2012 National Service Coordinators Conference - senior housing - HAC

Rural Seniors and Their Homes: Senior Housing Trends and Conditions across Rural America

HAC

www.ruralhome.org

American Association of Service Providers Conference; September 12th, 2012; Washington, DCRural Seniors and Their Homes: Senior Housing Trends and Conditions across Rural America

HAC

The mission of the Housing Assistance Council is to improve housing conditions for the rural poor, with an emphasis on the poorest of the poor in the most rural places.

Rural and Small Town Census Tracts


HAC

demographic characteristics

HAC



HAC

U.S. Rural & Small Town Suburban & Exurban Urban10.5%

11.0%

11.5%

12.0%

12.5%

13.0%

13.5%

14.0%

12.7%

13.7%

12.8%

11.9%

Population Age 65 or Over

Elderly Population

Perc

ent

of t

he P

opul

ation

Source: ACS Data, 2006-2010


HACWhere do Seniors Live?

Rural and Small Town,

21.0%

Suburban and Ex-urban; 49.1%

Urban; 29.9%

Population by Residence, 2010

Rural and Small Town,

24.6%

Suburban and Ex-urban; 44.9%

Urban; 30.3%

Senior Population by Residence, 2010


HAC


Living Alone by Gender,Persons Aged 65 and Over

U.S.

Rural & Small Town

MalesFemales


HAC

28.2%

71.8%

32.2%

67.8%



HAC

United States

White not His-

panic; 79.0%

Minority; 21.0%

Rural & Small Town

White not Hispanic; 88.7%

Minority; 11.3%

Race and Ethnicity, Age 65+


economic characteristics


HAC


HAC

U.S. U.S. Seniors Rural & Small Town Seniors$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

51869

$33,906

28412

Median Income by Senior Status and Residence, 2009M

edia

n In

com

e

Source: American Housing Survey, 2009


HAC

U.S. Rural & Small Town0%

2%

4%

6%

8%

10%

12%

14%

16%

9.8%

10.9%

7.2%7.9%

11.8%

13.8%

Senior Poverty By Residence & Gender

All Elderly Elderly Male Elderly Female

Perc

ent

in P

over

ty


Poverty Rates of Seniors

African-Amer-ican

Asian

American Indian

White, non Hispanic

Hispanic

0% 5% 10% 15% 20% 25% 30%

US

Rural & Small Town


HAC


12.6%

19.9%

10%

23.6%

28.4%

9.4%

21%

19.6%

7.5%

18.9%

Percent of Seniors in Poverty, Rural & Small Town

Overall In Poverty0%

10%20%30%40%50%60%70%80%90%

100%

White, non-HispanicMinority Status


HAC


20%11.3%

88.7% 80%


HAC

housing characteristics


HAC

Housing Tenure, Persons Aged 65 and Over

Rural & Small Town US0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Renter OccupiedOwner Occupied

78.8%

21.2%


HAC

88.8%

11.2%


Owned Households with Mortgages, Persons 65 and Over

Rural US0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Without MortgageWith Mortgage

67.5%

32.5%


HAC

71.7%

28.2%



HAC


5%

10%

15%

20%

25%

30%

35%

40%

% of seniors that spent 35% or more of gross income on rent

28.2%

34.7%


HACCost-Burdened Seniors

Cost-Burdened Households, Persons Aged 65 and Over


5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

% of renters that spent 35% or more of gross income on rent% of homeowners that spend 35% or more of gross income on owner costs


HAC

22.8%

44.6%

19.7%

30.3%


Year Moved into Unit, Persons Aged 65 and Over

2000 or later 1999-1980 1979-or earlier0%

10%

20%

30%

40%

50%

60%

70%

Rural & Small Town RenterRural & Small Town Owner


HAC


Tenure by Units in Structure, Persons Aged 65 and Over

RentalOwner


10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Mobile Home, RV, Boat, EtcTwo or More UnitsOne Unit


10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


HAC


Lot Size, Age 65+ HAC


Lot Size0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

NonmetroMetroSq

uare

feet

Source: American Housing Survey Data, 2009


HAC

federally assisted housing programs


HAC


HAC

housing options, issues, and trends


HAC

Aging in Place

• Older adults remaining in their homes for as long as possible• Independent living for seniors promotes successful aging by:

– Improving health – Life satisfaction – Self-esteem

• Challenges include:– Accessibility– Upkeep– Choice in housing typologies– Housing affordability– Transportation options


HAC

Housing Needs and Options

• Home modifications and retrofits– Simple modifications– Installing ramps, chairlifts, and stair-glides– Widen doorways– Roll-in showers– Lowered countertops

• Universal design


HAC

Senior Share Homes

• Brings together older home providers and seniors seeking a place to live• Affordable group homes• Benefits:

– Independence– Household help– Transportation– Safety – Companionship– Peace of mind

• Monthly Charge includes:- Rent- Housing expenses- Food


HAC

Supportive Housing

• An umbrella term for residential settings that have been specifically developed to provide an array of onsite services:– Section 202 Housing

• Provides federal subsidized supportive housing for older adults

– Assisted Living Residences• Provides private rooms or apartments for older adults and offers a level of care that can

range from light hospitality servicers to care provided by nursing facilities

– Adult Foster Care Homes• Provides services similar to assisted living residences but in smaller facilities, including

single-family homes

– Continuing Care Retirement Communities• Provides several housing models on-site, enabling residents to transition through the

senior housing continuum while remaining in the same development

– Congregate Housing• Provides apartment homes for seniors who want to live independently but want

hospitality-style services, like light housekeeping


HAC

Supportive Housing Challenges

• Meeting the demand for supportive housing– Increased demands on housing as Baby Boomers age– The Assisted Living Conversion Program

• provides funds for owners of Section 202 housing to convert some or all of their units into state-licensed assisted living residences

• Started in 2000• Program’s reach limited

– Funding not large enough to enable wide-spread funding– Even if all existing subsidized developments were retrofitted,the

current supply would still fall short of the growing demand


HAC

Supportive Housing Challenges

• Providing affordable services– Affordability determined by both cost of housing and cost of services– In 2009, the annual nationwide cost for a private 1-bedroom unit in an

assisted living facility averaged $33,903, or more than $2,800 a month• Costs drive many low- to moderate-income older adults to

prematurely enter institutional care, where Medicaid covers costs to those who qualify

– Medicaid Home and Community-Based Services waiver program • Some states provide funding to cover the costs of supportive

services for Medicaid-eligible adults in state-licensed supportive housing

• Even with increases in recent years, share of residents in supportive housing receiving waivers is small

• Continued federal and state funding


HAC

Trends

• Significant increases to the elderly population in the coming years– Baby boomers turning 65– Senior population is expected to grow to

over 30 million by 2030• Senior population account for 20 percent of the

population then compared to just 13 percent today

• Rapidly aging population will have significant impacts on current elderly housing stock– Increased need for housing upgrades and rehabilitation– Increased housing cost-burdened caused by the Great

Recession and foreclosure crisis– Increasingly diverse elderly population


HAC

Conclusion


HAC

www.ruralhome.org


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2012 National Service Coordinators Conference - senior housing - HAC

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