The key feature of a Continuing Care Retirement Community (CCRC) that distinguishes it from other retirement living communities is the type of contract available for your “continuum of care.” The continuum of care typically includes independent living, assisted living, memory care and skilled nursing care.
CCRCs provide multiple types of living assistance as your health care needs increase. Moving to a CCRC assures that, as you or your spouse need more care or different types of care, you can stay in one community and have your health care needs met without another move. The five types of contracts available at CCRCs differ in the way in which the health care costs are covered.
You will want to explore the possibilities and ask detailed questions about each type of contract as they vary from one community to another. The cost of providing health care to an individual can be assumed by the community or by the resident. With an Extensive Contract (or Life Care), the fees for entry are much higher but the monthly service costs remain the same as you move within the community to higher levels of care. In other words, your health care costs are paid as part of the entry fee and before you may need them, much like an insurance policy. On the opposite end of the spectrum, a Rental Contract offers health care on an as needed basis. There is typically no entry fee associated with a Rental community and health care costs are paid at a full market rate.
The community in an Extensive Contract assumes most of the costs of the health care services. They can offer nursing care at a below market rate because of the higher entry fees. In a Rental Contract, the rate charged for health care is much higher and paid by the individual when it is needed. CCRCs typically have all levels of care within the community so a move into the community means that you can age in place. Rental properties do not always have skilled care so it is best to ask about all levels when you begin your search for your new home.
Type A: Extensive (or Life Care) – Extensive contracts provide housing, residential services and health-related services in exchange for a price, usually consisting of an entrance fee and a monthly fee. No additional fees are generally required as one moves from one level of care to another except for additional meals after a move from independent living. The trade-off in paying higher fees for independent living is that almost all residential services, amenities and health-related services, such as assisted living or skilled nursing care, are provided with little or no increase in monthly fees, other than inflationary adjustments. This contract pre-pays for some portion of health-related services that may be needed in the future. This ensures more predictable long-term expenses regardless of health care needs in the future.
Type B: Modified – Modified contracts provide housing, residential services and a specified amount of health-related services in exchange for an entrance fee and a monthly fee. It may include almost all of the same residential services and amenities that a Type-A contract offers. However, if assisted living or skilled nursing care is required, the resident will be responsible for some of the cost. Health-related services are provided at a subsidized rate or are free for a specified number of days.
Type C: Fee-for-Service – Fee-for-Service contracts provide housing, residential services and guaranteed access to health-related services in exchange for an entrance fee and a monthly fee. Contracts typically require the lowest monthly fees and possibly the lowest entry fees compared to the other types described above. Some or all of the same residential services and amenities may be provided, but if assisted living or skilled nursing care is required, the resident’s monthly fee will be provided at the going, full per-diem rate.
Type D: Equity – Equity contracts involve an actual real estate purchase, with a transfer of ownership of the unit. A monthly service fee will still be required. Health care is generally available at the on a fee-for-service basis at the full market rate or at a slight discount.
Type E: Rental – Rental contracts provide housing, residential services and guaranteed access to health-related services in exchange for a monthly rental payment and a monthly fee. There may be a nominal community fee at your entry. Contracts are often month-to-month and service fees may be higher than what you would pay in a comparable entry fee community. Residents under this contract may have priority access to the health care facility but not necessarily guaranteed access. In other words, access to a continuum of care may not be contractually guaranteed as it often is with entry fee providers. As with a Type C contract, the resident will pay the full market rate for health care.
Springmoor – A Modified Contract
As a CARF/CCAC (Commission on Accreditation of Rehabilitation Facilities and Continuing Care Accreditation Commission) nationally accredited Life Care Retirement Community, Springmoor is designed to provide active, independent retirement living while providing for existing and future health and personal needs.
The amenities and services, including the scheduled activities, entertainment and extensive Pathways Wellness program, are among the best and most progressive offered by any Continuing Care Retirement Community. Springmoor also offers their own Springmoor Home Care and Supportive Living as a bridge between independent living and more continuous care. All of this and more allows for an active, yet secure retirement lifestyle.
Springmoor’s onsite Stewart Health Center provides short term and continuing inpatient care including memory care, as well as a comprehensive outpatient clinic. Residents may also receive physical and occupational therapy on site as well as dental, optical, hearing, psychiatric and podiatry care. The standard for care assures that the residents receive nursing care and personal care that is among the best available. Continue reading →
It’s true; those furry, slobbery, wagging creatures can be the best of companions. Pets provide a comfort system and actually produce a chemical chain reaction in the brain that helps to lower levels of the stress-inducing hormone, cortisol and increase the production of the feel-good hormone, serotonin. In fact, pets have been shown to reduce blood pressure and stress levels in humans and can actually help lower cholesterol, fight depression and help protect against heart conditions. All great reasons for seniors to have a pet! (Dana Larsen, A Place for Mom Senior Living Blog)
Our residents will all tell you their furry companions are part of their family. Some literally were part of their extended families. After a short stay, these furry friends have come to live with the residents while the children juggle their busy schedules.
With a walk in the morning, at lunch, before dinner and bedtime, Gabby, Larry Auld’s Miniature Schnauzer, has stolen the hearts of many along the path near their villa. She won’t let a passerby walk past without saying hello and petting her. She belongs to Larry’s sister-in-law but mostly lives at Springmoor. With a busy work schedule, it seemed only fair to Gabby that she have a full time companion and Larry doesn’t mind the company.
He has had a pet in his life for the last fifteen years and growing up he always remembers a dog at home. Gabby loves to ride in the car and play with her floppy toys. She still has the energy of a puppy even though she is almost ten years old. If you see Larry and Gabby on the path, please stop and say hello! She’ll bark but it’s just a hello.
Amirah (Arabic for Princess)
Amirah, Jim and Faye Bundy’s Russian Persian cat, can often be spotted sunning herself on the window ledge. She was originally their daughter’s cat but there seemed to be a conflict with the Russian Princess and the other three cats in their house. So she was loaned to Faye and Jim – seven years ago. She is quite easy to take care of. No walks, no grooming, and no pet sitters are required for their feline. A warm place to snuggle is her only requirement.
Monica and Hank Perkins have a beautiful six-year-old Havanese named Layla. Monica grew up with a love of dogs. Hank didn’t have much interest in animals until he met Layla. She has stolen his heart! Monica and Layla visit him in the Stewart Health Center daily and the little white puff of fur loves to play “hard to get” when he’s around. Monica says she is a little flirt when Hank is around.
Tara and Simon
Nadine Tope has a dachshund and a cat living with her. Tara (short for Holy Terror), her dachshund, is twelve years old and Simon, her sleek black cat, is four and a half. Tara is always ready to play with Simon, however, he is not always a fan (typical of most cats!). Similar to a brother and sister, they are friendly and respectful of each other but have very different personalities. Tara is the more outgoing of the two. Simon is usually hiding, sleeping and sunning himself on a window ledge. Tara loves the car and a long walk through the community.
Ginger and Eunice Bland are almost always together in the Stewart Health Center visiting friends or at the puzzle table with neighbors. Six years ago, this precious little three-month-old toy poodle came to live with Eunice weighing only three pounds. She is constant company to both Eunice and the friends she visits in the Stewart Health Center. She gets lots of attention while she is there. Who has more fun? That’s anyone’s guess!
A spoiled little Havanese lives with Linda Edwards. She will be the first to admit that MoJo gets lots of attention. Doggy day camp is on the schedule several mornings a week so he can play with his friends. He needs lots of socialization she says with a smile. The two have recently returned from a trip to the Bahamas.
“MoJo has never liked riding in the car and, while we were in the Bahamas, we had to go over very rocky roads to get to our favorite beaches. I discovered he did much better if I sang to him and he preferred the cadence of children’s songs but got tired of hearing the same ones over and over. When I ran out of songs, I began singing a made up song entitled “Here we go to the beachy beach,” which had the advantage of unlimited, if silly, new verses.” The two are best friends for sure! Continue reading →
Because one size does not fit all, our fitness team has multiple ways for you to stay in shape, keep your body moving and strengthen your core. Have you asked a Trainer, checked the Pathways monthly calendar or visited the Wellness Center lately?
Kari Richie, Springmoor’s Wellness Center Director, is quick to say that the best exercise is the one that you will do. No one machine or one class is the best. The perfect exercise is the one that keeps you motivated and on a routine schedule. Some prefer swimming laps. Others prefer a walk in the park. Some prefer to exercise with the instructors on our Springmoor TV channel in their living room. Some like to exercise in a group setting while others prefer a jog on the elliptical trainer in the Wellness Center. Which one is right for you?
Ask A Trainer
Our Wellness Center staff meets with new residents when they move-in to Springmoor introducing them to the equipment room, explaining the class schedule and finding ways to fit their personal needs. A trainer is also available to work with each resident for a few days or a few months, depending on their requests.
Physical, Speech and Occupational Therapy
Springmoor has multiple therapists available for their residents. If you have recently had a knee replacement or other surgery and need a few months of rehab, our staff is here to help. The therapist teams work in their training room with special equipment directly after your surgery. They will slowly introduce you to the Wellness Center for follow-up care as you progress. At this point our fitness staff takes over and gets you back to your normal routines.
The Capital Area Greenway System in Raleigh provides 112 miles of trails for walking, jogging, hiking, bird watching, fishing and picnicking. Monthly, a group of Springmoor residents can be found on a trail. Kari has planned a Spring Kick-Off Event at Pullen Park in March. The group is invited for a picnic lunch, a ride on the carousel and a walk around the 66-acre park adjacent to the North Carolina State University campus. Blue Jay Point, a favorite Raleigh destination, offers a perfect place for bird watching on Falls Lake, a hike on the wooded trails and an informative tour of the Environmental Education Center.
Each month, Kari offers a seminar with experts from the area. Discussions on Nutrition for Better Health with our Dieticians, Healthy Skin Awareness with our Dermatologist, an Introduction to Flexibility Exercises with our Wellness Staff or a Blood Pressure Check and Balance Assessment are just a few of the many offerings she plans for our residents.
Last month, Kari introduced a Balance and Fall Prevention seminar. The overwhelming response has her planning a second follow-up presentation with several area experts.
There are multiple risk factors involved in falls. Making residents aware of these factors can greatly decrease the number of falls. Muscle weakness, medications, blood pressure, dim lighting and uneven surfaces can all cause a fall. Our team can help take away some of these risk factors and then put you on a path to increasing your muscle strength. Core strengthening and balance classes, yoga, tai chi and aquatic classes can all help build muscle and bone strength.
If an exercise class or swimming laps is not your style, then perhaps a round of Putting or Croquet. Ping-Pong will have you up and moving around too. The residents organize weekly events for these sports. The competition is lively and the laughter never ends. The hole in one competition is fierce and the backhands and slices at the Ping-Pong table are wicked. Training for the Senior Games has a few residents keeping the games competitive.
For our walkers, joggers and runners, Raleigh has quite a few 5K and 10K community walks. The Jingle Bell Run, Autism, Parkinson’s and Arthritis Walks have all seen a group of Springmoor residents and staff participating.
The Wellness Center wants to keep you fit. One size does not fit all so choose your style or try a few. Mix it up. Stay active. Keep moving! Find a neighbor and enjoy all that Raleigh has to offer or stick closer to home and jump in the pool for water volleyball. You will certainly feel better afterwards!
This week we honored our employees at the Years of Service Ceremony. Over one hundred employees received recognition for their service to Springmoor. Some have been here three years and others as many as thirty! Awards were given for three, five, ten, twenty, twenty-five and thirty years. The staff at Springmoor is a dedicated group of individuals all pitching-in to make this a wonderful place to live.
With Special Recognition and Congratulations!
20 Years of Service: Rose Fleming, Zhiying Gu, Eleanya Akaronu, and Shronda Wall
25 Years of Service: Jacqueline Daniel, Michel Davis, Kenneth Dunston
30 Years of Service: Terri McMahon, Gloria Wilkins and James Dixon
Behind the Scenes
This week, we would like to introduce you to just a few of our 450+ outstanding employees. Terra Hunt is the Dining Room Manager and has been working at Springmoor for 15 years. Terri McMahon is the Supportive Living Nursing Manager and has been here for 30 years! Dee Redmond is in an Accountant and has recently celebrated her third year anniversary with Springmoor.
What was your first job as a teenager?
Terra: I had a babysitting business when I was 13.
Dee: I worked for the City of Albany in a Summer Adolescent Vocational Educational Program
How many positions have you had since you’ve been here?
Terra: Two – Supervisor and Manager in the Dining Rooms
Terri: Three – Stewart Health Center, the Out Patient Clinic and Supportive Living
Dee: Two – Accounting Assistant and Accountant
What is your favorite ice cream flavor?
Terra: Heavenly Hash
Terri: Butter Pecan
Dee: Butter Pecan from Stewart’s Shops in NY
What do you want to be when you grow up?
Terra: When I was a kid, I wanted to be a Meteorologist.
Terri: I want to play like a kid!
Dee: When I was 8, I wanted to be an Accountant.
Where were you born?
Terra: North Carolina and raised outside of Atlanta, GA
Terri: Pensacola, FL
Dee: Albany, NY
What time do you wake up every day?
Terra: 5:15 am (Work starts at 11:00am)
Terri: 5:45 am (Works starts at 7:00am)
Dee: 5:30 am (Work starts at 8:00am. I have a five-minute commute and I am usually late!)
What is the coolest thing you do during the day?
Terra: Talk to the residents. I learn something new everyday.
Terri: Watch over the residents.
Dee: Put a smile on people’s faces!
What job at Springmoor would you like to do for one day?
Terra: Activities Manager in the Stewart Health Center
Terri: With a laugh, “Not the Executive Director, that’s for sure!”
Dee: Executive Director
What do you do on the weekend?
Terri: Track meets, soccer games and all things grandchildren!
Dee: Shopping, walking at Shelly Lake and Church
Do you sing to the radio in the car?
Terra: Oh yes!
Dee: Yes and I sing walking down the halls too!
What is your favorite pizza topping?
Terra: Spinach and tomato
If you could travel anywhere in the world, where would you go?
Terra: Santorini, Greece. It has beautiful whitewashed houses and overlooks the water.
Dee: Only one place?! I have a list: an African Safari, Australia and then Dubai.
Were you on a sports team or in the band in high school?
Terra: I was in the Orchestra and played the string bass, the violin, the clarinet and the piano.
Terri: I was on the Volleyball Team.
Dee: I played Soccer and Basketball.
What book are you reading now?
Terra: I Almost Forgot About You by Terry McMillan
Terri: No books just Sudoku puzzles everyday
Dee: I am Number 8 by John Gray Continue reading →
Why should I put my name on the Wait List? It’s a frequently asked question during a Springmoor visit and tour. There are many advantages and one that you should ask about when you have made your decision about moving to Springmoor.
The high occupancy rate in our community is the first reason you should consider the Wait List. We have been working from a list for many years. The floor plan, the location and an anticipated move date will all be part of making your new home choice. There are a fewer number of the larger individual homes in our community making the wait time much longer. Many of our smaller units will come available in a much shorter time frame. Keeping your options open is the best idea for many perspective residents.
A deposit is required to put your name on the Wait List. The application fee is an administrative fee and non-refundable. The second fee (deposit) varies depending on the size unit you have requested and whether you are moving in as a single occupant or as a couple. This part of the fee is refundable at any time. You may say no to a unit if the timing or the size is not what works best and you will keep your position on the Wait List. We recommend that, if you are interested in moving within the next few years, you add your name soon as wait times have continued to increase each year.
Being on our Wait List will also enable you to participate in special planned events throughout the year. A Rightsizing Luncheon with a Senior Move Specialist helps answer questions about preparing for your move. A Round Table Event with the Springmoor Staff helps answer questions about the community. During this event you will meet our Dining Room Manager who will explain all of our dining options. Our Wellness Center Director shares information with you about the forty plus classes offered in the pool and in our exercise facilities. She will tell you about options for physical therapy and the outings offered each month for physical fitness. An expert from our Insurance Department explains how they are available to help file medical claims. Many other specialists are available during these informative events. These two helpful programs provide much needed advice prior to your move.
Those on the Wait List are also invited to participate in activities on campus. Lectures, book clubs, art classes and so much more are open to everyone on the Wait List. Our residents, of course, get first priority for off-campus events but we always welcome those on the Wait List if transportation is available. Meeting new neighbors while working in the garden is a perfect way to get involved before you move in. Joining a Fused Glass Workshop in the Meraki Arts Center, listening to a English Literature presentation with Dr. Elliot Engel or attending a concert with The Dixie Land Jazz Ensemble are wonderful events and a great way to make new friends with similar interests.
The Wellness Center
Many on our Wait List will join an Aqua Fitness Class or come by each morning to use the exercise equipment in our beautiful Wellness Center. Riding a few miles on the exercise bike or jogging a few miles on the elliptical trainer will get you into a healthy routine while meeting a few of your soon-to-be neighbors. This is an excellent perk for adding your name to the Wait List at Springmoor!
If you ask a Springmoor resident, they will all tell you, “Move before you think you need to or before you have to. Come early so you can enjoy all the activities that are available.” Currently 15% of the United States population is 65 years or older. That number is expected to grow to 21% by 2030 and wait times will become even longer. Continue reading →
Scottish Country Dancing has been on his calendar for over thirty years. Dudley Morrison, an active Springmoor Resident, continues to learn new dances, steps and figures every week. Before he goes to his next class or an event, he receives a list of dances that each participant needs to know. Keeping up with the choreography is a must for each of the eight to ten dancers in the group. Turn by right, cast two places, turn by the left to face first corner. And so goes the dance.
Dudley’s family has traced their ancestors back to Scotland but it was his late wife, Victoria, who introduced him to Scottish Country Dancing. She suggested they take a class when they moved from Chicago to Raleigh thirty-three years ago. With her ballet training, she was a quick study. Dudley had to work a little harder to understand the language, the positions and follow the figures.
With his Scottish kilt and ghillies (a soft dance shoe), he has almost mastered the art of Scottish Country Dancing. He says it’s a lot like golf, “You can’t ever be perfect but you keep trying.” It’s a mind-body exercise that he says keeps him young. There are quick time Jigs and Reels and slow dance Airs and Strathspeys. A fiddle and sometimes a piano or accordion provide the music. There are over 6,000 dances and more being written today. Dudley says the best part is, if you were to go to Japan or Canada, the steps and the music would be the same. You can walk into a class anywhere in the world and know what to do next. The precision is important. That’s what makes Scottish dancing unique.
Dudley’s kilt is a Morrison Scots Clan plaid. He wears his to a formal ball with a tuxedo style shirt and jacket known as a Prince Charlie. A dance is more casual and the men wear kilts and white shirts. Women are typically in white dresses for the formal dances. He and Marjory, a fellow dancer, both wear a Morrison sash. Hers is the ancient color way, officially registered as a Morrison Tartan. Dudley’s is also the ancient color way, representing the vegetable dyes of the century and a spinoff of the black watch tartan.
The Country Dance
The men and women have equal parts in a Scottish Country Dance. In groups of four couples, there may be a few whispers of directions but mostly everyone is silently counting bars so that they arrive at each place neither early or late. Teamwork is important. Couples can be partners but it is typical to be paired with a different partner for each dance. This makes Scottish dancing a great way for singles to join in the group. Their certificated dance instructors, Barbara, Eilean and Pam, teach at Triangle Dance Studio in Durham. Dudley and Marjory look forward to their weekly classes and seasonal events. The Valentine Tea Dance is their next event and both are watching YouTube videos to learn the scheduled dances. Aerial videos, he says, are the best to watch in preparation for the event. He has a list of sixteen dances to prepare for in the next few weeks.
Dancing is once a week. Traveling the world has been a passion too. He has been everywhere and now is content to stay closer to home. The photos on the wall and the art on his bookshelves in his Springmoor apartment will tell you he likes cars. The passion for cars started when he was a living in Charleston, West Virginia. He thinks he was may have been ten or twelve years old. He remembers touching the tire hubcaps of a parked car as he walked down the sidewalk like you would reach out to pet a dog. Dudley says, “Cars can take you places.” In addition to his everyday car, he has two in storage now: a 1988 Lincoln and a 1982 Volvo Wagon. Neither are collector’s cars. He keeps them for the memories. Fifteen years ago, with two friends, he packed up the Lincoln and took a 7,000-mile trip out west spending $1,000 on gas. Best trip he’s ever had, he says! The three travelers saw everything from their comfortable roomy ride. The Volvo has 335,000 miles on it. It was Victoria’s car and took them many places. It’s a keepsake filled with memories. He has photographs of all of his cars: a ‘47 Studebaker, a ‘50 Chrysler Imperial, a ‘53 Packard, a ‘56 Packard, a ‘59 Mercedes Benz, a ‘61 Rambler Ambassador Custom, a ‘68 Chrysler Imperial, a ‘76 Dodge Aspen Station Wagon, and a ‘81 Chrysler New Yorker, hanging throughout his beautiful home. And each one has a story or two attached to them.
His week includes choir practice also. Music has always been important. He tried the piano when he was young but found that reading music and keeping the right hand and the left hand moving in different directions was not his talent. Keeping his feet moving to the Scottish rhythms has been easier. He finds singing in the church choir a way to fill his love of music. He has volunteered for many years in leadership roles as well. Continue reading →