Effects of On-Site Comprehensive Service Access with Service Coordination on Selected Health Outcomes in Retirement Communities in the U.S.A.

Increasing numbers of older adults are entering congregate senior housing, such as continuing care retirement communities (CCRCs) and independent living communities (ILCs), where different levels of on-site comprehensive service access are provided. The purpose of this study was to examine the effects of on-site comprehensive service access on physical functioning and psychological well-being among older adults residing in two congregate senior housing facilities. In-person interviews were conducted with 140 residents living in independent apartments in a CCRC and an ILC. Multiple logistic regression showed that residents of the CCRC had a greater sense of control over their future health (OR = 2.51, p = .04) and more interest and pleasure in daily activities (OR = 3.27, p = .04) compared to ILC residents. No differences in ADLs, IADLs, or perceived quality of life were found between these two groups. These findings serve as a first step in examining the potential benefits of on-site comprehensive service access on the health and well-being of residents living in retirement communities.