The 1818 Society Questionnaire for Ccrcs

The 1818 Society Questionnaire for CCRCs

PART I: Organization Name: Kensington Park Retirement Community Name of 1818 member: Charlotte Jones Carroll (daughter of resident) (* Who will also act as the CCRC contact for communication with interested 1818 members.)

If you wish, please write a short paragraph describing the setting of your facility (urban, rural, water) and what you see as the attractions of the Community for 1818 Society Members.

Kensington Park Retirement Community, located in Kensington Maryland, provides Independent Living, Assisted Living, and Specialized Alzheimer’s/ Dementia Care.

Located on 8 picturesque acres, Kensington Park offers a park-like setting backdrop to its three Victorian-style residences.

1 PART II *Organization Name: Kensington Park Retirement Community *Point of Contact/Sales Representative: Randy East, Director of Sales and Marketing *Address: 3620 Littledale Road, Kensington, Maryland 20895 *Phone: 301-946-7700 Fax: 301-929-4030 *E-Mail: [email protected] Web site: www.kensingtonretirement.com *Facility Operator/Parent Organization: CRSA, Inc *Setting: 8 acres in Kensington Maryland *Number of Years fully operational: 14 *Assessment/Accreditations- N/A CAPACITY Number of Waiting list Number of Total Number of Units (in years) Residents* Units* Available Independent Living 60 0 N/A 64 Apartment - Studio 15 0 0.5 16 Apartment - lBDRM 14 0 0.5 15 Apartment - 2BDRM 31 0 1 33 Cottage/house N/A N/A N/A N/A Assisted Living 140 1 N/A 150 Skilled Nursing N/A N/A N/A N/A

*Male/Female ratio: EHO Prohibited

*Type of Ownership: Not for Profit For Profit Registered as: Insurance Co. Health provider Other

*CCAC Accredited: Yes No

*Form of Contract: Life Care Fee for Service Continuing Care Assign Assets Equity Entry Fee Rental

*Refund Provisions: 90% 75% 50% Prorated Other Options: N/A Conditions: Entrance fee consists only of community fee equal to 45 days rent

*Range of Entrance fees in 2008: $2430- $8700

*Range of Monthly fees in 2008: $1620- $5800

*Typical extra costs on a monthly bill: Level of Care: $600-$1600

2 *Sign Up Policy (Deposit required?)$500 refundable Wait List Deposit.

*Types of Medical Insurance required: N/A *Type of Health Care Benefits included: Assisted Living and Dementia Care *Medicare Certified: Yes No *Medicaid Certified: Yes No

*Entry Requirements (Minimum Age): 55 Years Old *Average age on entry: EHO Prohibited *Average Time on Waiting List: 1 month- 2 years *Average No. of years in facility: 24 Months

Religious Affiliation of Facility: None

*Type of Facility: Multi-story Single Story Both

Miles to Shopping: 1 Mile *Miles to Hospital: 2 Miles Access to Public Transportation: Yes No Distance? Entrance of Property

*Return Home Policy After Acute Leave: N/A

*Coordination/connection of Assisted Living with Independent Living facilities: Independent Living, Assisted Living, and Alzheimer’s/ Dementia Services provided at Community; priority in AL/Alz access given to IL residents.

*Please advise us of any issues that have been registered with the CCAC, BBB or local health authorities in the past 5 years and how these were resolved: none

Please summarize below any other information you consider relevant:………………. ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ………………………………………………………………………………………………

3 FACILITIES AND SERVICES Avail- Included Costs Comments able in Fee ($) I. FACILITIES Bank Beauty/Barber Shop X Varies Billiard Room Bowling Green Card Rooms X Various religious services Chapel/Denomination conducted in community room Coffee Shop $4-$7 guest Dining Room – Guest policy X meal Dining Room– Seating No Seating Policy X policy Private Dining Room X IL- 1 Meal included. AL: 3 Type of Meal Plan? X Meals Included. Number of meals a day See Above. X Required? Alcohol in restaurant? Convenience store X Shuttle Offered. Courses/lectures X Craft Rooms X Dry cleaning/laundry X Exercise Facility/Spa Parking - Indoor Parking - Outdoor X Golf Course Access Internet Access/Computer X Facilities Library X Daily Newspapers X Pets X $25/Mo. Putting Green Storage Bins X

4 Avail- Included Costs Comments able in Fee ($) Swimming Pool - Indoor Swimming Pool – Outdoor Tennis Courts; how many? X 1 Court Workshop Other (eg. Marina) II. SERVICES 7/24 Emergency Response X Medication Management X Assisted Living Only Wellness Clinic X Activities Program X Assistance w/taxes/bills All Utilities except phone X Cable not included. Apartment maintenance X Basic Cable X Varies Housekeeping, times per Once per week. X month Linens provided X AL Only Linens Laundered X AL Only Personal Nursing/home care X AL Only Special Diets Available X Tipping policy X No Tipping Transportation – personal X Varies Transportation - scheduled X Individual gardens On-site Travel Agent X Varies Wi-fi

*Authorized Signature ………………………………………………… Date ………...

*Name Randy Allen East *Position Director, Sales and Marketing

Thank you!