapeutic Robot: Cute, cuddly, and oh! those eyes.  Paro is an interactive robot that espouses the benefits of animal therapy.  The robotic seal has several kinds of sensors that can detect sound, being touched, light, and temperature. You can purchase your own Paro for $6,000.
  • “Hector” from The Companion Able Project: Another integrated home robot that interacts with its human about medication reminders, to-do lists, and social interaction prompts like missed calls from loved ones.  Trials and demonstrations currently ongoing in Europe.

Have you seen the future of senior care?  I want to hear about it- leave your comments below!

Healthy Diet For MS Patients Lowers Risk

Healthy diet for MS patients: Eat Seven Fruits and Vegetables per DayI first learned about Dr. Terry Wahls this morning on my favorite radio station,  The morning host had just finished her book and was remarking about this woman who had cured her multiple sclerosis (MS), discarded her wheelchair, and had done it all with food, not drugs.  In addition, she went on to say that a new study has been released that directly links the amount of  fruits and vegetables in a person’s diet to lifespan.

Eating at least seven portions of fresh fruit and vegetables a day was linked to a 42% lower risk of death from all causes.  This strongly suggests the importance of the healthy diet for MS patients.

Yes, you read that right- seven portions, not the usual five we have heard about for the last several years.  As a self-proclaimed food-nut myself, I was very interested to read about Dr. Wahls and her health transformation from changing how and what she ate.

You can read about the Seven Fruits and Vegetables Study here.  Another interesting note from the study is that canned fruits and vegetables seemed to increase the risk of death by 17%!  Yikes!  Not surprisingly, the amount of sugar, especially in canned fruits seems to be to blame.

It may seem unrealistic (and can be expensive) to increase fresh fruits and vegetables in your diet, but our takeaway is that some is better than none, at any age.  If you are getting  three servings,  try increasing it to four, then, five, and eventually up to seven.  I find that making a smoothie first thing in the morning helps me knock 2-3 servings out.  Here are some great recipe ideas for smoothies that I found helpful when I was just getting started.

Have you found easy ways to increase your fruit and vegetable consumption?  We want to hear about it!  Comment below!

November is National Family Caregivers Month

November is National Family Caregivers Month, and this caregiving stuff is hard work!  And it’s usually not funny… Until Jeff Foxworthy and caregiver  Peter Rosenberger teamed up with AARP to provide some comic relief on the subject.

Across the country 42 million people, primarily women, between the ages 40 – 60 are faced with the challenge of providing care to their older family members and friends each and every day.

These are the unsung heros of today.  These caregivers support the people we all love.  Caregivers take on a variety of roles as providing this care can come in all forms.   From taking mom to the doctor’s office, to managing medications, to total care of a loved one.  New research from AARP suggests that caregiver’s personal health and overall well-being can be greatly affected by the physical and emotional strain of caregiving, but many caregivers are reluctant to ask for help.  The Ad Council has released a series of new Public Service Advertisements (PSAs) that explore the many roles caregivers take on and provide resources to help them cope with their daily responsibilities.

Here are some resources to share to help recognize caregivers everywhere for the important work they do:

  • The new website,, where you can share a message of thanks with a caregiver you know and post it publicly alongside other messages from people across the country to illustrate the number of caregivers nationwide.
  • A new online quiz to help identify if you are a caregiver: click here for online quiz
  • If you or a caregiver you know needs support, a caregiver support group is imperative for the health and wellbeing of the caregiver.

If you are a caregiver, or you know someone who is, please be a part of this important campaign. Visit for more tools and resources.  And hug a caregiver today.

Long Term Care Insurance Advice: Video

Last year Suze Orman reported that she was paying around $30,000 per month for 2 full time in-home care nurses.  She’s doing this for her (then 96 year old) mother because she loves her very much, AND because she can afford it.  In this brief video, Suze offers advice on Long Term Care Insurance, and recommends that you get involved with your older parents money before it’s too late.

 “If you have older parents, and they’re not talking to you about what they’re doing… I’m asking you to get involved with they’re money!” — Suze Orman

What is Long Term Care Insurance?

Wikipedia has a tight and concise definition that I like: “Long-term care insurance (LTC or LTCI), an insurance product sold in the United States and United Kingdom, helps provide for the cost of long-term care beyond a predetermined period. Long-term care insurance covers care generally not covered by health insurance, Medicare, or Medicaid.”

“Long-term care insurance generally covers home care, assisted living, adult daycare, respite care, hospice care, nursing home and Alzheimer’s facilities. If home care coverage is purchased, long-term care insurance can pay for home care, often from the first day it is needed. It will pay for a visiting or live-in caregiver, companion, housekeeper, therapist or private duty nurse up to seven days a week, 24 hours a day (up to the policy benefit maximum).” — Wikipedia on the benefits of LTC Insurance

Long Term Care Statistics

According to the American Association for Long Term Care Insurance:

  • 8.1 Million Americans are protected with long-term care insurance.
  • 322,000 new Americans obtain LTC insurance coverage in 2012.
  • $6.6 Billion in LTC insurance claims paid (2012).
  • Over 264,000 individuals received LTC insurance benefits (2012).

Five More Senior Care Experts You Should Follow On Twitter

In June we wrote a piece called “5 Aging Experts You Should Be Following On Twitter“.  It was a popular post and features some of our favorite eldercare advocates that you should be following on Twitter (if you’re into tweeting).   Today we thought we’d give you 5 more senior care experts that you should add to your list.  Drum-roll please…

#1) Dr. Kathy Johnson is the Founder and CEO of Home Care Assistance. She is a certified care manager, psychologist and caregiver, and tweets about a multitude of aging issues (and solutions).

#2) Lynn Wilson founded The Care Giver Partnership, which provides advice, services, resources and products to Caregivers and their loved ones.

#3)  Nanette Davis, Ph.D.  is a writer, speaker, advocate and life coach for caregivers.  She’s also a community educator who’s written several books including; “The ABCs of Caregiving: Words to Inspire You” and “Caregiving Our Loved Ones: Stories and Strategies That Will Change Your Life”.

#4) Beverly Parsons is a licensed clinical social worker who has 12 years of geriatric care management experience working with aging families.  Beverly is also a family mediator who helps families navigate troubled waters.

#5)  Dementia Journeys – John Belchamber founded Dementia Journeys with great inspiration from his mother Anne.  He found comfort sharing his feelings through writing AND sharing with others.  A very nice dementia resource.


We hope you enjoy the above senior care experts on Twitter.  Click here to find The Senior List on Twitter, we look forward to interacting with you on Twitter soon!

Also, make sure you follow us on Facebook today or just click the big “f” and then click LIKE.

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Philips GoSafe Medical Alert Systems Delayed

Philips GoSafe Medical Alert SystemsBack in June we wrote about the delayed launch of Philips new flagship medical alert system called GoSafe.  We wrote:

“The new Philips GoSafe product is the latest in a line of newer mobile medical alert systems which uses the same cellular signal as your cell phone.  Instead of being tethered to a home phone-line, the consumer can take these new devices with them wherever they go (out to work in the yard, to the mall, or to a doctor’s appointment).  This new mobility feature is what separates the new mobile devices from their traditional (tethered) cousins.” — The Senior

Earlier this year, Philip’s representatives told The Senior List to expect a commercial launch of Philips GoSafe Medical Alert System around fall of 2013.  Now Philips tells us GoSafe will launch sometime around December of this year.  We aren’t sure what the delay is, but these things occur all the time in the medical device industry.  Frankly, you’re better off getting it right (before getting out of the gate) when you have a product launch of this magnitude.  You only get one chance at a national (or global) launch.  All Philips has to do is look at Big Red (Verizon Wireless) to see how to screw-up the national launch of a much anticipated new medical alert system (we’re talking about you SureResponse).  Someone once said “better to be safe than sorry”… We’re guessing Philips is taking this to heart, and wants to get it right the first time.

In advance of the launch, Philips has been putting together some marketing resources including this video (below).  We’re actually excited for this entry into the mobile medical alert system market.  The GoSafe has all the makings of brand-leader if Philips executes on their marketing strategy, AND focuses on customer satisfaction.

We’ll keep an eye on this sector as it continues to evolve.  We’re guessing the best is yet to come when it comes to safety for seniors outside the home.  The GoSafe might just be the best of the bunch, but we’ll have to wait and see.

Would You Like a Medical Alert Recommendation?

Medical Alert Buyers Guide

NPR Scott Simon Tweets From Mother’s Bedside

In a stunning series of poetic tweets, NPR’s Scott Simon is tweeting from his mother’s bedside. It’s not very often we get a real-time glimpse into the late stages of caregiving. For Mr. Simon to let us take this journey with him is incredibly generous (and a great learning experience). It seems Patricia may not have much longer, but a son’s love for his mother undeniable, and you can feel it with every tweet. | NPR Scott Simon tweets |

I love holding my mother’s hand. Haven’t held it like this since I was 9. Why did I stop? I thought it unmanly? What crap. – Scott Simon

5 Aging Experts You Should Be Following On Twitter

1. Keith Maderer is a financial and estate advisor who has some great posts about aging and estate issues. He’s also an accomplished author and speaker. Keith is from Western NY and has over 30,000 followers!


2. Barbara McVicker is a caregiving expert focusing on financial, emotional & physical stress of caregiving, (as well as elder care benefits & the work-life balance). She’s also a public speaker on the subject matter. Barbara is from Columbus, Ohio and has over 4,600 followers.


3. Denise Brown is a caregiving author, speaker and caregiving coach. She also founded a website dedicated to assisting families with caregiver stories and solutions. Denise has over 12,000 twitter followers.


4. Carol Bradley Bursack is a columnist, author, consultant and speaker. She wrote the book “Minding Our Elders” (hey that would make a good twitter handle…) and has appeared as a resident caregiving expert in her many media appearances. Carol has over 2,900 followers.


5. Dr. Bill Thomas is an author, entrepreneur, musician, teacher, farmer and physician whose life’s work explores the terrain of human aging. Dr. Thomas founded a global non-profit (The Eden Alternative) which works to improve the care provided to older people. Our favorite quote pulled from his website ““What we need is a radical reinterpretation of longevity that makes elders (and their needs) central to our collective pursuit of happiness and well-being.” If that by itself doesn’t implore you to follow him… nothing will. Dr. Bill has over 3,000 followers.

What to Watch for as Death Approaches

As death approachesIt’s never easy when a loved one approaches the end of life. Because it’s an experience that most of us have seldom, if ever, gone through before — and a subject rarely talked about — it can be hard to tell what’s normal and why certain things are happening, and when the end is truly near.

Although most laypeople are unaware of the markers of the closing of life, hospice and palliative care workers know there are indicators that the natural process of dying is underway, and death is imminent. These symptoms have to do with dying itself and are independent of other symptoms the loved one may be experiencing because of a disease or other condition.

When I wrote 10 Signs Death is Near for, they clearly struck a chord. Readers responded in some the highest numbers for any article on the site with their own stories and corroborations.

Knowing what happens at the very end of life can help families focus on providing comfort, experts say, rather than on reacting to “fixing” behaviors that can’t really be fixed. That eases stress for the dying person and for the grieving family members as well.

Obviously these changes don’t apply to a sudden death, and they may not be the exact experience of everyone at the end of life. Still, the following physical signals are quite common:

  • Changes in appetite: The person may show a marked disinterest in eating, or even drinking, beyond a gradual loss of appetite that may have led up to this change. Even favorite foods register little response.

  • Changes in sleep habits: As metabolism slows, sleepiness increases. Total hours of sleep go up, and the person becomes harder and harder to rouse.

  • Changes in breathing: Breaths become more ragged and irregular. You may hear a particular breathing pattern called Chene-Stokes — there’s a sharp intake of breath followed by a long pause that can last up to a minute before loud deep breathing resumes and then again fades.

  • Changes in urination: Because the person is consuming little, there’s little to excrete. The kidneys are also shutting down as blood pressure drops as part of the dying process. What little urine there is tends to be concentrated, and brownish, reddish, or tea-colored.