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What if…Senior Living Communities
Partnered with Hotels?COVID19 Response Ideas
1
Senior Living Communities – COVID19 Crisis - Building Needs
SecuritySecure large porous sites, Secure numerous doors, Staff Screening coming on-shift, Visitor control
Bed CapacityIncrease and Decrease at the same time – Take on more admissions but with less density in each area of care
Infection ControlReduce Density to “spread out” in the existing building, Create Isolation rooms, Provide acute care
Food ServicesMost levels of care are used to receiving 3 meals a day plus snacks – Dining areas are not in use to comply
with social distancing, Communities are adapting to room service models (…and straining capabilities.)
Regulation ChangesCMS / States must temporarily relax requirements, State Waivers
Senior Living Communities – COVID19 Crisis - Building Needs
SecuritySecure large porous sites, Secure numerous doors, Staff Screening coming on-shift, Visitor control
Bed CapacityIncrease and Decrease at the same time – Take on more admissions but with less density in each area of care
Infection ControlReduce Density to “spread out” in the existing building, Create Isolation rooms, Provide acute care
Food ServicesMost levels of care are used to receiving 3 meals a day plus snacks – Dining areas are not in use to comply
with social distancing, Communities are adapting to room service models (…and straining capabilities.)
Regulation ChangesCMS / States must temporarily relax requirements, State Waivers
Senior Living Communities – COVID19 Crisis - Building Needs
Bed CapacityIncrease and Decrease at the same time – Take on more admissions but with less density in each area of care
Some SL communities in some levels of care house residents in Semi-Private units where they share
living space and a bathroom - Impossible to provide social distancing or sequester
Some SL Residents have nowhere else to go – no family at all or none locally to shelter with
Some SL Residents suffer from Dementia and do not understand the COVID situation.
Some SL Residents are bed-ridden, need specialized care or are on Hospice.
But there are MANY others who are aware and flexible. And worried.
SL Communities may be interested in transferring Non-COVID residents
to reduce density in their existing buildings, to increase social
distancing, to facilitate more space for isolation/observation and to
reduce pressure on stressed Staff.
Senior Living Communities – COVID19 Crisis - Building Needs
How about Limited Services Hotels?
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Who Would Relocate?
7
Non COVID Senior Living Resident Types who might Relocate
Active AdultAmbulatory, Communicative
Minimal Needs, Self-Supporting
Independent LivingAmbulatory, Communicative
Minimal Needs, Self-Supporting
1
AA2
IL
Assisted LivingLess Ambulatory, Communicative
More Needs, ADL Support
Memory SupportStage 4, maybe 3 - Ambulatory,
Mixed Abilities, More Needs,
IADL Support
3
AL4
MS
Non-Licensed Care
Licensed Care (State Licensed)
Depending on Temporary State Waivers
Residents Who Would Not Relocate
Skilled Nursing & HospiceNon Ambulatory, Non communicative
Acute Care, Licensed Care
Memory SupportStages 2 and 1, Non-Responsive,
Abusive, Flight Risks, End Stage
5
SNF
4
MS
Licensed Care (State Licensed)
Senior Living Communities Vary Wildly
- Active Adult communities are generally 55 & up and offer few services
- Stand alone IL communities are usually rental with few services
- Large Rental Communities – Often have IL, AL and sometimes Memory,
but rarely Skilled Nursing
- Life Plan Communities (CCRCs) – have all levels of care on one campus
and provide wide varieties of services, often “Buy-In” models
- AL / Memory Care communities
- Standalone Memory Support communities
- Standalone Nursing Homes
- Convalescent Care / Long Term Care homes
4M
S
Senior Living Organizations
11
Senior Living Community Ownership Types
Private EntitiesGenerally Active Adult,
Independent Living,
Assisted Living, Memory Support
Rarely Skilled Nursing
REITsReal Estate Investment Trust
Large Portfolios of Acquisitions
Life Plan CommunitiesLess Ambulatory, Communicative
More Needs, Licensed Care
Public FacilitiesMedicaid, generally Skilled Nursing
For-Profit Organizations
Not-For-Profit Organizations
Faith Based OrgsAmbulatory, Noncommunicative
Minimal Needs, Licensed Care
Private EquityInvestment Groups
Senior Living Community Owners – More than 50 properties
Brookdale Senior Living, Inc – 1,066 properties
Genesis HealthCare - 380
HCR ManorCare - 280
Holiday Retirement - 274
Evangelical Lutheran Good Samaritan Society - 268
Golden Living - 257
Sunrise Senior Living, Inc. - 255
5 Star Quality Care - 224
Life Care Centers of America - 223
Atria - 121
The Ensign Group - 113
Bayada Home Health Care - 108
ExtendiCare - 90
Avalon Health Care Group - 87
National HealthCare Corporation - 83
Capital Senior Living - 78
Senior Lifestyle Corporation - 66
Elmcroft Senior Living - 55
Life Care Services - 54
Pacifica Senior Living - 52
Why SL may be interested in partnerships14
Why SL may be interested in Hotel Partnerships
Widely DistributedIn almost every city, Near SL communities, Right-sized for medium capacity
Purpose Built for HospitalityFamiliar, Comfortable, Flexible amenities spaces, Housekeeping & Laundry services,
Services infrastructure, Staff support facilities, Fully furnished units
StaffedExisting Staff trained in Hospitality Services – Would need minimal extra training and
supervision for Elder Care – meaning the SL Community doesn’t have to spare many Staff
Food ServicesSome prototypes have some limited FS capabilities that can be augmented, Some are next
door to Restaurants that may be eager to get back to work. Room Service experience.
LS Hotels
Generally
Are:
SecureBuilt for better security than most SL Communities
AccessibleEasy access for Emergency Services, Logistics services, Suppliers, State officials
SafeNot just secure, but Sprinklered, Often built using non-combustible construction,
Low or Mid-rise / Easier for Elders to Evacuate
TrustedResident Confidence in the Quality and Reputation of their favorite Hotel flags –
May improve willingness to relocate
LS Hotels
Generally
Are:
Why SL May Be Interested in Hotel Partnerships
Available. Now.With little or no building modifications
But Most
Importantly
they are:
Why SL May Be Interested in Hotel Partnerships
Building Challenges
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SL Partnership – Building Challenges
RegulationState Authorities have been slow to react, Evacuation of licensed facilities must go to “Destination Facilities”
that are of equal or more stringent license type
Food ServicesProvide or Augment additional capabilities either in-house or through Restaurant partnerships, Purchase/Lease
Additional equipment, Increase Food Storage Capacity
More ServiceDepending on the LS Hotel type the Staff may need to step it up – specific to Elder Needs
Fire Marshal SupportFire Drills – depending on construction type and level of care – Prompt / Slow / Impractical
AccessibilityLimited abilities, Scooters, Walkers, Wheelchairs, Accessible Unit scarcity
Networking / Connections
We are here to Help
D2
Grant [email protected]
Siobhan Winfrey972 – [email protected]
HKS
Kirk [email protected]
B & G
Jason [email protected]
Chris [email protected]
12 Oaks
Dick Blaylock, [email protected]
Keith Ashburn, [email protected]
Bridge
Lucas [email protected]
Steve [email protected]
