Affordable Assisted Living Development Manual

To assist organizations interested in providing affordable assisted living, NCB Capital Impact (formerly NCB Development Corporation) assembled technical assistance materials to provide an overview of development and operational issues in affordable assisted living. These materials (from our affordable assisted living training at the AAHSAannual conference in 2002) are intended to provide an introduction to issues you will need to consider, provide a tool for preliminary feasibility analysis, and help guide you as you assemble the required development team.  Note that the case studies provide useful examples of successful projects.


Session 1: Agenda
Session 2: Case Studies
Session 3: Development Overview
Session 4: Market Analysis
Session 5: Feasibility Analysis
Session 6: Finance
Speaker Bios



Session 1: Agenda (Word, 5 pages)


Session 2: Case Studies

i. Cache Valley, Ullin, IL:
Summary(Word, 6 pages)
Development & operating financials(PDF, 1371 KB)*
Marketing materials(PDF, 854 KB)*
Floor & unit plans(PDF, 1025 KB)*

ii. Rock Cove Assisted Living, Stevenson, Washington:
Rock Cove Assisted Living Facility(Word, 12 pages)
Rock Cove Assisted Living, by Michael DeShane, Concepts in Community Living, Inc. (PowerPoint, 10 slides, 1530 KB)**

(For more information on Cache Valley and Rock Cove, see our assisted living Case Studies section.)


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Session 3: Development Overview

i. Development Process Overview - An Overview of the Coming Home Approach(PowerPoint, 31 slides, 111 KB)**

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Session 4: Market Analysis

i. Market Study Overview



Session 5: Feasibility Analysis

i. Medicaid and Other Reimbursement Sources

Medicaid and Assisted Living, by Robert Mollica, National Academy for State Health Policy (PowerPoint, 25 slides, 129 KB)**
Public Policy Issues for Housing Investors and Developers, by Robert Mollica (Word, 3 pages)

ii. Medicaid State Rate Table(PDF, 896 KB)*

iii. Overview of Operational Models
Design and Operating Considerations(PowerPoint, 14 slides, 45 KB)**
Checklists (Design, Staffing, Health-Related and Medication Service, Food Service, and Marketing),by Terri Sult, Vista Senior Living (Word, 6 pages, 29 KB)

iv. Feasibility Analysis

Session 6: Finance

i. Pre-Development Loans
(See our Loan Applications page for updated documents.)

ii. Underwriting
Vermont Housing Finance Agency (VHFA) Underwriting Guidelines(Word, 2 pages)
Glossary of Financial Terms and Acronyms(Word, 16 pages)
VHFA Multifamily Loan Application(Word, 15 pages)
NJHFA Assisted Living Finance Guide
MassHousing ElderCHOICE Resources(MassHousing website)


iii. Tax Credits - A Primer: The Low Income Housing Tax Credit, by William Traylor, National Equity Fund, Inc. (PDF, 3172 KB)*

iv. FHA 232
New Construction or Renovation Assisted Living: FHA Section 232(Word, 1 page)
FHA 232 Program(PowerPoint, 16 slides, 93 KB)**
HUD Multifamily Accelerated Processing (MAP) Process:
Overview(PDF, 476 KB)*
Stage I(PDF, 331 KB)*
Stage II(PDF, 369 KB)*
Purchase(PDF, 150 KB)*
Field Structure(PDF,229 KB)*
(For more information on MAP, visit HUD's national MAP  website.)

v. Other Government Loan and Grant Programs, by Sarah Carpenter, Executive Director, Vermont Housing Finance Agency (Word, 10 pages)
vi. HUD 202 Program and AL Conversion Program

Speaker Bios

Sarah E. Carpenter - see updated bio
Michael R. DeShane - see updated bio
Robert Jenkens
Robert Mollica - see updated bio
David C. Nolan
Doug Pace - see updated bio
Terri E. Sult




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