Expanding access to assisted living in Massachusetts : five models of greater affordability

Abstract

Opportunity for further expansion of the assisted living industry in Massachusetts rests on the ability of project sponsors to create facilities which are affordable to moderate-income elders -- those earning between $11,000 and $24,000 annually. This study investigates five approaches to developing assisted living facilities which may reduce resident fees and expand access to this important seniors housing type for this population. Case studies representing each approach are discussed, and the success of each case is assessed on the basis of its successful delivery of the assisted living concept, as well as its success in reaching the moderate-income population. Comparison of the cases shows that sponsors focussed on creating affordable units may combine state and local economic development and low-income housing subsidies with a compatible service plan, and expand the horizon of affordability. Also, education and support for locally-based mission driven sponsors is a key initiative for state and local governments and industry leaders.