1. RETIREMENT HOUSING
LANDSCAPE
Staci Chang
The Sequoias‐San Francisco

2. HOUSING LEVELS
Independent Living (IL)
Assisted Living (AL)
Assistance with daily
activities i.e. eating, dressing,
bathing, walking, toileting etc.
Skilled Nursing Facility (SNF)
Rehab/convalescence/24‐hour
medical care
Memory Care
Dementia, Alzheimer’s

3. FEE STRUCTURE
Entrance Fee
Monthly Fee

4. CURRENT LANDSCAPE
Active Adult 55+
CCRC (Continuing Care Retirement Comm.)
Rental / Month‐to‐Month

5. Big lots in suburban areas
Lifestyle‐focused on leisure and social
activities
Golf courses, club house,
pool, restaurants, etc. etc.
No healthcare
component
Move if and when you need
more care
Real estate ownership
ACTIVE ADULT 55+

6. ACTIVE ADULT 55+
Rossmoor, Walnut Creek
The Villages, San Jose
Other communities are in….
Santa Rosa
Pleasanton / Brentwood
Sacramento
No Way in San Francisco

7. Community Contract Type Entrance Fee Care
The Carlisle
San Francisco
Continuing Care 90% refund Not included
The Peninsula Regent
San Mateo
Continuing Care 90% refund Some AL included
CCRC FINANCIAL MODELS
Equity (real estate ownership)
Typically 80 – 90% refundable from the original price
after resale
Provide some care (at additional cost)
Relocation is necessary if the person needs more care

8. Non‐Equity (Buy‐In / Life Estate)
Not a real estate ownership
Refund/repay varies depending on the contract type
More care included
Move from IL to other levels in the same complex
Community Contract Type Entrance Fee Care
The Sequoias SF
SF Towers
The Heritage
Life Care No Refund AL / SNF Included
The Sequoias SF
SFTowers
Continuing Care 90% Refund Charged at market rate
as needed
CCRC FINANCIAL MODELS

9. RENTAL
No entrance fee at the door
Tends to be Assisted Living‐centric environment
Monthly fee increases as more assistance is needed
Community Contract Type Care Capacity
Rhoda Goldman Plaza Month‐to‐Month AL / Memory Care
Vintage Coventry Month‐to‐Month AL / Memory Care
Agesong Laguna/Hayes Month‐to‐Month AL / Memory Care
Monarch Village Month‐to‐Month IL only

10. CHALLENGES
Living longer with medical technology
Rising healthcare cost
Shrinking insurance coverage
Shortage of care facilities – AL/SNF/MC
Asset Rich Income Poor
Changing expectations on
value and lifestyle

11. WHAT’S THE LATEST?
Naturally Occurring Retirement Community
1000/1050 North Point (Fontana East & West)
Nob Hill – “doorman buildings”
66 Cleary Court
Cohousing
Phoenix Commons
CCRC without walls / Aging in Place
Bring traditional CCRC services into a home setting
Village Movement
San Francisco Village

12. THE BOOMERS ARE COMING!