This article is exclusive content for SHN+ subscribers. In senior living, there is a perception that independent living has evolved into yesterday’s assisted living, and assisted living has turned into yesterday’s skilled nursing. While this oversimplifies the senior living care continuum, the increasing acuity levels of residents are influencing major decisions at large operators, from staffing to community repositioning strategies.
The distinction between independent living and assisted living has become less clear, forcing operators to carefully balance the services they offer. Striking this balance is crucial to maintain service quality without compromising margins. During conversations with providers at Senior Living 100, it is clear that acuity is a top concern for many executive teams.
Acuity is shaping how providers approach operations and growth strategies. Operators are making smaller strides in growth, focusing on less ambitious additions or renovations, and adjusting their exposure to different levels of care to ensure long-term financial stability.
The challenges associated with higher acuity levels include attracting and retaining licensed care staff and managing the associated costs. Despite improvements in staffing conditions, finding qualified care staff remains a key challenge for senior living operators.
Operators are increasingly aware of potential future regulations that may impact staffing requirements, particularly in assisted living, memory care, and long-term care. Some states are already implementing acuity-based staffing tools to regulate senior living communities. As the industry evolves, operators must adapt to changing regulations and find creative ways to connect with care staff.
Providers are investing in their core team and exploring growth pathways while considering the impact of shifting acuity levels. Differentiation among providers is becoming more pronounced, with some focusing on specialized care while others emphasize active adult or independent living offerings.
As the senior living landscape continues to evolve, operators must navigate the challenges and opportunities presented by changing acuity levels to ensure the delivery of high-quality care while maintaining financial stability.
