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.

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: 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

Total Number of Units* / Number of Units
Available / Waiting list
(in years) / Number of Residents*
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

*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:……………….

………………………………………………………………………………………………

FACILITIES AND SERVICES

/ Avail-able / Included in Fee / Costs
($) / Comments /
I. FACILITIES
Bank
Beauty/Barber Shop / X / Varies
Billiard Room
Bowling Green
Card Rooms / X
Chapel/Denomination / Various religious services conducted in community room
Coffee Shop
Dining Room – Guest policy / X / $4-$7 guest meal
Dining Room– Seating policy / X / No Seating Policy
Private Dining Room / X
Type of Meal Plan? / X / IL- 1 Meal included. AL: 3 Meals Included.
Number of meals a day
Required? / X / See Above.
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 Facilities / X
Library / X
Daily Newspapers / X
Pets / X / $25/Mo.
Putting Green
Storage Bins / X
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 month / X / Once per week.
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!