Not since the Omnibus Budget Reconciliation Act of 1987 (OBRA), can I recall such evolution in the post-acute health care arena. As we begin 2013, health care reform is at the forefront for every provider at every level of care. As the saying goes, the only constant is change; and change in health care is happening! With 17 billion Medicare dollars being spent annually on hospital re-admissions, Accountable Care Organizations, Shared Savings Programs and Preferred Provider Networks are seeking ways to improve quality of care while reducing hospital re-admissions.

CCRCs may be the best kept secret in this effort. We are well known for expertise in independent living and lifestyle; now is the time for CCRCs to take their seat at the table as an expert provider of senior health care. We provide post-acute health care across a large majority of the health care spectrum; from skilled nursing and rehabilitative services, to home health and home care, we excel at supporting the needs of seniors beyond independent living and across the continuum of care.

Some things to consider as we begin 2013 and continue the journey toward quality care for seniors:

Physician Relationships — Evaluate existing and future relationship development with primary care physicians and specialists who serve the residents in your community. Strive to ensure they are aligned with your organization’s goals and initiatives in becoming a partner with the acute-care providers in your market.

Program Development — Consider your wellness programs and initiatives. Keeping your residents engaged and healthy through regular wellness programs, education and support sets your CCRC apart from other senior living settings. Consider as well initiatives to support residents between levels of care within your community. A Care Transition program that clinically follows your resident from the hospital, back to your community and through each level of care can help identify and resolve problems early, reducing the chance of a return to the hospital and increasing your value as a provider within the continuum of care.

Relationships with Acute-Care Partners — Remain engaged with your acute-care providers and dialogue with them about the resource your community can be in their efforts. Partner with them to develop educational opportunities for clinicians; both yours and theirs.

So, as we change with the tides of 2013, I encourage you to raise the flag of awareness of the value you bring, not only to your residents and their families, but to your health care community. Don’t be left without a seat at the table!

— Sharon Hutson, Senior Manager, Marketing Services



Residents, board members, community management and project team representatives gathered this month for a Phase IV ribbon-cutting ceremony at Redstone Village, a continuing care retirement community in Huntsville, Ala. This senior living community’s fourth phase includes 36 new independent living units, commons areas and an aquatics and fitness center. Greystone is serving as development and management consultant.

See photos from the ribbon-cutting ceremony in the gallery below. Learn more about Redstone Village.


LeadingAge magazine’s January/February issue features a group of community-minded nurses from The Terraces at San Joaquin Gardens, an ABHOW-sponsored continuing care retirement community in Fresno, Calif.

Now retired and living at San Joaquin Gardens, Mary Nii, Rosemary Cotton, Naomi Dyck and others are part of the community’s Health Care Committee. Together they’ve become a “think tank” that brainstorms new ideas and provides “hands-on assistance to fellow residents.” Read more in LeadingAge magazine.

San Joaquin Gardens is currently undertaking a $120 million repositioning project. Greystone is serving as development consultant. Learn more about The Terraces at San Joaquin Gardens.

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Aerial photos taken last month show progress at The Barrington of Carmel, an in-development continuing care retirement community near Indianapolis. This Life Care senior living community will include 134 independent living apartments, seven catered living apartments, 56 assisted living apartments, 26 memory support units and 48 skilled nursing beds. It is scheduled for completion late in 2013. Greystone is serving as development consultant.

See bird’s-eye view images of The Barrington in the gallery below. Click here to learn more about The Barrington.



Construction of Phase II is now substantially complete at Arbor Oaks at Crestview, a Methodist Retirement Communities-sponsored CCRC in Bryan, Texas. Management has begun moving into the commons areas of this new senior living community. Residents are expected to begin moving in on Feb. 11.

The first phase at Arbor Oaks opened in 2011, including 48 assisted living suites, 18 memory support units and 48 skilled nursing beds. This second phase includes 92 independent living units.

Click here to see photos of construction at Arbor Oaks.

Click here to learn more about the community.



The Naples Daily News featured last week an update on construction activity in Florida’s Lee County. A photo of crews working on The Terraces at Bonita Springsaccompanied this story. The Terraces, an in-development CCRC sponsored by SantaFe Senior Living, is scheduled to open late summer 2013. It will include 144 independent living units, 48 assisted living units, 40 memory support units and 40 skilled nursing beds. Greystone is serving as development consultant on the project.

See the story in the Naples Daily News.

Read our Bonita Springs progress report from September.


If you are interested in learning more about Greystone or our experience, please come listen to one of our presentations at the following events this year:
March 3, 2011 Sim’s 2011 Late Winter Conference –
Orlando, FL

How to Deliver Great Hospitality to our New Generation of Customers

Rick Cumberland, Senior Vice President


March 23, 2011 Life Services Network (“LSN”) Annual Meeting – Chicago, IL

Focus on NOM: Best Practices to Improve the Bottom Line

Jim Knox, Senior Vice President
Rick Cumberland, Senior Vice President

March 27 – 28, 2011 Association of Jewish Aging Services (“AJAS”) – Dallas, TX

Balancing Culture and Hospitality with Managing the Business: Meeting the Expectations of our Senior Consumer

John Spooner, Executive Vice President
Brian Schiff, Senior Vice President

April 27 – 29, 2011 Ziegler LeadingAge National Senior Living CFO Workshop – Chicago, IL

CFOs on the Marketing Team: The New Reality

Bruce Byers, Senior Vice President

May 10, 2011 North Carolina Association of Non-Profit Homes for the Aging (“NCANPHA”) Annual Conference – Asheville, NC

The Next Generation of CCRC’s – Executing at the Local Market Level

Brian Schiff, Senior Vice President
Roger Randall, Senior Manager

May 23 – 25, 2011 Texas Association of Homes and Services for the Aging (“TAHSA”) Annual Conference – Austin, TX

Improving Staff Selections, Retention and Satisfaction through Hospitality
Culture Infusion

Rick Cumberland, Senior Vice President
Cindy Smith, Corporate Vice President
Repositioning: Organic Growth for Aging Senior Campuses

Brian Schiff, Senior Vice President
Robert Green, Corporate Vice President

June 20 – 22, 2011 New York Association of Homes and Services for the Aging (“NYAHSA”) Annual Conference – Saratoga Springs, NY

Is Your Business Properly Aligned with its Market to be Sustainable?

Brad Straub, Corporate Vice President


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New Mexico’s first continuing care retirement community will begin an expansion and improvement project after closing a $24 million bond financing last month. El Castillo Retirement Residences, located in Santa Fe, will use proceeds from these bonds to construct seven new assisted living apartments, 11 new memory support units and space for 12 new private skilled nursing beds. Fourteen existing semi-private nursing beds will also be converted into seven private beds. Approximately half of the proceeds will go toward refunding El Castillo’s Series 1998 Bonds.

El Castillo has served since 1971 as Santa Fe’s only Life Care community. This expansion project is scheduled for completion in winter 2013–14. Greystone is serving as development consultant.

Click here to learn more about El Castillo.