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[quote=Anonymous][quote=Anonymous]I would like to point out that I have a couple of friends and a sibling who either have relatives in assisted livings and nursing homes or provide ministerial/pastoral care visits to those in facilities.  They have all seen a stunning decline in the quality of services due to labor shortages. One person who had their very nice CCRC all picked out said they will now never go into one. That leaves home health care aids, which is another area experiencing shortages. So, while it is good to plan options other than family members, those options appear to be rapidly deteriorating in quality.  [/quote]

Your mileage may vary.  I'd argue, finding at home quality help is always an issue. It's expensive and even with a great agency, there isn't much they agency can do if their help simply doesn't show up/calls out that day---they cannot send people who dont show up.  
I'd argue most good CCRCs are a much better solution.  My parents are in one and love it.  They recently had 4 days of "no water".  The CCRC was amazing, immediately dropped off water for each resident, and started dropping off 2 meals a day for everyone with no charges for the meals---because they don't want someone to get ill from not being able to clean dishes/etc (the staff had bottled water to use to prepare and clean up safely).  This started at 6pm one day.  By the next morning, they had staff going door to door 2-3 times per day (and you could call if needed sooner) to bring non-portable water to flush your toilets for you.  It was handled extremely well, given the circumstances.  
I'm so happy my parents were not simply in a house or an apartment and on their own during this (it was county wide event).  Or out searching for bottled water themselves (hint: there was none in the stores), not to mention there was snow on the ground in an area that doesn't get much snow, so nobody knows how to drive or clean it.  So yes, I was thrilled my parents were in a facility and well taken care of in Ind living.  That is why they are there and not an apartment as they age
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