Skip to main content

✨ Ageism in Managed Senior Communities

"Disrupting the Status Quo of Senior Living: ...
Author Last Post

Thanks Patrice.


Richmond Shreve

NaCCRA Board Member

Forum Moderator

Input Needed on the Impact of

Ageism in Health Care

Comments due Saturday, March 15, 2025
 
The U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality is seeking information regarding the impact of ageism in health care. This request is open to the public and is part of an effort to better understand and quantify the impacts of ageism on health care quality, including aspects related to safety, timeliness, patient-centeredness, equitable distribution, and care outcomes. They are also seeking to understand how the effect of ageism differs across population groups and are interested in identifying efforts and innovative strategies and programs that address and mitigate ageism to optimize older adults' health.

Details on how to submit comments are available in the Federal Register notice.
Go to the Federal Register
https://www.federalregister.gov/documents/2024/12/27/2024-31074/request-for-information-regarding-the-impact-of-ageism-in-healthcare
For additional information, email Jose.Plascenciajimenez@ahrq.hhs.gov or call 301-427-1364.
Go to the Federal Register

I hope you will add your comments about ageism in CCRCs to the Federal Register as well as post on the NaCCRA forums.

Let me admire your willingness to speak up so clearly.

Yes Sharon, ageism is alive and well in retirement communities of all kinds in this vast industry. As you are aware, the industry has government regulated parts (nursing homes, rehabilitation units, clinics, etc.) in which ageist abuse is less likely, but it still happens. At least this part has government oversight. However, residents routinely move into the unregulated independent living part of the industry where there are no mandated guardrails. So what do we do?

Perhaps we can start a conversation on this relevant topic and see if we can encourage others to join in. Hopefully we can increase awareness which is the first step to making a difference. Just so you know, we have heard this before.



Thanks - purchased the book now that the price is more reasonable. I moved into Asbury Methodist Village/Maryland in 2020 with an identity as an aging person. The unconscious bias I experienced - active in MaCCRA - has been a rude awakening. I'm fighting against it as a still-working professional, building my own company.

A twenty percent (20%) on the book is available on the publisher's website. For details, click the button below:

Read More


This offer came to us as a result of the comments on this Forum. NaCCRA is not receiving any compensation for posting this offer. The publisher volunteered it because they are aware that some retailers have set a high price on the book and they wanted that not to be a barrier to members purchasing it.


Richmond Shreve

NaCCRA Board Member

Forum Moderator

It is vitally important for retirees to get a grasp on the effects of ageism on our daily lives! Our health, happiness, and longevity depends on it. Studies abound on how elders who receive better regard do better and live longer, and that's a fact.

The attitudes that drive ageism, and the other discriminatory "isms," are so deeply ingrained in our attitudinal systems as to function out of sight.

Jill Vitali-Aussem's book is a milestone work of benefit to providers and retirees alike. It is the first giant step toward more equitable retirement living. This book is well worth the investment. Every retirement community would benefit from having a copy in the library, or a few to loan about.


Many providers operate out of an attitudinal system called the medical-model by which elders are considered to "have something wrong with them." Then, the provider's job becomes "how to fix it," and the provider acts as the expert. That sets up a power differential that is not good for the recipient. Growth and well-being does not emanate from merely fixing what is wrong.


The book demonstrates a strengths-model system in which persons talents, assets, experience, expertise, desires, and hopes are integrated into mutually collaborative interactions to enhance the strengths. Different huh? Strength model thinking is enriching for provider and recipient alike, it is forward looking and growth producing.


Let's start sharing the insights we each glean from this enlightening book, to see what we come up with.



This book is in high demand.

Also on Thriftbooks.com and a couple of other online sellers.

This book, "Disrupting the Status Quo", is available at Health Professions Press for $31.99.



The Amazon Prime link that is provided shows a cost of $56 for the 180 page paperback. I was prepared to order the book but the price seems way out of line. Can anyone explain this?

I agree with all the folks who have praised the book "Disrupting the Status Quo". A small group of us here at Applewood (in Massachusetts) used the book for a series of gatherings of residents to talk about enhancing the life in our community. It resulted in a number of ad hoc committees that made recommendations for our "cluster" or neighborhood groups, for our active residents' association, for changes in staffing and changes in a number of policies. It was very successful - the administration was a part of many of the discussions and very supportive of our efforts..

I agree with Kay Roberts in recommending Jill Vitale-Austin's book. Here's what I wrote about the book last year in these forums:


"I highly recommend to any NaCCRA member a very engaging book called "Disrupting the Status Quo of Senior Living".


If you wonder what's the appeal of the book for us in NaCCRA...


It's a call for action to transition CCRCs from the old institutional "hospitality" mindset to vibrant communities. It's a call to CCRCs to enliven their residents by engaging and empowering us as welcome collaborators in the building of our own communities. It's a shout out to CCRC managements and staff -- and to residents!! -- to transform the culture from a brainless resort for the aged to a campus of possibilities, active engagement and growth.


This 2019 book calls for an end to agism and paternalism. And it calls for a radical new emphasis on empowering residents to collaborate in solving the problems and creating thesolutions that will make their communities stronger, more enlivening, more social, less isolating and more resilient.


You might say that the book sounds like it was written by a NaCCRA activist. But it was actually authored by a woman who is now the CEO of the management company for a group of CCRCs in Colorado -- Jill Vitale-Aussem of the Christian Living / Cappella group of 9 CCRCs. During her lifelong career leading senior living facilities of several kinds, she has become fired up by the insights of innovative culture-change nonprofits like the Eden Alternative.


This 180-page quick and inspiring read is available in paperback and Kindle here: https://www.amazon.com/Disrupting-Status-Quo-Senior-Living-ebook/dp/B07WHDQLYP/ref=sr_1_1


-Barry Peters

I'll post this on the Ageism forum as well. It cuts across several concerns we all have: costs, ageism, and continuum of care issues.

-------- ChatGPT--------

"Disrupting the Status Quo of Senior Living: A Mindshift" by Jill Vitale-Aussem challenges traditional approaches to senior living by addressing societal biases such as ageism, paternalism, and ableism. Drawing from her extensive experience in managing senior living communities, Vitale-Aussem critiques the prevalent hospitality model, arguing that it can inadvertently diminish residents' sense of purpose and independence. She advocates for creating environments that promote autonomy, self-efficacy, and meaningful engagement for older adults.

HealthPro Press

The book has received positive reviews:

  • Amazon: Readers commend the book for its insightful critique of current senior living practices and its call for transformative change.
  • Amazon
  • Goodreads: Users appreciate the author's perspective on fostering vibrant, purpose-driven communities for elders.
  • Goodreads
  • Midwest Book Review: The publication describes the book as "exceptionally well written, organized and presented," recommending it for personal reading and academic collections.
  • HealthPro Press

These reviews highlight the book's impact in encouraging a reevaluation of senior living paradigms to better support the well-being and growth of older adults.

-------- end ChatGPT---------


Richmond Shreve

NaCCRA Board Member

Forum Moderator

Return to Forum