Sarah Biren
Sarah Biren
February 16, 2024 ·  6 min read

Goodbye Nursing Homes? New Trend: CoHousing With Friends!

When we plan for our retirement years, nursing homes or living alone with a home health care aid is not exactly the first thing that comes to mind. Unfortunately, however, as much as we dread the thought, there may come a day when our family will be faced with the tough decision of whether or not to move us into a nursing home. But maybe we should consider senior cohousing instead! Luckily for us, the world is evolving, and nursing homes might be becoming a thing of the past. How? …Well, something called “senior cohousing” is making its rounds. And we should all be very excited!

What is Senior Cohousing?

Swansea, UK: April 27, 2019: Residential mobile homes for retired persons only with gardens and car parking spaces.
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Senior cohousing neighborhoods were actually created in Denmark in the early 1960s and brought to North America in 1988. Due to the boomer generation looking for more desirable alternative living arrangements, cohousing has been growing in popularity and has picked up steam in recent years.

A cohousing community is intended to ensure that each senior who lives there can enjoy privacy and have a space of their own (their own house or apartment) while also being able to take advantage of shared spaces. Essentially, it’s seniors living in their own space, surrounded by THEIR friends who share things like the dining area, library, fitness center, garden, TV room, and more – how exciting!

A Greater Alternative for Seniors

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For those looking for a more comfortable and enjoyable way to spend their senior years, cohousing comes with many advantages such as:

1. Greater Quality of Life (Mentally and Emotionally)

Group Of Senior Friends Hiking In Countryside
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Nursing homes can be depressing. Many seniors fear moving into a nursing home because they see it as a final destination before the end of their life. Living in a nursing home can lead to feelings of loneliness and isolation, a primary cause of poor health among older adults.

2. A Real Community

Multiracial senior people doing stretching workout exercises outdoor with city park in background - Healthy lifestyle and joyful elderly lifestyle concept - Focus on right man face
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This is probably the biggest benefit because seniors get to have their OWN friends nearby making it easier to share time and activities. Seniors who live alone face a real risk of loneliness, and a tight-knit community eliminates that risk.

3. More Privacy

Comfort relaxed senior old elderly woman grandmother drinking hot beverage tea coffee at home looking at camera in the living room. Pension concept.
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Unlike assisted living which puts seniors in close quarters with other residents, senior cohousing provides residents with their own house or apartment!

4. More Affordable

Senior mature business woman holding paper bill using calculator, old lady managing account finance, calculating money budget tax, planning banking loan debt pension payment sit at home kitchen table.
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It generally costs much less than nursing homes or assisted living, since seniors share resources with their friends. The sharing concept of senior cohousing can really help ease the financial burden many seniors face.

5. Safety

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It’s safer than living alone. For seniors who risk falling in their homes and getting stuck there for hours is a huge concern. In a cohousing community, neighbors who anticipate seeing you every day will notice if you’re not around.

6. You Have A Say

Senior couple, financial advisor and documents for budget, expense or retirement plan on living room sofa at home. Elderly man and woman in finance discussion with consultant, lawyer or paperwork
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For seniors that move into cohousing communities, they’re able to sound in on the details of the way it’s being run and any adjustments that get made. Every resident has a voice!

Any Downsides?

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When looking at the downsides of senior cohousing, the only negative we really found was that it doesn’t offer the same level of care as assisted living would. Some residents often can get help from their neighbors for smaller needs, like in 70-year-old Margaret Critchlow’s case. Margaret had to have hip replacement surgery, and she says: “When I got home from the hospital, our neighbors made it so easy for my husband and me while I recovered, helping us and providing meals.”

However, not all neighbors can be expected to offer the level of care that assisted living staff, and in-home care aids provide. For seniors who reach a point where they need that special level of care (and who live in a senior cohousing unit), they will need to hire someone to come each day to help.

How Do Nursing Homes Compare To Senior Cohousing?

Female home carer supporting old woman to stand up from the armchair at care home
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There are some advantages to nursing homes like access to trained physicians on-site. However as we stated above, many people feel that the drawbacks of living in a nursing home hugely outweigh the benefits. Some Disadvantages of Nursing Homes Include: 

1. Astronomical Cost

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According to Cost of Care Survey, (an annual report published by life insurance company Genworth) nursing homes are the most expensive form of long-term care. In California, the average rate for a private room runs $307 per day, totaling more than $112,000 per year. If your loved one (or us for that matter) does not have enough retirement savings set aside, then we face a big problem.

2. Poor Mental & Emotional Health

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As we stated above, nursing homes can be very depressing for seniors. Leaving the familiarity and comfort of our home and moving into a nursing home can lead to feelings of loss, loneliness, and isolation. Seniors who manifest feelings of isolation and depression express less optimism regarding their future health and quality of life.

3. Likelihood of Low-Level Care

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We’ve all heard the horror stories of poor treatment and neglect in nursing homes. Some reports show that up to 90 percent of nursing homes are understaffed, which causes poor supervision and increases the risk of accidents.

4. Loss of Independence

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Older adults who are accustomed to their personal routines can find it hard to adjust to a new schedule in a nursing home. A loss of freedom and independence can cause seniors to lose their self-esteem because they are no longer in control of their own life.

5. Farther Distances

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In some cases, a nursing home may not be in close proximity to family members. A long drive to visit on the weekends can take a toll over time. While some nursing home staff do their best to build a sense of community among the residents, it’s still not family. For seniors, a lack of family presence increases feelings of loneliness and depression.

6. Poorer Quality of Food

Unhappy asian senior woman rejecting,gesture hand “NO” elderly patient bored with food or boredom,old people getting sick and tired of food in wheelchair at home,loss of appetite,anorexia concept
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A tight budget in a nursing home can mean that seniors only get to eat processed meats, frozen vegetables, and canned fruit. Furthermore, seniors can’t buy additional groceries, unless their relatives bring them.

7. Mean Roommates

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For many seniors having to share a room, it can be truly awful to tolerate another roommate. A 2014 study revealed fellow nursing home residents can commit abuse. According to the researchers’ analysis of data collected from 10 nursing homes in New York, the most common types of abuse were:

  • Verbal abuse – Most of the cases involved residents screaming at other residents.
  • Physical abuse – Physical assaults such as hitting, kicking or pushing.
  • Invasion of privacy – Nursing home residents suffer from other residents touching or taking their property without asking and even entering their rooms without permission.

Finding a Senior Cohousing Community

Portrait of senior friends taking care of vegetable plants in urban garden.
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If you think senior cohousing sounds like a wonderful alternative, check the senior cohousing directory to find the list of senior cohousing communities in the United States! If some communities are already booked up, don’t worry, you can still try checking them out and/or inquire about a waiting list.

Take Away

Group of senior friends chatting
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According to the National Council on Aging, seniors are driven by a desire for connectedness. For us to be happy and comfortable in our golden years, we really need to maintain our sense of purpose and independence. Senior cohousing really is an exciting alternative to traditional options and provides the chance to stay connected to people and things that matter to us.

Read next: 12 Things You Only Understand If Your Grandma Has Always Been Your Best Friend on Earth

Sources

  1. 5 Disadvantages of Nursing Homes for Seniors.” Family Matters. Carol Pardue-Spears. June 28, 2017.
  2. Challenges in Nursing Home Care: A Research Agenda.” The Gerontologist. Jill Quadagno, Sidney M. Stahl,PhD. April 2003.
  3. According to Seniors, This Is the Secret to a Happy Life.”A Place for Mom. Kimberley Fowler. May 8, 2017.
  4. GOODBYE NURSING HOMES: NEW TREND IS SENIOR COHOUSING WITH FRIENDS.” Not Salmon.
  5. The Benefits Of Aging With The Senior Cohousing Movement.” InnerSelf. Cat Johnson.
  6. Connections with Community and Family—Not Money—Most Important for Seniors’ Quality of Life.” NCOA.
  7. Nursing home: advantages and disadvantages.” Today. Julie Smith. May 4, 2017.
  8. Is Cohousing a Viable Alternative for Seniors?.” Tangerine. Bonnie Munday. July 9, 2018.
  9. Top five resident complaints about nursing homes (and what to do about them).” I Advance Senior Care. September 2010.
  10. When Nursing Home Roommates Are the Abusers.Joye Law Firm.