Where can I find a list of resources, books, articles, and/or statistics regarding the seniors housing and care industries?
- The NIC Investment Guide 2010: Investing in Seniors Housing & Care Properties covers the investment characteristics of the sector, as well as its performance and the leading players. The publication provides the most current and reliable industry data for investors to help them evaluate risks and returns, and to fine-tune their individual investment strategies.
- The State of Seniors Housing 2010 is the premier research report on seniors housing operational performance and is a collaborative research project between the American Seniors Housing Association, National Investment Center for the Seniors Housing and Care Industry, American Association of Homes and Services for the Aging, Assisted living Federation of America, and National Center for Assisted Living.
- The NIC Resource Guide: A Sourcebook for Evaluating, Underwriting and Financing Seniors Housing & Care is an annotated bibliography of available resources. Books, articles, and publications are included with a brief description of the resource and contact information.
What are the classifications for Seniors Housing Property Types?
The following classifications have been endorsed by the American Association of Homes & Services for the Aging (AAHSA); American Health Care Association (AHCA); American Seniors Housing Association (ASHA); Assisted Living Federation of America (ALFA); National Center for Assisted Living (NCAL); and the National Investment Center for the Seniors Housing & Care Industry (NIC).
- Active Adult Communities: For-sale single-family homes, townhomes, cluster homes, mobile homes and condominiums with no specialized services, restricted to adults at least 55 years of age or older. Rental housing is not included in this category. Residents generally lead an independent lifestyle; projects are not equipped to provide increased care as the individual ages. May include amenities such as clubhouse, golf course and recreational spaces. Outdoor maintenance is normally included in the monthly homeowner’s association or condominium fee.
- Senior Apartments: Multifamily residential rental properties restricted to adults at least 55 years of age or older. These properties do not have central kitchen facilities and generally do not provide meals to residents, but may offer community rooms, social activities, and other amenities.
- Independent Living Communities: Age-restricted multifamily rental properties with central dining facilities that provide residents, as part of their monthly fee, access to meals and other services such as housekeeping, linen service, transportation, and social and recreational activities. Such properties do not provide, in a majority of the units, assistance with activities of daily living (ADLs) such as supervision of medication, bathing, dressing, toileting, etc. There are no licensed skilled nursing beds in the property.
- Assisted Living Residences: State regulated rental properties that provide the same services as independent living communities listed above, but also provide, in a majority of the units, supportive care from trained employees to residents who are unable to live independently and require assistance with activities of daily living (ADLs) including management of medications, bathing, dressing, toileting, ambulating and eating. These properties may have some nursing beds, but the majority of units are licensed for assisted living. Many of these properties include wings or floors dedicated to residents with Alzheimer’s or other forms of dementia. A property that specializes in the care of residents with Alzheimer’s or other forms of dementia that is not a licensed nursing facility should be considered an assisted living property.
- Nursing Homes: Licensed daily rate or rental properties that are technically referred to as skilled nursing facilities (SNF) or nursing facilities (NF) where the majority of individuals require 24-hour nursing and/or medical care. In most cases, these properties are licensed for Medicaid and/or Medicare reimbursement. These properties may include a minority of assisted living and/or Alzheimer’s/dementia units.
- CCRCs: Age-restricted properties that include a combination of independent living, assisted living and skilled nursing services (or independent living and skilled nursing) available to residents all on one campus. Resident payment plans vary and include entrance fee, condo/coop and rental programs. The majority of the units are not licensed skilled nursing beds.
What is the total national number of facilities/properties in seniors housing and long term care?
NIC National Supply Estimate of Seniors Housing & Care Properties enumerated a total of 46,131 seniors housing properties with supportive services in the United States with a capacity to hold more than 3.4 million seniors as of 1999-2000. Of these 46,131 properties (3,411,891 beds), 50 percent were assisted living communities, 34 percent were nursing facilities, 7% were independent living communities, 4% were continuing care retirement communities (CCRCs), and 5% offered a combination of property types. Seniors apartments (that is, seniors housing properties without supportive services) were estimated at 11,726 properties and 821,173 units. Size, Scope, and Performance of the Seniors Housing Industry + 2004 Update estimated 33,000 market rate professionally managed properties (independent living, assisted living, nursing homes, and CCRCs) with a capacity to hold 3,675,000 seniors.
Where can I find a listing of seniors housing and care facilities?
- The American Association of Homes and Services for the Aging (AAHSA), in collaboration with Ziegler, publishes a directory of the 100 largest not-for-profit senior living organizations.
- Billians Health Data maintains a yearly list of nursing homes and assisted living properties.
Where can I find a list of managers, operators, providers, or lenders involved with the seniors housing and care industry?
- Subscribers to the NIC MAP® Data and Analysis Service receive access to supply and construction data (for the markets they subscribe to) which lists properties, as well as corporate owners and operators.
- The National Real Estate Investor magazine in conjunction with the American Seniors Housing Association has lists of the largest 50 owners and the largest 50 managers in seniors housing.
- Published by ALFA (Assisted Living Federation of America), Assisted Living Executive magazine has a listing of the largest 50 assisted living providers.
- Billians Health Data maintains a yearly list of nursing home and assisted living chains.
- Provider magazine lists the largest 40 assisted living chains and largest 50 nursing facility chains also available on the Provider magazine web site).
Where can I find detailed information on acquisitions in the senior housing & care industry?
Information on past acquisitions can be found in The Senior Care Acquisition Report, which is published annually by Irving Levin Associates, Inc. This report provides information for independent living, assisted living, and nursing care properties on key statistics such as average price per bed/unit and other valuation tools.
What are the demographic profiles of residents who currently reside in seniors housing and long term care facilities?
- The National Survey of Assisted Living Residents: Who is the Customer? is an extensive study examining the demographics of assisted living residents, as well as features of the communities. Results include basic demographics, health and disability assessments, sources of payments, needs for assistance with activities of daily living, and community satisfaction. In addition, the NIC Income Confirmation Study of Assisted Living Residents and the 75+ Population was a follow-up study and confirmed that approximately two-thirds of assisted living residents have annual incomes below $25,000.
- Understanding Seniors Housing Demand, Choices, and Behavior: Insights From the AHEAD and HRS Studies provides investors and operators with a range of insights into the decision-making process, preferences and experiences of seniors when they consider moving to new housing. The report utilizes data from the University of Michigan Health and Retirement Survey (HRS) and a companion study, the Asset and Health Dynamics Among the Oldest Old (AHEAD). NIC conducted an in-depth analysis – from a seniors housing perspective – of 13,000 households and more than 22,000 occupants that were included in the University of Michigan studies. Interviewed every two years, residents answered questions on topics such as health, living environments, housing expenses, and sources of personal income.
- The 2009 – Independent Living Report, published by ASHA is compiled from a study of residents in nearly 200 independent living communities, provides demographic information about the residents and resident services, and resident opinions on their communities.
- The 2009 Overview of Assisted Living a collaborative research project of AAHSA, ASHA, ALFA, NCAL & NIC, provides data about assisted living communities such as payment plans, resident demographics and ADL needs, services offered, and staffing levels.
What is NIC MAP®
NIC MAP is the seniors housing & care industry’s leading data provider, tracking revenue, occupancy, supply and construction data in Americas 100 largest metro markets. The NIC MAP comprehensive database includes over 12,300 market rate seniors housing and nursing care properties.
NIC MAP data and analytics provide the foundation for smarter investment decisions by providing valuable market data to owner/operators, lenders/investors, market consultants and appraisers allowing them to effectively compete in our changing marketplace by identifying new opportunities and managing risk. CLICK HERE for more information on NIC MAP® or contact Michael Hargrave at 410-267-0504 or mhargrave@nic.org.
