Residential care communities shifting focus towards community living for aging Americans

Black Americans are less likely to use assisted-living facilities and more likely to live in nursing homes. This means older Black Americans might miss out on living situations that can help them stay connected, avoid feeling lonely, and get assistance with daily tasks while still being independent. The data shows that Black people are not well represented in assisted-living communities, making up only 4.9% of residents, while they are overrepresented in nursing homes at about 16%. On the other hand, white Americans make up 88% of residents in assisted-living communities, even though they are 75% of the population over 65. The cost of living in an assisted-living facility is high, at $4,500 per month or $54,000 per year, making it unaffordable for many Black Americans. This financial barrier, along with the complex process of paying for long-term care, contributes to the underrepresentation of Black individuals in assisted-living communities. Despite the challenges, some families, like that of Indiana state Sen. Gregory Porter, choose to care for their elders at home to honor their wishes and provide comfort. As more nursing homes catering to Black residents close, there is a gap in cultural understanding in long-term care facilities. This has led to fewer Black Americans moving into assisted-living communities. However, there is a growing interest among Black individuals in assisted living for dementia care. Researchers are studying the affordability, staffing, and equity challenges in long-term care to address the disparities in access to different care options.