Tag: Senior Living

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The following is an excerpt from Your Best Path Forward by Brad Breeding, founder of MyLifeSite and a recent guest on Varsity’s Roundtable Talk podcast. Brad has spent more than 15 years helping older adults and their families navigate senior living decisions with greater confidence and clarity. Check out his full conversation with Derek Dunham on Roundtable Talk.

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In 1950, there were just over 12 million people age 65 and over in the United States, representing around 8% of the total U.S. population. Fast-forward 60 years to the time of the 2010 census, and there were approximately 40 million people age 65-plus, representing about 13% of the total U.S. population.

At that point, as baby boomers began turning 65 at the rate of 10,000 per day, the growth of this age cohort accelerated rapidly, expanding by another 40% over the next decade alone to reach 56 million, or roughly 16% of the U.S. population. The pace of growth in the 65-plus population between 2010 and 2020 averaged about four times the annual growth rate seen over the previous six decades.

This trend is unlikely to slow down anytime soon. By 2040, the 65-plus population is projected to reach 80 million, making up nearly 22% of the total U.S. population. To put this further into perspective, it is expected that within the next 10 years, for the first time in the United States, the number of people age 65 and over will surpass the number of people under the age of 18.

Not only do older adults make up a much larger share of the population today, but they are also living significantly longer. In 1950, a 65-year-old could expect to live about 11 more years, on average. Today, most 65-year-olds can expect to live roughly another 18 years—an increase of about 60%. And of course, many will live well beyond this average, but often not without chronic health conditions requiring some form of long-term care.

This rapid growth in the older adult population, combined with their longer average lifespans, has far-reaching societal implications, placing additional strain on our healthcare systems and federal programs such as Medicare, Medicaid, and Social Security, while simultaneously reshaping the labor force and economy. It also brings significant societal challenges, particularly in the availability of paid and family caregivers to support our aging population.

AARP prepared a study in 2013 analyzing the caregiver support ratio in the U.S., which measures the number of potential family caregivers age 45 to 64 for each person age 80 or greater. At the time of the report, there were more than seven potential family caregivers for every person in the high-risk age group of 80-plus. However, the report projected that by 2030, the ratio will decline sharply to 4 to 1, and it is expected to fall to less than 3 to 1 by 2050—a time when nearly all baby boomers will be in the high-risk years of late life. If this projection holds, it will represent a nearly 60% decline in the availability of family caregivers over those 37 years.

Adding further concern to the decline in both paid and family caregiver support is the fact that the number of “solo agers”—people who are growing older without support from a spouse/partner or adult children—is simultaneously increasing in the United States. Since the caregiver support ratio referenced previously only accounts for potential caregivers age 45 to 60, it does not include most spouses and significant others, who are often the first to bear caregiving responsibilities. Yet, the number of individuals age 80-plus who are solo agers is rapidly increasing. According to the Joint Center for Housing Studies of Harvard University, there were around 4.5 million people age 80 or over living alone in 2018. By the year 2028, this number is projected to jump to nearly 7 million and then to just over 10 million by 2038.

These statistics raise an important question for our society. Where and how will older adults live and thrive? For far too long, our society has taken a mostly reactive approach to addressing the lifestyle and healthcare needs that we may face in the later years of life. All too often, individuals and families wait until a significant health event occurs before evaluating their options, shifting into crisis management mode without the resources, flexibility in schedule, physical ability, or emotional capacity to handle such a task. Yet, the above statistics make it startlingly clear that it’s more important than ever before to plan for your future, especially for those living alone or without available family caregivers.

Making a plan

While the rate of aging differs from person to person, financial planners and other professional advisors often segment retirement planning into distinct phases. Recognizing that the entire concept of retirement is being redefined, with more people choosing to work beyond the traditional retirement age of 65, planners generally view the early years of retirement as a transitional phase, often lasting about five years after someone retires from their career. This period is marked by the need to reevaluate spending habits, adjust income strategies, and settle into a new daily routine. For many, it’s also a time of rediscovery—figuring out what brings purpose, structure, and fulfillment now that work no longer defines their schedule or identity.

For a person in average to good health, the mid-retirement phase is commonly thought of as the period beginning around the early to mid-70s and lasting until the early 80s, or as long as the person remains able-bodied and high-functioning. Many individuals in this phase can live an independent and active lifestyle today, but this is likely to change as they age.

The late phase of retirement begins when a person’s health has declined to the point of requiring daily living support with little chance of restoration. Statistics from the American Association for Long-Term Care Insurance reveal that nearly 70% of all long-term care insurance claims begin after age 80. At this stage, the goal is that all the planning done during mid-retirement helps to make the transition as smooth and supportive as possible, ensuring a higher quality of life despite the potential for increasing care needs.

If you are approaching or in the mid-retirement phase, now is the time to plan for your later retirement years, while you are still active and able. Delaying important decisions about tomorrow’s needs may leave you and your loved ones facing difficult and often costly situations in the future.

One of the more important and complex decisions to consider in this planning process is where to live. The home and environment in which you live during these retirement phases play a significantly larger role in planning than many people realize and will likely impact nearly every aspect of your life and overall well-being.

Purpose of this book

Beyond motivating you or your loved ones to start planning, the primary goal of this book is to provide clear, straightforward information on the various retirement housing options- including aging in place- while also exploring the key considerations, benefits, and potential challenges of each. It is designed as a launching point to begin the research process as you contemplate the best retirement housing choice for yourself or a loved one with the understanding that even where you live today can potentially shape your future. No single choice is right for every person, and the path that is ultimately best will depend on your own unique set of circumstances and preferences.

There are numerous terms and labels used within and outside the senior living industry to describe the various living options. In this book, I will categorize each type of retirement community and clarify much of the terminology. Still, I urge you not to get too caught up in specific labels because a single term may be used in different ways by different people or organizations. By helping you understand how various retirement living options work and what to look for, you can consider how those options align with your desires and objectives without focusing so much on the labels or terminology.

As you learn about the various retirement living choices, keep in mind that paying for care and access to care are separate issues. For instance, owning long-term care insurance or having a substantial level of savings and assets will help pay for care, but it does not address the other aspect of the issue: where and how your eventual care needs will be provided and the impact it could have on your overall health and well-being.

Remember: You cannot possibly plan for every contingency because it is impossible to know exactly what the future holds, but by understanding the options, considering the pros and cons of each, and having advance conversations with loved ones, medical professionals, senior living providers, and other professional advisors, you can minimize and possibly avoid many headaches (and heartaches) in the future.

QUOTES

“We’re trying to reduce confusion among consumers, and we’re trying to help reduce financial anxiety around this decision.” (Brad)

“If people are confused about senior living or have concerns about affordability, they’re not going to move forward. Those are the things that delay the decision process.” (Brad)

“People don’t often understand that two communities may look very similar but actually work very differently and may be priced very differently.” (Brad)

“It’s so important to think not just about today, but about the future. Not just what it costs today, but what it could cost over your lifetime.” (Brad)

“Moving to a life plan community used to be celebrated as the last move you’d ever have to make. Over the years, I think that almost became a negative because it felt like such a final decision.” (Brad)

“It’s more important than ever to spend time in a community before you move, getting to know residents and making sure it feels like the right fit.” (Brad)

“Caring for a loved one is a privilege, but you also can’t deny how incredibly difficult the caregiving role can be emotionally, physically and even financially.” (Brad)

“What’s really important to me in my life right now, and why? That’s the real starting point.” (Brad)

“Nobody just wakes up and says, ‘I’m going to go check out senior living today.’ Something has caused them to start looking, and that’s what you have to understand.” (Brad)

“We feel the sales counselor should be the best resource someone has in this decision—not just someone representing a community, but someone helping them find what’s truly best for them.” (Brad)

“People just want a place where they feel comfortable, can be themselves, live with people they like, get up every morning, get involved with something and just be happy.” (Brad)

“When I ask residents what they like most about living here, the most popular answer I get is, ‘The people.'” (Brad)

NOTES

Brad Breeding is founder of myLifeSite, author of the newly released Your Best Path Forward and a nationally recognized speaker on senior living decision-making. A former financial advisor, he has spent more than 15 years helping older adults and their families better understand senior living options, financial planning and the aging journey.

Read an excerpt of Your Best Path Forward on the Varsity website.

myLifeSite is a consumer education and financial decision-support platform focused on helping families navigate senior living with greater confidence. The company also partners with senior living organizations, providing educational content and financial planning tools that help prospects better understand their options while supporting community sales and marketing teams.

Before founding myLifeSite in 2011, Brad worked as a financial advisor, where he saw firsthand how difficult senior living decisions could be for families. His newest book, Your Best Path Forward, is the third edition of his longtime consumer guide and explores the many paths available for retirement living. 

myLifeSite’s financial tools, including MoneyGauge, are now used by hundreds of senior living communities to help prospects evaluate affordability, compare scenarios and reduce financial uncertainty.

Brad believes one of the biggest barriers to senior living is confusion. Consumers often struggle to understand the differences between community types, pricing models and industry terminology, making it difficult to compare options.

Many people focus only on what they need today, but Brad encourages families to think about what they may need years from now. The best decision balances current lifestyle with future health, care needs and long-term financial considerations.

Cost concerns are about more than affordability. Many prospective residents worry about how a move could affect their estate, inheritance or long-term financial security, making education and financial transparency essential.

Adult children play an important role in the decision process, but Brad believes planning ahead can reduce caregiving burdens. He encourages families to focus on what provides the best care and quality of life, rather than feeling obligated to provide every aspect of care themselves.

Brad says the search process should begin with self-reflection. Before comparing communities, older adults should identify what’s most important to them, what concerns they have and what peace of mind looks like in the next stage of life.

Rather than acting only as salespeople, Brad believes community sales counselors should become trusted guides who educate prospects, answer difficult financial questions and help people determine which option is truly best for them.

While amenities matter, Brad believes relationships matter more. Residents consistently tell him the people are what they value most, making community culture, resident engagement and a strong sense of belonging more important than luxury features.

Looking ahead, Brad sees wellness and technology becoming even more central to senior living. He expects communities to rely more on partnerships, concierge-style services and holistic wellness programming that deliver greater value while helping residents live healthier, more connected lives.

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The following is a recap from Varsity’s Roundtable, 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. 

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Artificial intelligence is quickly becoming part of everyday life, and one of its most promising applications may be helping older adults stay connected, engaged and independent. 

That was the focus of a recent session of Varsity’s weekly Roundtable featuring Assaf Gad, VP of Strategy and General Manager at Intuition Robotics, the company behind ElliQ, an AI-powered companion created specifically for older adults. Gad shared how AI companions are helping reduce loneliness, personalize support and strengthen the circle of care without replacing family members or caregivers. Below are a few Fresh Perspectives from his discussion.

AI SHOULD STRENGTHEN HUMAN CONNECTION, NOT REPLACE IT

The most effective AI companions don’t replace caregivers or family members. They make it easier for older adults to stay connected to the people, services and communities that support them.

PROACTIVE AI CAN DRIVE BETTER OUTCOMES

The biggest difference between an AI companion and a voice assistant is initiative. By learning routines and offering timely prompts, AI can encourage healthier habits, stronger social connections and greater independence.

PERSONALIZATION BUILDS TRUST AND ADOPTION

Older adults don’t need to master the technology on day one. AI that adapts to each person’s pace, preferences and comfort level creates stronger engagement and long-term adoption.

THE GOAL IS INDEPENDENCE, NOT SURVEILLANCE

Successful AI solutions give older adults more control over their lives. Consent, dignity and user choice should remain at the center of every interaction and every connection with caregivers.

AI CAN HELP CARE TEAMS WORK SMARTER

AI companions can surface timely insights, automate routine check-ins and promote community programs, allowing staff to prioritize residents who need the most attention while improving engagement across the community.

VARSITY’S FRESH PERSPECTIVE

AI companions represent one of the most promising applications of artificial intelligence in senior living because they address a uniquely human challenge: connection. While much of the AI conversation focuses on automation and efficiency, technologies like ElliQ remind us that AI can also strengthen relationships, encourage healthy behaviors and help older adults maintain their independence. 

The most successful solutions won’t replace people, they’ll help people stay more connected to one another. For senior living organizations, the opportunity extends beyond adopting new technology, it’s about thoughtfully integrating AI into the resident experience and using it to support care teams and personalize everyday interactions.

QUOTES

“Everyone is an oldster. We deal with aspects of physical and emotional aging all the time. It’s not just an old person thing.” (Sari)

“We live in an ageist, youth-obsessed culture driven by capitalism. There’s money to be made by making aging a problem that needs to be solved.” (Sari)

“There’s no going back. You’re going to leave some things behind. That anxiety has morphed into curiosity about what other people’s experience is of getting older.” (Sari)

“When we’re not looking at ourselves in a mirror, we have these ideas of who we are that are based on past versions of ourselves.” (Sari)

“The intergenerational conversation happening on Oldster is helping people feel less trepidatious about aging. It certainly has for me.” (Sari)

“People kept telling me, ‘My life took off at 60… 65… 70… 75.’ They found new partners, new careers, stopped caring what other people thought and started taking risks. That really comforted me.” (Sari)

“Whenever we can really exhibit humanity in its truest form, it’s good. It reminds people they’re not alone in their humanity or their messiness.” (Sari)

“I like myself better than I ever have because I’ve become more myself. I’ve stopped trying to be who I think other people want me to be.” (Sari)

“I’m really just shooting my shot, and it’s paying off. As I get older, more confident and more skilled, I’ll shoot even bigger shots.” (Sari)

“I would say to anyone who feels behind in life: You do you. It’s okay not to be on track with everyone else.” (Sari)

“There is so much possibility in getting older. That’s one of the best things I’ve discovered.” (Sari)

“There isn’t just one right path. If you really listen to yourself and be your true self, you’ll find your right path. It might not match other people’s, but it will take you where you belong.” (Sari)

NOTES

Sari Botton is a writer, editor and founder of Oldster, a Substack publication exploring the emotional, cultural and personal realities of aging at every stage of life. A longtime journalist and essayist, she has become a leading voice challenging traditional narratives around growing older through deeply personal storytelling and intergenerational conversation.

Oldster is a reader-supported publication on Substack dedicated to reframing aging as a lifelong experience rather than something that begins in old age. Through essays, interviews and community discussions, it brings together readers of all ages to examine identity, relationships, purpose, grief, reinvention and the many realities of getting older.

Before launching Oldster, Botton served as an editor at Longreads, where she created the “Fine Lines” series that inspired the publication. She also edited the bestselling anthologies Goodbye to All That: Writers on Loving and Leaving New York and Never Can Say Goodbye: Writers on Their Unshakable Love for New York. She is currently working on an Oldster anthology expected in 2027, with plans for a podcast and television series that will continue expanding the conversation around aging.

Botton believes aging doesn’t begin at a specific age. She argues that everyone experiences aging throughout life as they move from one stage to the next, continually leaving behind previous versions of themselves.

She says our culture’s obsession with youth has turned aging into a problem to be solved, often fueled by marketing that profits from people’s fears about getting older.

One of the greatest benefits of the Oldster community has been creating conversations between generations. Hearing older adults share stories about finding new careers, relationships and purpose later in life helped ease her own anxiety about turning 60.

Botton believes one of the most overlooked realities of aging is grief—not only over physical changes, but also over saying goodbye to earlier versions of ourselves, changing relationships and unrealized dreams.

She encourages anyone who feels behind in life to stop comparing themselves to others and recognize there is no universal timeline. Every person’s path unfolds differently, and authenticity matters more than keeping pace with peers.

Rather than presenting an idealized version of aging, Botton believes sharing the messy, imperfect parts of life helps people realize they aren’t alone and creates deeper human connection.

Looking back on her own journey, Botton says growing older has made her more comfortable with herself, more willing to take risks and more interested in pursuing new creative passions. She believes aging brings far more possibility than most people realize.

The following is a recap from Varsity’s Roundtable, 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. 

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Art has the power to do something facts and statistics often can’t: change the way people see one another. In senior living, where outdated stereotypes about aging still influence everything from marketing to everyday interactions, creativity can become a powerful tool for reshaping perceptions and celebrating the richness of later life. 

That’s exactly the focus of Meg LaPorte and Jordan Evans, co-founders of Art Against Ageism, who joined Varsity’s weekly Roundtable to share how storytelling, public art and interactive experiences are helping challenge ageism and inspire more authentic conversations about aging. Below are a few Fresh Perspectives from their discussion.

AGEISM IS OFTEN INVISIBLE UNTIL YOU LOOK FOR IT

Age bias often appears in subtle ways, from marketing imagery to everyday language. Regularly auditing communications and customer experiences can uncover hidden stereotypes.

PUBLIC ART CAN STRENGTHEN COMMUNITY CONNECTIONS

Murals and interactive installations invite engagement, generate conversation and help position senior living as an active part of the local community.

AUTHENTICITY BUILDS TRUST

Showing real residents, real experiences and everyday life creates more credible storytelling and helps families connect before they ever visit.

SMALL EXPERIENCES CAN CHANGE BIG BELIEFS

Interactive activations don’t have to be elaborate. Simple, thoughtful experiences can spark conversations that reshape perceptions of aging.

STORIES BRING PEOPLE TO LIFE

Portraits capture attention, but personal stories create emotional connection and help audiences see people instead of stereotypes.

FIGHTING AGEISM TAKES AN ORGANIZATION-WIDE EFFORT

Marketing matters, but lasting change also comes from staff, partnerships and everyday interactions that celebrate aging with dignity.

Consider this: 45% of LGBTQ+ older adults report a lack of companionship, and nearly half feel socially isolated. Those realities underscore why inclusive, affirming environments in senior living aren’t optional, they’re essential. As communities continue working toward more person-centered experiences, conversations around belonging, trust and cultural competency matter more than ever.

As part of Varsity’s Pride Month celebration, we caught up with Karen Cushing, Director of SAGECare Business Development and a past guest on Varsity’s weekly Roundtable. Karen has spent years helping senior living organizations better support LGBTQ+ older adults through education, advocacy and practical guidance. In this Q&A, she shares insights on inclusion, connection, Pride programming and the small actions that can make a meaningful difference.

DESCRIBE YOUR ROLE AT SAGECARE AND THE WORK SAGECARE IS DOING TO SUPPORT LGBTQ+ OLDER ADULTS. 

As Director of SAGECare Business Development, I build partnerships to expand LGBTQ+ cultural competency training across aging services, healthcare, and community providers. My work focuses on meeting organizations where they are and helping them take practical steps toward becoming more inclusive and affirming.

SAGECare supports providers with training and credentialing that improve care for LGBTQ+ older adults, ensuring they can age with dignity, respect, and a sense of belonging. This work addresses longstanding gaps, helping reduce fear and barriers rooted in past discrimination by creating environments where people feel safe being their authentic selves.

WHY DO SO MANY LGBTQ+ OLDER ADULTS STILL HESITATE TO TRUST HEALTHCARE AND SENIOR LIVING PROVIDERS? 

Many LGBTQ+ older adults approach care with caution shaped by past discrimination, including bias, denial of services, or having to hide who they were to stay safe. These experiences, rooted in a time when being openly LGBTQ+ could risk jobs, housing, or safety, still impact trust today.

Even now, gaps in cultural competency and small signals; like non-inclusive forms or assumptions, can reinforce hesitation. That hesitation is not misplaced; it’s informed by lived experience. SAGECare’s work helps rebuild trust by supporting providers in creating environments where LGBTQ+ older adults feel seen, respected, and safe being themselves.

WHY IS LONELINESS AND ISOLATION SUCH A SIGNIFICANT ISSUE WITHIN THE LGBTQ+ OLDER ADULT COMMUNITY? 

Loneliness and isolation are significant challenges for many LGBTQ+ older adults, often because traditional support systems haven’t been available or safe. While many have built strong “chosen families,” those networks can shrink over time due to loss, illness, or distance.

Stigma and fear of discrimination can also lead people to withdraw from services or even hide their identity again, making it harder to find connection. Combined with a lack of inclusive aging spaces, this can deepen isolation.

At SAGECare, we see inclusion as key to addressing this, when environments feel safe and affirming, people are more likely to connect, engage, and build a true sense of community and belonging.

WHAT ARE SOME OF THE SMALLEST CHANGES SENIOR LIVING COMMUNITIES CAN MAKE THAT HAVE THE BIGGEST IMPACT ON LGBTQ+ RESIDENTS FEELING SAFE AND WELCOME? 

Small changes can have a big impact because they signal that people are seen and belong. Inclusive language on forms, visible affirmations like Pride symbols, and clear nondiscrimination statements all help create a sense of safety.

Staff training is just as important, using chosen names and pronouns, avoiding assumptions, and showing respect in everyday interactions can build trust. Creating inclusive programming and opportunities for connection further fosters belonging.

It doesn’t have to be complex to be meaningful. Consistency, authenticity, and respect go a long way in helping LGBTQ+ residents feel safe, seen, and at home.

HOW CAN PRIDE MONTH PROGRAMMING MOVE BEYOND CELEBRATION AND CREATE MORE MEANINGFUL CONNECTION INSIDE SENIOR LIVING COMMUNITIES? 

Pride Month programming can go beyond celebration to build real connections in senior living communities. While visibility and joy matter, the greatest impact comes from creating space for storytelling, shared experiences, and meaningful conversation that foster empathy.

Pride can also serve as an entry point for education through staff training, resident discussions, and intergenerational programs that deepen understanding and support more inclusive interactions.

The key is continuity using Pride as a catalyst for year-round inclusion through ongoing programming, policies, and daily practices. When done with intention, Pride becomes more than a moment; it helps ensure LGBTQ+ residents feel seen, valued, and connected every day.

Getting older is, as J.J. Hubal puts it, “a very big deal,” and pretending otherwise doesn’t do anyone any favors. What does help? A little honesty, a healthy dose of curiosity and, perhaps most powerfully, a well-timed cartoon. 

Bestselling author, cartoonist and former special education teacher J.J. Hubal joined Varsity’s weekly Roundtable recently to share the ideas behind her book, Goodbye Old, Hello Bold, a work that challenges long-held stereotypes and invites people to embrace aging with confidence and humor. Below are a few Fresh Perspectives from her discussion.

HUMOR OPENS THE DOOR TO HARD CONVERSATIONS

J.J. demonstrated how humor and cartoons can make sensitive topics like aging, loss, health and change feel more approachable. Participants were reminded that laughter can create space for honest reflection and meaningful conversations.

AGING REQUIRES LETTING GO BEFORE MOVING FORWARD

One of J.J.’s central themes was that aging well isn’t about denying reality. It’s about acknowledging what’s changed, letting go of what no longer fits and creating room for new possibilities, experiences and relationships.

COMMUNITY OFTEN OUTWEIGHS CONVENIENCE

Discussions about downsizing, aging in place and senior living reinforced that people aren’t just choosing a place to live. They’re choosing connection, purpose and belonging. For many older adults, the real value of a move is gaining community rather than simply reducing maintenance.

THE BIGGEST AGING DECISIONS START WITH CONVERSATION

Whether discussing downsizing, future living arrangements or changing family dynamics, participants were reminded that proactive conversations are far better than waiting for a crisis. Open communication creates more choices and better outcomes.

AGING ISN’T ONE-SIZE-FITS-ALL

Health, finances and relationships affect everyone differently. J.J. encouraged attendees to focus less on aging stereotypes and more on helping people navigate their own unique circumstances with honesty, flexibility and self-awareness.

PEOPLE CONNECT WITH AUTHENTICITY

The strongest themes in J.J.’s work came from real-life experiences, frustrations and observations. Participants were reminded that the most relatable stories, messages and marketing often come from genuine human experiences rather than polished talking points.

The future of senior living may depend less on new buildings and amenities and more on whether the industry is willing to rethink culture, autonomy and the resident experience itself. In this episode of Varsity’s Roundtable Talk, Derek sits down with Steve Moran, founder and publisher of Senior Living Foresight, one of the industry’s most influential media platforms.

Known for his candid commentary and sharp observations, Moran has spent years challenging operators to rethink leadership, culture, transparency and the overall resident experience. Derek and Steve discuss why the industry may have more of a culture crisis than a staffing crisis, how operators can better empower residents and families and why storytelling may be the key to changing perceptions of senior living for future generations.

Check out the full episode here.

WHAT’S THE REAL STORY IN SENIOR LIVING RIGHT NOW THAT PEOPLE AREN’T TALKING ABOUT ENOUGH?

As you know, we have great occupancy. We’ve had the best occupancy that we have ever had in my lifetime. And that’s really, really good news. What’s interesting to me, there are two things that are really interesting to me. The first is that when I talk to operators and leaders, there seems to be a sense of apprehension or fear like, ‘This is really good, but it feels like disaster is just around the corner.’ Probably some of that’s from the COVID hangover.

The other thing is we have operators who are just crushing it at huge margins and huge occupancies, while there are still some people out there that are really, really struggling. So much of it comes down to the operator and how they run their business because it can be super successful or really, really tough.”

ARE SENIOR LIVING COMMUNITIES TRULY ALIGNED WITH WHAT TODAY’S OLDER ADULT WANTS?

There’s this widespread belief that baby boomers are going to want something very different. I think there are a few things, but mostly as we get older, we’re going to want the same things people have always wanted.

Part of the biggest problem is that if we’re honest about the industry, senior living is still the last resort. I choose senior living when I can no longer live at home. That might mean I don’t want to take care of my yard anymore, I don’t want to cook or grocery shop anymore or it might mean I have real care needs. I’m not sure the industry is fully aligned with what people actually want because too often the focus is on providing the least amount of service at the lowest cost to maximize margins.

WHAT ARE OPERATORS DOING WELL RIGHT NOW — AND WHAT ARE THEY STILL GETTING WRONG?

I think operators are getting dining pretty right. They understand that dining is one place they touch residents’ lives three times a day. I think transportation is improving too and communities are building better physical spaces.

But I think they’re still not giving residents enough control over their own lives. I heard from a resident recently who said they were thrilled because residents had finally won the ability to choose what channel played on the TV behind the bar four days a week. And I’m thinking, this shouldn’t even be a battle. Those are the kinds of things I think we’re still getting wrong.

IS THE WORKFORCE CRISIS REALLY A STAFFING PROBLEM?

I don’t think we have a real staffing crisis. I think we have a culture crisis.

As long as there are people willing to work at McDonald’s, Taco Bell and Starbucks, we don’t have a staffing shortage. We have organizations that haven’t created cultures where people feel valued, appreciated and connected to purpose.

When you create a great work environment where people feel like they’re changing lives and love coming to work every day, they tell their friends about it. Goodwin House gets something like 900 applications a month. They hire the best people and the rest go elsewhere. That tells me the problem isn’t a lack of workers. It’s culture.

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This collaborative article features insights from Derek Dunham of Varsity, MaryJane Fitts of Greystone Communities and Cameron Martin of The Highlands at Wyomissing following their presentation at the LeadingAge PA Annual Conference.

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Senior living waitlists were originally designed to solve a simple problem: hold future demand until an apartment becomes available. But today’s senior living consumer journey is far more complex than simply adding a name to a list and waiting for the phone to ring.

That’s why more senior living communities are rethinking the traditional waitlist model and moving toward membership-based programs designed to create earlier engagement, stronger emotional connection and more predictable occupancy growth. 

That topic was front and center during a recent presentation at the LeadingAge PA Annual Conference, where Varsity’s Derek Dunham joined MaryJane Fitts of Greystone Communities and Cameron Martin of The Highlands at Wyomissing to discuss how communities can transform passive waitlists into active membership experiences.

WHY TRADITIONAL WAITLISTS ARE FALLING SHORT

The conversation focused on a growing challenge facing senior living sales teams. Traditional waitlists often create long periods of inactivity. Prospects join, disengage and remain emotionally disconnected from the community. Sales teams spend time servicing depositors without always knowing who is truly ready to move. Meanwhile, demand for senior living continues to rise as the 80+ population grows rapidly over the next several decades.

Today’s prospects also move through the decision-making process differently than previous generations. Some are actively planning for a move within the next year. Others may be exploring options years in advance. Treating every prospect exactly the same creates friction for both sales teams and future residents.

THE HIGHLANDS AT WYOMISSING: A MEMBERSHIP MINDSET

The Highlands at Wyomissing offered a real-world case study of how communities can rethink the process. With a current waitlist of roughly 460 prospects and approximately 30 to 35 move-ins annually, the organization sees an opportunity to better align engagement with how prospects actually make decisions today.

Rather than treating every prospect the same, The Highlands is developing a tiered Future Residents Club built around different levels of readiness. The Reserve Club is designed for individuals likely to move within 18 months and includes a larger refundable deposit alongside priority benefits and incentives. The Explorer Club will focus on prospects who may still be three to five years away from moving but want to remain engaged with the community over time.

The organization also hosted focus groups with both current and future residents while developing the program. One key takeaway emerged quickly: simple was better. Prospects wanted clarity around expectations, benefits and next steps rather than overly complicated structures or processes.

BUILDING CONNECTION BEFORE MOVE-IN

The shift reflects a broader understanding of how senior living decisions are made today. Prospects don’t fall in love with floor plans or amenities. They connect emotionally to lifestyle, relationships and community identity. That’s why membership-based programs often include dining experiences, events, lifestyle access, downsizing support and financial planning guidance long before move-in occurs.

The goal is not simply to create more activity. It’s to create more meaningful engagement that shortens decision timelines, improves confidence and strengthens future occupancy pipelines. Communities also benefit operationally through clearer engagement paths, more intentional sales conversations and stronger prioritization of near-term move-ins.

The communities that win in the years ahead will be the ones that build relationships long before a move-in ever happens. Membership-based programs create that opportunity by turning future residents into active participants in community life earlier in the journey. 

The future of aging services may depend less on adding more programs and more on rebuilding something many communities have quietly lost: human connection. 

Across healthcare, caregiving and senior living, loneliness and isolation are increasingly driving both physical and emotional health challenges, forcing organizations to rethink how care, housing and support systems are designed for a rapidly aging population. That was the focus of a recent conversation on Varsity’s weekly Roundtable featuring Angela Bovill of Ascentria Care Alliance, who shared insights drawn from decades of experience across the broader human services landscape. Below are a few Fresh Perspectives from her discussion.

ISOLATION MAY BE THE BIGGEST HEALTH CRISIS WE’RE OVERLOOKING

Across nearly every population Ascentria serves, loneliness and disconnection are driving both mental and physical health challenges. Aging services can’t just focus on care delivery anymore — they also have to rebuild human connection and community.

PEOPLE DON’T LIVE THEIR LIVES IN CATEGORIES

Aging, disability, caregiving, immigration status and economic hardship often overlap in the same person or family. Systems built around isolated labels and funding silos don’t reflect how people actually live or what holistic care truly requires.

AI SHOULD REDUCE ADMINISTRATIVE BURDEN, NOT REPLACE HUMAN CARE

Technology can absolutely help streamline paperwork, compliance and back-office work, but replacing companionship, empathy and trust with AI risks deepening the very isolation already harming people.

MULTIGENERATIONAL AND SHARED LIVING MODELS ARE LIKELY TO GROW

Traditional aging-in-place models may become increasingly difficult as workforce shortages intensify. ADUs, co-living arrangements and multigenerational housing could become more practical, affordable and socially connected alternatives.

SENIOR LIVING COMMUNITIES NEED TO MOVE BEYOND “CARETAKING”

Older adults still want purpose, contribution and engagement with broader communities. Future models will need to create opportunities for residents to mentor, volunteer, work and remain integrated into everyday life rather than simply being cared for.

SOCIAL ENTERPRISES CAN CREATE BOTH IMPACT AND FINANCIAL STABILITY

By turning mission-driven expertise into sustainable businesses, organizations can generate revenue, create jobs and reduce dependence on shifting government funding or donor priorities.

THE FUTURE OF AGING SERVICES WILL REQUIRE BIGGER, MORE CREATIVE THINKING

Current systems were largely built for a different era of family structure, economics and longevity. Solving today’s aging challenges will require reimagining housing, caregiving, workforce development and community connection at the same time.