Tag: Aging

QUOTES

“I can’t use what you can’t do. What I can do is engage with you and see what you have. That’s where we can come into a relationship and work together.” (Teepa)

“When you’ve lost something, your brain doesn’t give up. Your brain picks something else to use.” (Teepa)

“Dementia robs us of our knowingness. It forces us back into paying attention and being observant because it’s always changing.” (Teepa)

“I need to tune in to the reality of who you are now, not just who you were and what you used to be capable of.” (Teepa)

“People think dementia is all about memory, but memory is this much. There’s all this other stuff going on.” (Teepa)

“The relationship is going to change dramatically. Living with brain change is hard whether you’re on the inside of it or the outside observing it.” (Teepa)

“My job is not to decide that someone is suffering. My job is to figure out how to support you through what you’re going through.” (Teepa)

“I believe there is no care about me without me. It’s their life and their care, and I have to figure out how to partner with them in it.” (Teepa)

“The reality is they’re not less, they’re different. Their brain works differently, but they’re still living life.” (Teepa)

“Eighty percent or more of this work is done by unpaid people like family and friends, and we don’t train them. We just drop them into it and they keep going until they drop.” (Teepa)

“We need at least three people, maybe five or more. We need to build community around this condition.” (Teepa)

NOTES

Teepa Snow is an occupational therapist, educator and one of the most recognized voices in dementia care. She is known for helping families, care partners and senior living professionals better understand brain change and build more meaningful connections with people living with dementia.

Snow is the founder of Positive Approach to Care, an organization focused on improving dementia care through training, education and practical support strategies. The organization works with families, senior living providers and healthcare professionals around the world to build skills and confidence in supporting people experiencing brain change.

Through Positive Approach to Care and the Snow Approach Foundation, Teepa and her team provide training programs, professional education and community-based demonstrations designed to improve dementia care practices. Her work emphasizes practical communication techniques, recognizing remaining abilities and building supportive communities around people living with dementia. Her programs now reach professionals and families across the United States, Canada and more than two dozen countries.

A positive approach to dementia care focuses on what abilities remain rather than what has been lost, meeting people where they are and building connection through observation, tone, body language and supportive communication.

Fear often dominates public perceptions of dementia because the condition disrupts routines and predictability, forcing family members and care partners to stay attentive and adapt constantly as abilities change.

Dementia is often misunderstood as primarily a memory problem affecting older adults, but brain change can involve many other cognitive functions and can also appear earlier in life depending on the type of dementia.

Communication challenges arise because people living with dementia may struggle to retain new information, making it important for care partners to simplify questions, provide visual cues and offer structured choices rather than open-ended requests.

Care partners often experience burnout because most dementia support is provided by unpaid family members who receive little training or preparation for the emotional and practical demands of caregiving.

Snow encourages replacing the term “caregiver” with “care partner,” emphasizing that the person living with dementia remains the central decision-maker in their own life and that support should be collaborative rather than controlling.

Effective dementia care requires broader community support systems, with multiple people sharing responsibility rather than placing the entire burden on a single family member.

Senior living organizations can improve dementia support by training staff to recognize individual histories, preferences and abilities, allowing residents to continue experiencing purpose, independence and meaningful engagement even as cognitive abilities change.

QUOTES

“Man, it is never about the stuff. It’s always about the people and the memories attached to the stuff.” (Matt)

“It’s not about the dining room table. It’s about the people that sat at the dining room table. Or more importantly, the people that don’t sit at the table anymore.” (Matt)

“It’s proof that we existed. It’s proof that we mattered. It’s proof that they mattered.” (Matt)

“My advice is always don’t talk about the mess if you can see the mess.” (Matt)

“You first start off with, hey, we love you. You have to really, really stress the love.” (Matt)

“It’s all caused by trauma and loss of people that matter. And we’re trying to fill that hole with stuff.” (Matt)

“Dude, it’s an archeological deal. That’s why I love my job every day. It is an archaeological dig. I get to find out when grandma was the coolest person in the world.” (Matt)

“This is the most fascinating week of your life. It could be the most interesting week, and the most productive, and generationally changing week of your life.” (Matt)

“I can’t tell you how many families I’ve seen just breaking up, totally break up over stuff. Because of a sofa? Really? Because of a guitar?” (Matt)

“Let me summarize 300,000 hours for you. It’s never about the stuff and you can’t take it with you. And it’s all about time.” (Matt)

“You’re 80, dude. You’re borrowed time. Do we really want to spend the next three years going through pictures of you going to Acapulco in 1980 with your wife? Or do we just want to go to Acapulco one more time with your wife? Let’s go make some new memories.” (Matt)

“Just have the oldest person in the room point out one item and say, tell me a story about that item. One item, one story, it’ll change your life forever.” (Matt)

NOTES

Matt Paxton is a nationally recognized expert on downsizing, decluttering and guiding families through major life transitions. Known for his 15 years on A&E’s Hoarders and appearances on Filthy Fortunes and Legacy List, he blends compassion, storytelling and practical strategy to help families navigate change.

Paxton is founder of Clutter Cleaner, a national company specializing in estate cleanouts, downsizing and hoarding situations. The organization supports families through emotional and logistical challenges, with a growing franchise model designed to serve communities across the country.

Originally trained as an economist for the Federal Reserve, Paxton built his career after personally cleaning out family homes following multiple losses in his twenties. He has spent more than 300,000 hours in hoarded houses and plans to retire after helping one million families. His work emphasizes donation, reuse and reducing family conflict over possessions.

Clutter is never about the stuff; it represents people, memories and unresolved grief.

Letting go becomes harder with age because possessions feel like proof that we existed and proof that the people we loved mattered.

Families should approach difficult conversations with compassion, leading with love rather than criticism and aligning around a clear “finish line” such as a move to senior living.

Cleaning out a home should be treated like an archaeological dig, uncovering stories that can reshape how younger generations see their parents and grandparents.

Too many families fracture over possessions, even though “you can’t take it with you” and time is the true currency.

Instead of spending years sorting old memories, Paxton urges older adults to create new ones while they still can.

Younger generations are shifting toward experiences, reuse and secondhand goods, signaling long-term cultural change around consumption.

Senior living communities should position themselves as true hubs for storytelling and intergenerational connection, inviting younger generations in to experience the community long before a move is necessary.

Grief is woven into the aging journey, yet in senior living it’s often the quiet undercurrent few talk about openly. Beyond the loss of a loved one, residents may be grieving a move, a change in mobility, a shift in identity or the gradual loss of independence. When those transitions go unacknowledged, they can surface in unexpected ways, from withdrawal and isolation to frustration or agitation. On Varsity’s weekly Roundtable, we explored how creative expression can offer a powerful, compassionate response to that reality.

Alison Schroeder, Creative Arts Coordinator at Goodwin Living, joined Varsity’s weekly Roundtable for an insightful conversation on how art-based programming creates space for emotion, connection and resilience. Below are a few Fresh Perspectives from her discussion.

GRIEF ISN’T JUST ABOUT DEATH, IT’S BUILT INTO THE AGING JOURNEY

From losing a spouse to losing a driver’s license, identity or mobility, grief shows up everywhere in senior living. Communities that acknowledge those quieter losses — not just bereavement — create space for deeper healing.

ART IS THE ANTIDOTE TO LOSS

Grief is about losing. Art is about creating. That shift from absence to expression restores agency, purpose and momentum, especially when so much else feels out of control.

RITUALS EXIST FOR DEATH, NOT FOR TRANSITIONS

We have funerals for loved ones, but no ceremony for stopping driving or moving to assisted living. Creative programming can become the missing ritual that helps residents process life’s unmarked transitions.

PROCESS MATTERS MORE THAN PRODUCT

In memory care and skilled nursing especially, the goal isn’t a perfect painting, it’s engagement. Like exercise, creative practice builds emotional strength even if there’s no masterpiece at the end.

CELEBRATION IS A FORM OF THERAPY

Art shows, books, talks and festivals don’t just showcase talent, they validate identity. Publicly honoring residents’ creative work transforms private struggle into shared pride.

SUPPORT CREATES BREAKTHROUGHS

Creative transformation rarely happens alone. Whether it’s interns, therapists, fellow residents or staff, community collaboration amplifies impact and turns individual expression into collective healing.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

 

QUOTES

“We have been fed a steady diet of inaccurate information about growing older, and that information is that it’s all decline. And the truth is in the literature that there are many things that get better as you get older. We don’t care as much what people think about us, we appreciate our connections more, and we have greater potential for problem solving.” (Dr. Burnight)

“I’ve just been amazed by, like, who would think that a book on aging would become a New York Times bestseller? I mean, that’s where people are in recognizing these 100-year lives and recognizing that the status quo is not sufficient.” (Dr. Burnight)

“There were times where I had my head down on the keyboard crying because it was so hard because I wanted to bring in all the research, but I also wanted to make it really readable. And so I just kept thinking, simplify, simplify.” (Dr. Burnight)

“When I realized that the American Psychological Association defines joy as well-being and satisfaction, it made me realize that joy isn’t this like happy, happy, you know. It’s the opposite of toxic positivity.” (Dr. Burnight)

“What they said is that happiness is often circumstantially dependent, whereas joy can exist even in challenge because it’s an inside out phenomena. And that was an ah-ha moment for me.” (Dr. Burnight)

“I don’t know any older adults who haven’t had significant challenges. That is the nature of being a human. And we’re going to have those challenges. So it isn’t that we’re going to control for everything. That’s impossible. It’s that we’re going to find a way to have joy anyway.” (Dr. Burnight)

“What the research shows us is that genetics predicts between 13% and 25% of our aging experience. So the vast majority is up to us.” (Dr. Burnight)

“One utterly suffered, and it was such a rough road, and it was really hard to be around her. And then the other one had found this ability to be content, and we couldn’t get enough of her… we watched that it is possible to walk with grief and joy.” (Dr. Burnight)

NOTES

Dr. Kerry Burnight is a nationally recognized gerontologist, author, speaker and advocate with more than three decades of experience working with older adults and families. Her work focuses on aging, joy, well-being, elder abuse prevention and redefining longevity beyond decline.

Dr. Burnight is the author of JoySpan, a New York Times bestseller that reframes aging by emphasizing joy, adaptability and meaning alongside lifespan and healthspan. She is also a co-founder of the Elder Abuse Forensic Center and a leader in research-driven aging policy and practice.

Joy is not fleeting happiness but a deeper sense of well-being that can coexist with hardship and challenge.

Genetics play a smaller role in aging outcomes than commonly believed, with most of the aging experience shaped by behavior and mindset.

Joy and well-being can be intentionally built through daily practices, much like physical health.

People who thrive in long lives consistently invest in growth, connection, adaptability and contribution.

Aging is not solely defined by decline; many cognitive, emotional and relational strengths improve with age.

Gratitude and attention shape perception, influencing both mood and social connection.

Loneliness is best addressed through proactive effort, including initiating relationships rather than waiting to be invited.

Society, policy and senior living environments must move away from infantilizing older adults and toward dignity, choice and purpose.

The following is a guest blog entry from Larry Carlson. Larry is an advisor, board member, and author of Avandell: Reimagining the Dementia Experience. A longtime CEO in senior living, he now writes and speaks about helping older adults finish strong — living with purpose, vitality, and impact in their third age.

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When Margaret toured the community, she wasn’t looking for a swimming pool or a dining venue. She was searching for something she couldn’t quite name — a place that felt alive.

“I don’t want to just move somewhere,” she said. “I want to belong somewhere.”

That line stopped me cold. Because in those few words, Margaret captured the emotional core of every senior living decision. Beneath the surface questions about cost, care, or square footage lies something deeper: What will this next chapter make possible?

From Transaction to Transformation

For years, our industry has measured success by occupancy numbers, conversions, and closing ratios. But older adults aren’t just customers — they’re people navigating one of life’s most personal transitions.

Today’s generation doesn’t want to be sold a lifestyle; they want to be guided toward a renewed sense of purpose, belonging, and vitality. That shift — from selling units to guiding journeys — changes everything. It calls us to approach marketing not as persuasion, but as partnership.

Start with Empathy

Guiding begins with listening. It’s about asking deeper questions:

• What does thriving look like for you now?
• What do you still want to contribute or experience?
• What would make this move feel meaningful — not just comfortable?

When we pause long enough to hear the story behind the inquiry, we stop trying to fill vacancies and start helping people envision a future they can believe in. That’s when trust forms — and when connection turns into commitment.

Purpose Is the New Differentiator

Amenities can be copied. Purpose cannot. Communities that help residents connect their gifts and passions to something larger than themselves stand out in a crowded marketplace. They become places where:

• Residents lead, not just attend.
• Marketing highlights impact, not just activities.
• Staff speak the language of mission, not just service.

When marketing reflects that kind of authenticity, it attracts more than prospects. It inspires teams and reminds everyone why this work matters.

A New Kind of Conversation

The next time you sit down with a prospective resident, listen not for what they want, but for who they’re becoming. Because what we’re really offering isn’t just a new address — it’s a new beginning. We’re not helping people move in; we’re helping them move forward.

Closing Thought

Selling fills units.
Guiding changes lives.

When we reframe our role from closing deals to opening doors of purpose, we honor both the people we serve and the calling behind this work. That’s what finishing strong looks like — for residents, and for all of us who serve them.

About the Author

Larry Carlson is an advisor, board member, and author of Avandell: Reimagining the Dementia Experience. A longtime CEO in senior living, he now writes and speaks about helping older adults finish strong — living with purpose, vitality, and impact in their third age.

Dr. Linda Fried is a world-renowned geriatrician, public health expert, and Dean of Columbia University’s Mailman School of Public Health. She was also a guest on Varsity’s podcast, Roundtable Talk. A pioneer in the science of healthy aging and frailty, Dr. Fried has dedicated her career to understanding how we can build systems and communities that support longer, healthier, and more purposeful lives.

On the episode, Dr. Fried explored the medical realities of frailty, why physical activity is the best prevention strategy, and how public health systems must evolve to meet the needs of an aging population.

The following are some fresh perspectives from the conversation. Check out the full episode here. 

HOW DO YOU DEFINE FRAILTY, AND HOW DOES IT DIFFER FROM GENERAL AGING OR DISABILITY?

So what I learned both as a clinician and as a scientist is that there is a clinical and medical condition, which we call frailty, which generally starts with a decline in muscle mass and strength. Over time, what we see is a particular presentation that emerges with loss of muscle, loss of strength, loss of energy, slowing down physically, and in the later stages, unintentional weight loss. When you start seeing a critical mass of them, then you’re seeing somebody who has emerged with the condition of frailty.

HOW EARLY IN LIFE SHOULD WE BE THINKING ABOUT FRAILTY PREVENTION?

The most important thing to do is to make physical activity part of your life and find ways to enjoy it. In the second half of life, we start losing muscle mass, so it’s really important to maintain your strength and to do resistance exercises with some weightlifting. Not a lot. It doesn’t have to be a lot. Three times a week for 20 minutes or so.

CAN FRAILTY BE REVERSED? OR IS IT PRIMARILY ABOUT MANAGING DECLINE?

Until it’s very severe, it’s potentially reversible. But, of course, either preventing it in the first place or slowing down its development through exercise in particular and staying active and engaged in things you love is important.

YOU’VE WRITTEN ABOUT A “THIRD AGE,” A PERIOD OF PURPOSE AND CONTRIBUTION LATER IN LIFE. WHAT DOES THAT MEAN?

It’s been very clear to me that many people retire with a goal of making a difference. We have this gift of an extra 30 years of life that we never had. People want roles that matter, they’re not necessarily and often not full-time roles. But they want to contribute in a way that has significance.

QUOTES

“I realized that I really enjoyed taking care of older people for a series of reasons. One was you couldn’t really take care of the part without thinking about the whole.” (Dr. Aronson)

“I came up with this notion of elderhood as a sort of equivalence to childhood and adulthood. And I thought that was a reframe that might be helpful for us both as individuals and as a society.” (Dr. Aronson)

“It’s insulting. And when you see this in scientific studies, it absolutely lacks rigor, any evidence of truthfulness, and yet people do it all the time.” (Dr. Aronson)

“We harm our future selves because we create a self-creating, self-perpetuating fear.” (Dr. Aronson)

“It’s the only stage of life where people apologize all the time for existing, for not being able to do things.” (Dr. Aronson)

“Traits we all should have, but not all of us are lucky enough to get it. A sense of humor helps. So really basic things, because it’s very interesting.” (Dr. Aronson)

“There is just a baked-in bias that the people who need the services most are least important.” (Dr. Aronson)

“They blame old age for what was a failure to incorporate aging pharmacology and physiology into their treatment plan.” (Dr. Aronson)

“Training for all health professionals would be proportional to the amount of time they will be spending caring for that population.” (Dr. Aronson)

“Our system doesn’t give us what we want and needs to be totally restructured to prioritize health.” (Dr. Aronson)

NOTES

Dr. Louise Aronson is a geriatrician, educator, and bestselling author of Elderhood. A leading voice in redefining how we view aging, she brings decades of medical practice, personal insight, and cultural critique to her advocacy for older adults.

 Dr. Aronson is a professor of medicine at the University of California, San Francisco (UCSF), where she also directs the campus-wide Health Humanities Initiative. Her work integrates clinical care, education, and the humanities to advance eldercare.

Her book Elderhood reframes aging as a vital, complex life stage deserving the same recognition and nuance we give childhood and adulthood. She’s a thought leader on ageism in medicine and society, and frequently collaborates on innovations in intergenerational programs, healthcare reform, and policy.

Most people don’t plan to work with older adults—but it’s meaningful, intellectually rich, and deeply needed work.

The term “elderhood” positions aging as a legitimate, diverse, and multi-decade stage of life, much like childhood or adulthood.

Society often equates aging with decline, but many older adults thrive by adapting, staying engaged, and embracing their phase of life.

There’s a dangerous tendency to treat everyone over 65 as a monolith, despite the vast range of capabilities and needs.

Health care training devotes years to children and adults, but often just hours to older adults—despite them being the largest group needing care.

Ageism in medicine shows up in subtle and overt ways—from dismissive language to inappropriate treatments based solely on age.

Culture needs to stop writing off older adults; their stories, capabilities, and lives matter and should be reflected in how we design systems and spaces.

Dr. Aronson sees hope in younger generations and entrepreneurs bringing compassion and innovation into the “elder space,” as well as boomers advocating for their own aging experience.

On a recent  episode of Varsity’s Roundtable Talk, we sit down with Terry Farrell, acclaimed actress and sci-fi icon best known for her role as Jadzia Dax on Star Trek: Deep Space Nine and Reggie on Becker. With a career spanning modeling, television, and film, Terry brings a unique perspective on aging, reinvention, and staying grounded in an image-driven industry.

Derek and Terry talk about her approach to aging, her break from acting to raise her son, and why she’s stepping back into the industry. She opens up about embracing authenticity, the influence of Star Trek, and how representation in entertainment is evolving.

The following are some fresh perspectives from the conversation. Check out the full episode here. 

WHAT IS YOUR PERSONAL PHILOSOPHY OR PERSPECTIVE ON AGING WELL?

I think it has a lot to do with your mental attitude about it. I mean, no one’s getting a get out of jail free card from it. It’s just part of the process, right?

WAS THERE A MOMENT IN YOUR ACTING CAREER WHEN AGE STARTED TO FEEL LIKE A FACTOR?

I think right now. I quit my career to be an at-home mom at 40.  But now being 61, and I just got an agent, and coming back into it, I have to remember that I’m not as young on the outside as I feel on the inside.

WHAT ADVICE WOULD YOU GIVE TO YOUNGER ACTORS ABOUT LONGEVITY IN LIFE AND CAREER?

Enjoy each phase you’re in. Movies and television are telling us stories about life and it requires all age groups to tell these stories. You’re never going to run out of parts you can play.

HOW COULD HOLLYWOOD SHOWCASE AGING MORE AUTHENTICALLY?

Hiring actors that haven’t had cosmetic surgery or are willing to look natural. If [studios] are demanding women to be ageless, then women become more paranoid about trying to be ageless.

WHAT DO YOU WISH YOU COULD HAVE TOLD YOUR YOUNGER SELF?

That I have enough. That I am enough. I’m whole just the way I am. I can stop being a chameleon.

QUOTES

“You’re only as young as your spine is flexible.” (Terry)

“When you start to avoid activities, your body kind of goes along with it and stops working in a youthful way.” (Terry)

“I’m on the tracks, off the tracks, and I think that’s real for most people.” (Terry)

“I have to remember that I’m not as young on the outside as I feel on the inside.” (Terry)

“I’d much rather age naturally. And yeah, it’s no fun, but I’m not alone in it.” (Terry)

“Enjoy each phase you’re in because movies and television are telling us stories about life, and it requires all age groups to tell these stories.” (Terry)

“We all have value. And that’s what you need to focus on—your own value.” (Terry)

“I’m enough. I’m whole just the way I am. I can stop being a chameleon.” (Terry)

NOTES

Terry Farrell is an actress best known for her role as Jadzia Dax on Star Trek: Deep Space Nine and as Reggie on Becker. A former model turned sci-fi icon, Terry is also an advocate for self-acceptance, aging authentically, and embracing life’s many chapters.

After stepping away from acting to be a full-time mom, Terry is re-entering the entertainment world with a renewed sense of purpose and personal authenticity. She lives in New Mexico and hopes to pursue meaningful roles that reflect who she is today—whether in television, film, or even on stage.

Terry credits yoga and movement as essential for both mental and physical wellness as we age.

Terry embraces aging naturally, resisting industry pressure to look younger through surgery or cosmetic alterations.

After a long break to raise her son, Terry is re-entering the entertainment industry with new priorities, looking for roles that reflect her true age and life stage.

Terry believes culture is evolving and there are more opportunities now for actors of all ages, thanks in part to movements like #MeToo and greater diversity in storytelling.

Terry reflects on her modeling and early acting days, acknowledging the harmful body image pressures she endured and how she’s worked to let those go.

She finds encouragement seeing actresses her age on screen and admires projects that show women aging authentically, like Capote vs. The Swans.

Sci-fi storytelling, particularly Star Trek, helped Terry explore and embody themes of longevity, identity, and empathy, both on and off screen.

QUOTES

“A man’s got to know his limitations. And I knew that it would have made for a great story. But I was happiest in consulting, where I’ve been for 35 years.” (Scott)

“If you think about the organizations that have gotten themselves into trouble in our field, it’s usually because all three—strategy, vision, and innovation—have not occurred.” (Scott)

“When a CEO says to me, ‘I’m really not that good at vision or I’m uncomfortable with it,’ that’s when it can be addressed. It’s when they don’t that you end up in a situation where one, two, or all three are missing.” (Scott)

“Innovation isn’t just people sitting around thinking about cool stuff. It could happen, but it really takes work.” (Scott)

“If you look at the number of villages that have developed over the last 15 and 20 years, it’s phenomenal. But if you look at the business model, in a very rare instance, it doesn’t succeed without fundraising donations. So the business model is flawed.” (Scott)

“When I tell you that people hate nursing homes, I’m not exaggerating. If you get a group of new nursing home administrators in a room and you ask them about the potential for them to end up in a nursing home, most of them will say, ‘I’d rather be dead.’” (Scott)

“Most of the nursing home beds in the United States, including in the not-for-profit sector, are semi-private. That’s a euphemism—because there’s really nothing private about them. It’s inhuman. And actually, there’s a difference between inhuman and inhumane. It’s both.” (Scott)

“We have to focus because this is a heavy lift—societally a heavy lift—but it’s also a huge opportunity. If we don’t do these things, if we don’t focus, it’s the for-profit sector that’s going to take it away.” (Scott)

“The nonprofit governance model is a failed model because board members don’t ask tough questions. When you talk to them, it’s clear they’re critical thinkers in their profession, but when they get into the boardroom, that willingness disappears.” (Scott)

“You want to be ageist around a baby boomer? You’re going to pay the price.” (Scott)

“We should stop feeling the necessity to invent and instead look around. Take something that’s already there and figure out how to scale it.” (Scott)

“If I had to talk to my younger self, I’d say, ‘Get to know yourself, Scott. Don’t spend so much time trying to achieve. Spend some time trying to understand you, because then you might achieve more.’” (Scott)

NOTES

Scott Townsley is a senior living strategist and consultant with over 35 years of experience helping organizations navigate challenges and embrace innovation. A former attorney and long-time industry leader, he founded Third Age, was a partner at Clifton Larson Allen, and now serves as Senior Advisor to Trilogy Consulting.

Trilogy Consulting provides strategic guidance to nonprofit senior living organizations, focusing on vision, strategy, and innovation. The firm helps organizations adapt to industry shifts, rethink traditional models, and implement forward-thinking solutions to better serve aging populations. Trilogy Connect, a related initiative, fosters collaboration and knowledge-sharing among senior living leaders.

Trilogy emphasizes the intersection of strategy, vision, and innovation, noting that organizations that fail to integrate all three often struggle.

Scott began his career as a dishwasher in a senior living community, later becoming its general counsel and ultimately being offered the CEO position.

Lack of vision and innovation hinders the senior living industry. Many organizations operate on outdated models without adapting to changing demographics and consumer expectations, leading to financial and operational challenges.

Innovation requires commitment, not just ideas. True innovation isn’t just about brainstorming new concepts—it requires structure, investment, and a willingness to rethink outdated business models.

The nonprofit governance model is failing. Board members often avoid asking tough questions, which weakens decision-making. Compensation for board members could create a stronger sense of responsibility and accountability.

People hate nursing homes. Research shows that public perception of nursing homes is overwhelmingly negative, and even industry professionals often say they would rather die than live in one.

Semi-private nursing home rooms are inhumane. The standard practice of placing two, three, or even four people in a room is outdated and unacceptable. Small-house models like Green House have addressed this issue, but widespread adoption has been slow due to myths about financial feasibility.

Age-in-place programs need better messaging. Many Continuing Care at Home (CCaH) programs market themselves like long-term care insurance, which is a turnoff to consumers. Instead, they should emphasize their ability to keep people out of nursing homes.

The nonprofit senior living sector is losing ground to for-profit operators. If nonprofit organizations don’t adapt, they risk becoming irrelevant as for-profit providers scale faster and respond more aggressively to market demands.

The industry underutilizes data. Senior living communities could benefit from predictive modeling to anticipate residents’ needs, yet the sector remains far behind in leveraging data for proactive decision-making.