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WHO WE ARE - The members of NaCCRA—the National Continuing Care Residents’ Association—are senior citizens who live in Continuing Care Retirement Communities (CCRCs) throughout the United States.

Most of us are happy in our communities. We enjoy fine food in a variety of inviting settings. Our homes are comfortable, perhaps even luxurious. We engage in a variety of activities good for mind, body, and spirit, such as fitness, art and writing classes, gardening, social events, and self-governance. We benefit from quality health care. We thrive in the warm support of friends and staff.

Overall, CCRCs offer a positive and welcome service to those who want to age in place without imposing burdens on our families.

NaCCRA’s goal is to make sure our CCRC communities are as good as they can be… not only for us but also for those who will follow us in the future. We believe that CCRCs should be encouraged as a matter of public policy. Our members and leaders work together to ensure that the CCRCs we live in are well managed and properly regulated. We invite you to explore this site and learn more about NaCCRA.

WHERE WE ARE - NaCCRA members live in CCRCs from the East Coast to the West Coast… from Florida to Washington State… from Massachusetts to California. Several states have their own NaCCRA-affiliated organizations. See the State Affiliates page for information about each one.


WHAT WE DO - NaCCRA is committed to vigorous advocacy on behalf of the residents of CCRCs. We believe that the senior housing industry can benefit from understanding and adopting the best practices that residents expect. Enacting laws to ensure that such practices are standard across the states will build trust in the industry and assure residents that their expectations will be met. Here are the five issues that we are most closely engaged in. Click the blue sub-head links to learn more about them.

Residents’ Rights

Some states have enacted bills of rights for CCRC residents. Unfortunately, most have not. Since many residents in states where this has not yet happened are interested in this issue, NaCCRA is taking an active role in this effort. You can read our proposed Bill of Rights for Residents of CCRCs on this website.

Financial Fairness

Residents expect that entry fee investments in CCRC contracts are used to provide promised benefits to them. But industry experts, executives, and managers don’t always view stewardship of these investments in the same way. In some cases, the investments are not handled with care or prudence. NaCCRA is working to improve this situation.

Financial Security

NaCCRA members are working on a set of Model Laws designed for two purposes. First, to improve the business and financial practices of CCRC management. Second, to elevate the financial soundness of the entire continuing-care industry, to make sure that prospective residents can rely on the representations made to them during the marketing process.

Governance Standards

Although residents in Entry Fee financed CCRCs provide all or most of the at risk, ownership equity capital to allow the enterprise to qualify for secured debt financing, the residents are often excluded from the Board. This has led to laws mandating residents on CCRC Boards but such laws have met with reluctant provider organizations accustomed to have sole ownership authority.

Accounting Validity

Matching and consistency principles are fundamental to sound accounting. However, CCRC accounting—as established by the guidelines of the American Institute of Certified Public Accountants and codified by the Financial Accounting Standards Board—departs from these fundamentals. This departure is material since it distorts the recurring fee adjustment calculations. NaCCRA advocates a return to more principled accounting and auditing standards.