Abstract
Using the lifetime experience of residents in seven continuing care retirement communities, we examine the probability of moving from independent living to assisted-living and nursing unit beds, and calculate the length of stay within each level of care. Between 50% to 70% of entering residents can be expected to use either (or both) assisted-living or nursing units during their tenure. Length of stay in independent living is increased and the length of stay in assisted living is reduced within high-rise facilities. There is a minor substitution effect between assisted-living and nursing unit use, especially among women. The nursing unit results are not affected by high rise or garden apartment design of the facility, or the percentage of nursing beds to total beds.
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