A weak economy triggers bargains and perks in all-inclusive continuing-care communities. By Jane Bennett Clark, Senior Editor August 17, 2010 It's an intriguing but tricky sell: leave your home and neighborhood while you are still relatively healthy and move to a retirement community that offers a range of housing, country-club-style amenities and access to future care. To pay for your new setting, called a continuing-care retirement community (or CCRC), you fork over a hefty entrance fee, stiff monthly fees or both. Many people use the proceeds from the sale of their house to finance the price of admission.When the real estate market and the stock market went south simultaneously, the pitch became more problematic. People who might have made the leap held off, either because they couldn't sell their house or because their retirement savings had taken a hit. Occupancy in these communities dropped, construction slowed, and a few major companies, such as Erickson Retirement Communities (now Erickson Living), filed for bankruptcy. You'd think that such circumstances would make this a bad time to consider a move to a CCRC. In fact, the industry may emerge from the downturn in better shape, says Steve Maag, of the American Association of Housing & Services for the Aging. "The recession forced CCRCs to be more efficient and pay more attention to the bottom line," says Maag. Meanwhile, to get you in the door, the communities are offering everything from real estate services to bridge loans to a few hours of free packing. Some will even arrange to have a relocation company buy your house if you can't sell it. You wouldn't jump in just for a deal, of course. But if you are ready to move anyway, "now's the time to chase those bargains," says Michael Hargrave, of NIC MAP, which tracks the industry. Advertisement Beyond bankruptcy Sue and Bill Vitale started shopping for retirement communities three years ago. "At my age, it wasn't fun taking care of landscaping and a 4,000-square-foot house anymore," says Bill, now 82. The Erickson communities appealed in part for their relative affordability -- entrance fees range from $110,000 to $580,000, depending on apartment size, plus monthly fees of $1,550 to $2,600 -- and the promise of a refund, contingent on the resale of the apartment. The couple decided on Ashby Ponds, an Erickson community being built near their home in North Hill, Va. In October 2009, a month before they moved in, Erickson filed for bankruptcy protection: The company, with 20 communities completed or in development, was unable to square its expansion program with the credit and housing crunch. As its future was being decided, Erickson suspended new construction on communities that were still under development, including Ashby Ponds. The news didn't bother the Vitales, whose apartment was already built and whose deposits had been placed in escrow as part of the bankruptcy proceedings. It did, however, rattle earlier waves of residents, whose deposits had no such protection, and it tarnished Erickson's long-standing reputation as an industry leader. By the spring of 2010, Erickson had emerged from bankruptcy. It sold most of the properties still under development to Redwood Capital Investments but continues to manage them. Nonprofits own eight completed campuses, which Erickson also manages. Some campuses, including Ashby Ponds, still lack the assisted-living and nursing-home facilities that are key ingredients of the communities. Plans for development, including a resumption of construction, are under review. "The intent would be to complete those campuses," says spokesman Dan Dunne. The Vitales say they are confident that the caregiving component will eventually be built. For now, Erickson has arranged with nearby facilities to deliver care. Advertisement The right fit Most people wouldn't consider the drone of low-flying planes a reason to choose a community, but for the Vitales, that was part of Ashby Ponds' appeal. Bill Vitale was once the director of Dulles International Airport, a five-minute drive away. Not only do the couple like being close to Bill's former workplace but they also like being able to hop on a plane: Their daughter and her family live in Dallas. Finding a community that appeals to you is key to the process, says Brad Breeding, of Carolina Continuing Care Consultants, in Garner, N.C. "It's about where you want to be -- the location, the type of place, the feel you get." Still, don't let a nice dining room or a nearby shopping mall distract you from the caregiving component. "If you have Alzheimer's in the family, for instance, you want to make sure it has a good Alzheimer's unit," says Breeding. Some CCRCs contract with assisted-living or nursing-care units to deliver care off-campus. Better to investigate those arrangements now than find out later that you have to leave the community to receive care. Balancing cost and risk By choosing Erickson, the Vitales opted for a fee-for-service arrangement, in which you pay less upfront but more down the road if you need care later. Some fee-for-service communities require that you buy long-term-care insurance to cover your bases. Contracts that include care in the upfront fee -- essentially a form of long-term-care insurance -- are more expensive. Many of them require deposits of $200,000 or more, along with monthly fees. In older CCRCs, you had little choice but to kiss your deposit goodbye when you walked through the door. Now, more communities are offering a range of options, including full, partial or declining refunds. A full refund generally entails a higher entrance deposit and is often contingent on the resale of your housing unit. With a partial refund, you get back a fixed percentage -- say, 50% -- and with a declining refund, the amount you are eligible to receive drops 1% or so each month until it disappears. A percentage of your nonrefundable entrance fee or monthly fees that the facility allocates to medical expenses may be tax-deductible. (Only those medical expenses that exceed 7.5% of your adjusted gross income are deductible.) Advertisement Despite all the payment-plan options, the decision usually boils down to your ability to cover current and future costs, including long-term care. Currently, the average cost of a year in a nursing home runs about $80,000, and assisted living costs about $37,600 annually. If you have plenty of home equity but only a modest monthly income, choose a community that guarantees paid-up care in exchange for a big upfront amount. But if you have reliable and sufficient monthly income, you might be better off choosing a community with a smaller entrance fee and pay-as-you-go care, particularly if you already own a long-term-care insurance policy. While crunching the numbers, keep in mind that many of your current expenses, such as home maintenance and groceries, will be covered after you move. Communities usually check out your finances while you are checking out theirs, says Breeding. In general, they suggest that your monthly income be at least one-and-a-half to two times as much as their monthly fee. Vetting the financials Once you've winnowed the choices, look at the sponsoring organizations and their track records. Generally, companies that run several communities give you more to go on than a single-site community, says Maag. "That doesn't necessarily mean the single-site community is not as safe, but you would have to look harder at its financial status." Even with the recession, average CCRC occupancy hovers around 90%. Occupancy that falls much below that benchmark could reflect a problem that will presumably mend itself (such as a depressed real estate market or overbuilt construction), or it could be indicative of poor management. If a community has been around for seven or more years and has yet to top 85%, "I'd raise tough questions," says Robert Kramer, of the National Investment Center for the Seniors Housing & Care Industry. Advertisement Before you sign anything, have a lawyer or a geriatric care manager (find one through www.caremanager.org) help you review the community's financial statements, annual report and contract. Ask how much the community relies on entrance fees to finance future construction, how many new residents move in each year, and what percentage of the deposits is held in reserve for refunds. If you are being guaranteed care at no extra cost, look at the actuarial analysis, which will indicate whether the community is capable of delivering care ten or 20 years hence. Many CCRCs promise to cover your costs if you run out of money. Be sure the one you choose has the wherewithal to keep that commitment. Sampling the sweeteners With occupancy flat and waiting lists short, you have the leverage to negotiate a unit with a spiffier view or in a more convenient location, maybe with a few upgrades, such as better cabinets or carpeting. ACTS Retirement-Life Communities, based in West Point, Pa., has gone a step further, offering three-bedroom units for the two-bedroom price and two-bedrooms for the one-bedroom price in its Florida communities. It now offers prospective residents a mini vacation, including airfare, to check out the Sunshine State locations. Can't sell your house? ElderLife Financial Services arranges for lines of credit of up to $50,000 for participating rental-style communities. The money covers your rent in the community while you wait for your house to sell at the right price. A second program provides financing for entrance fees: "We have done loans for as little as $50,000, as much as $1.1 million and everywhere in between," says chief executive Elias Papasavvas. Many communities will pick up the interest on the secured loans; variable rates range from 2.75% to 6.25%. The Vitales had no qualms about moving to Ashby Ponds, but the move itself was daunting after living in their four-bedroom home for 24 years. They took advantage of Erickson's new moving services, which put them in touch with a real estate agent as well as a team that included a property stager to ready their house for sale (advice: put white, fluffy towels in all the bathrooms), a downsizer to help them weed out their stuff and an interior designer to plan their new apartment. When they finally put their house on the market, it sold in a week, for more than $700,000. The movers drove away with their stuff on the day before Thanksgiving; the Vitales stayed at a hotel and arrived at their new digs the day after the holiday, in early afternoon. By that time, the movers and the transition team had done their work, says Sue. "It looked just like this," she says, gesturing to the immaculate, cream-colored living room. "Not a box, not a piece of paper was lying around. The dishes were in the cupboards, the clothes were in the drawers and closets, the beds were made. Every towel and washcloth was folded perfectly. We could have had a party." The Vitales spent about $5,000 on the staging and move-in services and another $4,000 for the movers. Erickson sent them a $2,000 rebate afterward for using a recommended moving company, halving the moving cost. It also covered the cost of up to 12 hours of unpacking; and threw in a $5,000 allowance for apartment upgrades, including bathroom improvements. The couple considers the deal more than a bargain. Says Sue, "When we first came in and sat down, we said to each other, 'We're home.' "