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Category: Podcast

Senior Living Should Feel More Like Disney Than Healthcare

By Rebecca Wiessmann
In this episode of โ€œRewriting the Rules with Cayden Ridgeway,โ€ Steve and Cayden talk about a question every senior living operator should be asking: What kind of community would people actually want to move into? You can watch the full episode here.
For Cayden, chief growth and experience officer at Milestone Retirement, the answer starts with a surprising north star: Disney.
Not because senior living needs characters, castles, or theme park theatrics. The lesson is deeper than that. Disney understands how to create an experience where operational complexity disappears into the background. The guest does not see the machinery. They feel the result.
That is the point.
Senior living has plenty of operational complexity. Care. Dining. Staffing. Compliance. Housekeeping. Maintenance. Medication management. Reporting. Family communication. Transportation. Sales. Engagement.
The problem is not that these functions exist. The problem is that they become the resident experience rather than supporting the resident experience.
Care Should Support Life, Not Dominate It
Cayden uses Disneyโ€™s park services as an analogy. Park services are essential to the guest experience, but they do not dominate the guestโ€™s awareness. Guests are not constantly reminded of the systems that keep the park clean, safe, and functional.
That is how Cayden thinks about care in senior living.
Care is essential. It must be excellent. It must be reliable. It must be trusted. But the presence of care should not make a resident feel as though their life has been reduced to their needs.
This is one of the most important distinctions in the conversation.
Senior living has often been organized around what residents need help with. Bathing. Dressing. Medication. Mobility. Meals. Safety. Those needs are real, and communities must meet them well. But if the entire experience is built around decline, dependence, and risk, the community begins to feel like a place people go because they have to.
Cayden wants something different.
He wants communities where residents are supported in their ADLs and care needs, but where the daily experience still feels aspirational. Not a downgrade. Not a holding pattern. Not the last stop.
A place where life still expands.
The Pool Noodle Problem
The most memorable part of the conversation may be the pool noodle moment.
Cayden says he does not want to be 80 or 90 years old and spend his days swinging pool noodles around with his friends. He knows it is a punchy thing to say, but that is exactly why it lands.
Steve immediately connects with the image. He recalls visiting his stepfather in a senior living community and walking through an activity room where residents were batting balloons with pool noodles. The sight left him thinking, โ€œI hope I never have to do that.โ€
That reaction should trouble the industry.
Not because every balloon game is bad. Not because light activities never have a place. The problem is when shallow programming becomes the default. When residents who are capable of more are offered less. When engagement is designed around convenience rather than possibility.
Caydenโ€™s critique is not about one activity. It is about an industry habit: assuming that older adults need to be kept busy rather than invited into meaningful, interesting, adult experiences.
He offers a different vision.
Scotch tastings. Cigar nights. Trips to Thunder games. Groups of residents heading to Mariners games in Seattle. Engagement that has texture, energy, and personality.
In other words, real life.
Engagement Has To Grow Up
Senior living talks constantly about engagement, but the word has become too soft. It can mean almost anything. A calendar full of activities. A craft project. A musical performance. A game. A lecture. A scenic drive.
Those things are not necessarily wrong, but they are not enough.
Cayden is pushing for engagement with depth and breadth. That means experiences that reflect who residents are, not just what is easy to schedule. It means programming that respects adult identity. It means taking seriously the idea that people still want adventure, taste, beauty, competition, laughter, friendship, and surprise.
This is where hospitality matters.
Hospitality is not just better food or nicer dรฉcor. It is the art of making people feel seen, known, welcomed, and delighted. It is the difference between being served and being processed.
Senior living has spent decades building systems to keep people safe. The next challenge is building cultures that make people feel alive.
Five-Star Thinking In The Middle Market
One of the most encouraging parts of Caydenโ€™s vision is that he is not only talking about luxury senior living. Milestone operates primarily in the middle market, and Cayden believes elevated experience belongs there, too.
That is important because if the industry decides hospitality is only possible at the high end, it will miss the bigger opportunity.
The real breakthrough is figuring out how to deliver better dining, richer engagement, stronger service, and a more desirable daily life without simply assuming residents must pay dramatically more.
That requires operational creativity. It requires better systems. It requires leadership that refuses to accept the old trade-off between margin and experience.
And it requires a more honest understanding of what todayโ€™s and tomorrowโ€™s residents will expect.
Creating Envy
Near the end of the conversation, Cayden describes one of his biggest goals: creating the feeling of true envy.
He wants someone to look at an engagement platform, see what a grandfather or uncle is doing that day, and think, โ€œI wish I were having that type of day.โ€
That may be the highest bar senior living can set for itself.
Not adequate care.
Not decent meals.
Not a full activity calendar.
Envy.
A community where adult children do not feel sorry for their parents. A community where friends visit and think, โ€œThis is actually great.โ€ A community where residents are not simply safe but genuinely living.
That is the kind of senior living people will choose before they are forced to.
And that may be the point. The future of senior living will not be won by communities that merely explain why people need them. It will be won by communities that become so desirable that people want to live in them.

My Dream for Senior Living Leaders

By Steve Moran
In part one of this two-part series, we asked what it would be like if a senior living organization made the decision to become less of a top-down organization and became a living organization where everyone, including the front-line team members, felt and had real autonomy and a real sense of ownership.
We took a look at Zingermanโ€™s, a dining experience company based in Ann Arbor, Michigan, as the base for exploring how this might work in senior living.
What Makes It Work โ€ฆ
They do three core things:

They have a clear, well-defined shared goal
They give every team member a sense of ownership
They provide every team member real autonomy

You really need to go back and read part one to get the full impact, but here is what it might look like in senior living.
Continue reading on Practical Passionate Leadership (Substack) for free.

Could Robots Help Senior Living Keep the People It Already Has?

By Rebecca Wiessmann
In this episode of Directly Speaking, Steve talks with Justin Smith, Senior Manager of Innovation at Direct Supply, about how robotics and automation are beginning to reshape senior living operations. Watch the full conversation here.
Senior living talks a lot about staffing.
Recruit more people. Pay more. Train better. Improve culture. Reduce turnover. Build career ladders. Create a better employee experience.
All of that matters.
But there is another question the industry may not ask often enough:
How much of the work itself is wearing people down?
That is where Justin Smithโ€™s take on robotics becomes interesting. He is not talking about robots as some shiny new gadget for communities that want to look futuristic. He is talking about automation as a way to take the worst, most repetitive, least fulfilling parts of the job off the shoulders of human beings.
And in a staffing environment this tight, that may matter a lot.
The Staffing Problem Is Also A Work Design Problem
Senior living has a labor problem, but it also has a work design problem.
Too many team members spend too much time doing tasks that are necessary but not especially meaningful: walking back and forth for supplies, pushing cleaning equipment down long hallways, moving items from one place to another, doing repetitive tasks that drain energy without deepening relationships.
Justin frames the best opportunities for robotics around the four Dโ€™s: dull, dirty, dangerous, and duplicative.
That is a helpful lens because it keeps leaders from asking the wrong question.
The question is not, โ€œCan a robot replace this person?โ€
The better question is, โ€œWhat parts of this personโ€™s day should no person have to spend so much time doing?โ€
That changes the conversation.
A housekeeper may still be essential. A caregiver is still essential. A dining team member is still essential. But if automation can remove some of the least satisfying work from their day, the job itself may become more sustainable.
Burnout Does Not Always Come From The Big Things
Burnout is often discussed in dramatic terms โ€” crisis moments, emotional exhaustion, understaffed shifts, difficult family conversations, regulatory pressure.
But burnout also builds through the small things.
The extra trip to the supply closet. The hallway that needs to be vacuumed again. The resident call that gets delayed because someone is doing a task a machine could have done. The feeling that there is never enough time to do the part of the job that actually matters.
When those frustrations pile up, people leave.
This is where automation can make a difference, not by solving everything, but by removing some of the friction from daily work.
Justin shares that in some buildings, robotics can give back 15 to 20 hours a week on the low end and 50 to 60 hours a week on the high end. That is not just a budget number. That is staff time. That is energy. That is margin.
And in senior living, margin is often what determines whether people feel like they are succeeding or just surviving.
Better Jobs May Mean Better Retention
There is a tendency to think about automation mostly as a cost-reduction tool.
That is understandable. Labor is expensive. Margins are tight. Operators are under real pressure.
But the more interesting use of automation may be retention.
If robots can handle some of the work people dislike most, leaders have an opportunity to make senior living jobs better. Not easier in a lazy sense. Better in a human sense.
More time with residents.
Less running.
Less repetition.
Less physical wear.
More chance to complete work without feeling constantly behind.
That matters because people do not just leave jobs over pay. They leave when the work feels impossible, unsupported, or disconnected from the reasons they took the job in the first place.
Most people do not come into senior living because they dream of pushing a vacuum for six hours. They come because they want to serve older adults, build relationships, solve problems, and be part of something meaningful.
Automation can help protect that.
Staff Need To Be Invited Into The Conversation
There is one big catch: staff has to believe this is for them, not against them.
Justin is clear that when workers hear โ€œautomation,โ€ many immediately worry that technology is coming for their jobs. That fear is predictable. Leaders cannot just dismiss it.
They have to address it.
The best implementation starts with staff input. Ask team members what parts of their jobs are most frustrating. Ask what tasks feel like a waste of their skills. Ask where they lose time every day. Ask what would help them spend more time with residents.
That conversation changes the rollout.
Instead of saying, โ€œHere is a robot; use it,โ€ leaders can say, โ€œYou told us this part of the job is draining. We are testing a way to take some of that burden off you.โ€
That is a very different message.
And it is much more likely to work.
The Human Workforce Still Matters Most
The irony is that robotics may become most valuable when leaders stop treating it as a replacement for human labor and start treating it as a support system for human labor.
Senior living cannot automate its way out of the need for great people. Residents still need warmth, judgment, empathy, humor, encouragement, and trust. Families still need reassurance. Communities still need team members who notice when something is off.
Robots cannot do that.
But robots may be able to clean the floor, move the supplies, deliver the items, or handle the repetitive tasks that keep people from doing those things as well as they could.
That is why this conversation matters.
The staffing crisis is not only about finding more people. It is also about making better use of the people already in the building.
And maybe, just maybe, one way to keep great people is to stop asking them to spend so much of their day doing work a robot would be perfectly happy to do.

S8 Episode 16 – The Future of Senior Living: Healthy Aging, AI, Development and NIC Fall 2026

What will shape the next era of senior living?
Steve Moran sits down with Lisa McCracken, Head of Research and Analytics at the National Investment Center for Seniors Housing & Care, to explore the trends, research, and investment forces changing the industry.
They discuss whether todayโ€™s senior living model reflects what older adults actually want, why communities must offer more than a place to live, and how operators can create stronger connections with people who choose to remain at home.
Lisa also shares what attendees can expect at the 2026 NIC Fall Conference, taking place October 21 through 23 in Chicago, including conversations around healthy aging, artificial intelligence, capital markets, development, middle-market senior housing, hospitality, and the economy.
In this episode:

What future generations want from senior living
Healthy aging, wellness, purpose, and human connection
NICโ€™s research with the MIT AgeLab
Moving beyond the traditional bricks-and-mortar model
Creating senior living communities that serve as social hubs
The outlook for senior housing development and capital markets
How operators and investors are currently using AI
How first-time attendees can make the most of the NIC conference
What longtime NIC attendees may still be getting wrong

The future of senior living may not be an either-or choice between staying home and moving into a community. It could be an โ€œand.โ€

Does This Overwhelm You Like It Does Me?

By Steve Moran
This will be one of my weirder articles. I am pretty sure.
A few weeks ago, The Wall Street Journal published this article: “More Americans Are Aging Alone. One Woman Told Us What It’s Like.” It is also a topic my friend Sara Zeff Geber is 100% devoted to.
For some strange reason, this seemingly ordinary article evoked much stronger emotional feelings than I would have ever imagined.
The Story (in case you can’t access it)
There are roughly 12.5 million people over 50 with no spouse or children. This article profiles Amy Kant, a 65-year-old single, childless artist in Watertown, Massachusetts, as one example of that growing “Solo Ager” population. After back surgery and a heart valve replacement, Kant faces mounting decisions alone: naming a power of attorney, drafting a will, deciding who inherits her assets, and eventually selling her condo for a home without stairs. She relies on friends for caregiving support and healthcare proxy duties, but acknowledges the limits of chosen family. She’s given herself one year to finish her estate planning.
The Emotions โ€ฆ
What went through my head was something like this: “I am sure glad I don’t live alone and have to make those decisions โ€ฆ “
Then all the stuff I am responsible for became a kaleidoscope in my head. Money, healthcare, healthy living, “I am going to die someday,” navigating the healthcare system.
More than anything else, it felt overwhelming and exhausting, and all I was doing was reading an article about someone else and making it all about me, which made me nuts.ย 
It’s Maddening
We live in a society where aging is maddeningly complex and expensive.
I am pretty sophisticated. I work adjacent to the healthcare system. I have spent a lot of time thinking about and understanding how it works. I am pretty well-versed, from a consumer perspective, in what good health looks like.
And I still felt overwhelmed reading about someone else’s life. So what about the people who don’t do this for a living? Who don’t have a wife, a company, a team around them?
As a nation, we need to do better. As an industry, we should be asking: Are we part of the problem or part of the solution? How can we make it better?

An Employeeโ€™s Lament

By Jack Cumming
Of late, two themes recur in discussions among senior living providers, vendors, financial firms, and development advisers.

The demographic wave of the โ€œboomersโ€ will be a valuable near-term bonanza for those who benefit from high senior living occupancy.
It will be challenging to find the high-caliber workers to provide the services that higher occupancy will require.

The first theme is inevitable. The fuel for the bonanza, people of a certain age, were born long ago, and so have their successors, smaller generations, been born. The consequences of the boom and bust, all else being equal, are demographically predictable. Unlike demographics, finding and motivating good workers is a constant. Some employers do it well; others fall short.
Whatโ€™s Manageable
Industry pundits like to call that people situation the โ€œworkforce challenge.โ€ The opportunity is for the industry to create attractive remunerative work that people choose, want to do, and that provides the sense of accomplishment that most people crave.
Given that premise, consider the following posting that appeared recently on social media.

โ€œI made a big mistake by asking questions and asking for help. I feel like I have had a string of off days making silly mistakes. All of a sudden, I get pulled aside, asking if I am okay.
For context, my family is falling apart, but I canโ€™t take time off because I honestly do better when I am busy and seek help off work hours. I have my therapy once a week. I am simply very frustrated because my employer never gives feedback and then all of a sudden, youโ€™re under a microscope and then not again.
I have never caused harm or done anything egregious. I am just tired of trying to read people’s minds. I try and improve, and when I ask for feedback and ask how I can do better next time, I am met with blank stares.
Then MONTHS later I get feedback from a random thing I forgot to do MONTHS ago. When I try and be proactive, I then get feedback that I am asking too many questions which turns into ‘oh, they donโ€™t know what they are doing’. I am very burnt out, not because of the work itself, but because I am tired of feeling free to ask questions and learn and then subsequently get dinged for this.
I am so tired of all the gossiping, nitpicking, and constantly changing preceptors who all have slightly different key ideas about how everything should be done. Each a little different …..
Signed, โ€œtired and annoyed.โ€ I can’t read minds.โ€

If this is a valid experience, and there can be little doubt that it is in some contexts, who is responsible for the consequences that inevitably follow? Is it the CEO or the owner for not creating a more positive environment? Is it management for putting inadequately qualified supervisors in positions of authority? Is it HR for treating people as resources and not as the individuals they are?
What Do You Think?
What do you think? Recently, Iโ€™ve been reflecting on the emergence of Chief Culture Officers. Itโ€™s made me wonder why that isnโ€™t a function that HR actively pursues. HR seems to have congealed into an assortment of necessary back-office functions like onboarding, exit interviews, compliance, compensation structures, payroll processing, job descriptions, performance assessments, screening out mismatched job candidates, and the like.
What department within a modern corporation is responsible for creating a happy, positively motivated workforce? What department is responsible for happy customers? Who has the responsibility for ensuring that investors are happy? These are all points at which a corporation depends on people. They are not merely โ€œresources.โ€ Who thought it was a good idea to think of them that way?
What would be your ideas for making your employer more people-sensitive? Let us know in the comments below. In senior living, in particular, residents are more than customers. What ideas could enable residents to feel respected as people? What kind of employee culture would that take? Would your employer ever consider moving in more of a people direction?
How would your HR department, or People Department, handle an unhappy employee like the one quoted above? Is that an HR problem or a cultural problem, and what differentiates the two? Is that differentiation warranted?
A Culture Story
That brings me to a cultural story. Years ago, I was consulting with a German company that had bought a forging manufacturer in Columbus, OH. They brought in German foremen to oversee operations. Germany has an apprentice, journeyman, master system that many think produces more capable craftsmen than the American system. German executives thought that German craftsmanship could improve forging quality.
The problem was that turnover went through the roof, greatly affecting the very quality of the forging which the Germans sought to improve. The Germans couldnโ€™t understand what the matter was. My finding related to a little-noticed cultural difference. Americans expect frequent praise for their accomplishments. We are governed by the axiom, โ€œIf you donโ€™t have something nice to say, donโ€™t say anything at all.โ€ Silence tends to connote dissatisfaction.
Germans, in contrast, have a different governing axiom: “Nichts gesagt ist schon gelobt.” โ€œNothing said is praise enough.โ€ This is reflected in schooling as well, where the German pursuit of perfection leads to an emphasis on avoiding mistakes.
Think of a school paper returned covered in the teacherโ€™s red-ink corrections. In Germany, thatโ€™s expected to motivate students to be more eager to learn, hoping to avoid the dreaded red ink. That cultural indoctrination carries over into the workplace.
In America, thatโ€™s more likely to make students or workers give up, feeling they are falling short. A lack of approbation can lead employees to seek new jobs, imagining that they may be on the verge of being fired. Americans think they should be complimented for what they have accomplished, not denigrated for what they havenโ€™t.
The forging manufacturer turned around after German foremen were taught to be lavish in their praise. Perhaps not surprisingly, we found that German workers like praise too. Some workers who had left were approached and lured back. Sometimes, the best prospective workers and supervisors turned out to be those who had left previously. Merging HR functions into culture may be the coming organizational advance.

Stop Treating Your LinkedIn Company Page Like a Digital Brochure

By Rebecca Wiessmann
Watch the full Tech Tuesday conversation with Michelle Raymond, LinkedIn strategist and โ€œCompany Page Queen,โ€ here.
Most people who spend time on LinkedIn know the conventional wisdom:
Personal pages work.
Company pages do not.
Or at least that is what everybody says.
Steve opened this Tech Tuesday conversation by pointing directly at the elephant in the room. Company pages often feel like the thing LinkedIn forgot. They get less reach. They get less engagement. People do not seem to follow them, watch them, or care very much about them.
And yet Michelle Raymond has built her whole brand around helping businesses make LinkedIn company pages work.
That either makes her a genius or, as she joked, something a little more painful.
But the conversation quickly made one thing clear: company pages are not dead. They are just wildly misunderstood.
Personal Brands Win Attention
Michelle does not pretend that company pages get the same organic reach as personal profiles. They do not.
LinkedIn wants individual members scrolling, engaging, and watching ads. Personal content gets priority because it keeps people on the platform. Paid ads come next because that is where LinkedIn makes money. Company page content is further down the food chain.
That is just reality.
But that does not mean company pages have no value.
It means leaders need to understand what job the company page is actually supposed to do.
Steve offered a perfect example from Senior Living Foresight. His personal profile has become a major part of the brand. But as he thinks about the long-term future of the company, he recognizes the problem with being too much of the brand himself.
At some point, the organization has to stand on its own.
That is where the company page matters.
A personal brand can create reach, connection, and trust. A company page can become a transferable business asset. The smart play is not picking between a personal page and a company page.
It is both.
Your Company Page Is a Front Door
Michelle made a point that every senior living operator, vendor, and industry organization should take seriously.
People may discover you through a post, a comment, a referral, a conference, or a livestream. But when they want to know whether you are real, credible, and worth paying attention to, they search.
They Google you.
They look at your website.
And very often, they click on your LinkedIn company page.
Then the question becomes simple:
Do they get the red-carpet experience?
Or do they find tumbleweeds?
This is where too many company pages fall apart. They are either barely alive, with no recent activity, or they are packed with thinly disguised advertisements that nobody wants to read.
That does not build trust.
It creates doubt.
Michelle challenged leaders to look at their company page with fresh eyes. Is the banner clear? Does the tagline say what the company does, who it serves, and what makes it different? Does the About section still reflect who the company is today?
Or was it written years ago, posted once, and forgotten?
Steve compared it to walking trade show floors and seeing expensive booths where it is still impossible to tell what the company actually does. It is maddening in person. It is just as bad online.
Stop Making Corporate Content That Smells Like an Ad
One of Michelleโ€™s strongest points is also one of the simplest:
People do not go to LinkedIn hoping to read more advertisements. They go there looking for answers, insight, confidence, and connection.
This matters deeply in senior living, where trust is everything. Families, operators, partners, referral sources, and job candidates are all trying to make decisions in a noisy marketplace. A company page should help them feel smarter, safer, and more confident.
That does not happen when every post says, in effect, โ€œLook how wonderful we are.โ€
Michelle argues that trust and credibility come from being useful. The best company page content serves the audience. It answers questions. It names problems. It shares stories. It gives people a reason to believe the company understands their world.
And, she says, it is OK to have fun on LinkedIn.
That may be hard for some corporate marketing teams to believe, but buyers are still human beings. Even C-suite leaders do not want to be bored into submission.
Too many company pages are so busy sounding professional that they become invisible.
There Is No Magic Content Format
Steve asked the question that almost every LinkedIn user eventually asks: What kind of content works best?
Text posts?
Photos?
Short videos?
Livestreams?
Polls?
Michelleโ€™s answer is refreshingly practical. The better question is not what format works best on LinkedIn. The better question is what format works best for your audience.
Some people love long-form newsletters. Some prefer short posts. Some want video. Some listen to podcasts. Some engage with polls. Different people consume content differently, and that means the best strategy is usually a mix.
There are always moments when LinkedIn seems to favor one format. Polls had their moment. PDF carousels had their moment. Short-form video had its moment. But chasing the algorithm is a fragile strategy.
Serving the audience is better.
And then Michelle dropped one of the best lines of the whole conversation:
โ€œThe post that gets done is the perfect post.โ€
That is a lesson for every leader, marketer, and operator with a hundred good ideas trapped in their head.
The perfect content strategy is useless if nothing gets published.
Stop Worshiping the Algorithm
Steve also raised another frustration familiar to anyone who posts consistently: sometimes a piece of content takes off, and nobody knows why.
One livestream gets 800 views. Another gets 5,000. Another gets 26,000. The one that explodes is not always the one that feels most deserving.
Michelleโ€™s answer: enjoy the blessing and keep going.
There are patterns worth studying, but not every spike has a clear explanation. LinkedInโ€™s algorithm is increasingly personalized and unpredictable. Trying to decode every move can become a colossal waste of energy.
The better approach is to keep showing up, keep serving the audience, and take the wins when they come.
That is not as satisfying as a secret formula โ€” but it is probably truer.
Personal And Company Pages Should Work Together
For organizations wondering whether to post on a personal profile, a company page, or both, Michelleโ€™s guidance is straightforward.
When in doubt, post first on the personal profile if reach is the goal.
Then use the company page strategically.
The company page can repost employee content. It can highlight the voices inside the organization. It can repurpose strong personal posts later. It can become a home base for the brand, while personal profiles become the human engines of reach and engagement.
For most organizations, Michelle says three company page posts per week are plenty if there is a solid plan and process in place. Individuals can also aim for three posts per week, though the right number depends on the person, the audience, and the goal.
The point is not to post more just because you can.
The point is to post content that helps the audience get closer to their goals.
Generosity Still Works
One of the more overlooked parts of LinkedIn strategy is simple generosity.
Like someoneโ€™s post.
Comment thoughtfully.
Repost something worth sharing.
Support an employee, partner, customer, or prospect.
The algorithm may not always reward it with giant numbers, but people notice. And people matter more than numbers.
Steve shared that one of his best-performing posts ever was simply resharing a touching Christmas story from someone else. It reminded him that sharing can still have value.
Michelle agreed. LinkedIn works best when people approach it with a spirit of generosity rather than pure self-promotion.
The law of reciprocity may be a mouthful, but the idea is simple: what goes around comes around.
The Real Test
Michelleโ€™s challenge to every company is simple:
Would you read your own company page?
Would you keep scrolling?
Would you trust the organization more after seeing it?
Would you know what it does, who it serves, and why it matters?
If the answer is no, the page needs work.
For senior living, this is not a small thing. The industry is built on trust, relationships, reputation, and confidence. Whether the audience is families, residents, employees, investors, referral sources, or vendor partners, they are looking for reasons to believe.
A boring company page gives them none.
A useful, human, thoughtful company page can quietly become one of the most important front doors your organization has.
Company pages may not win the LinkedIn popularity contest.
But they still matter.
And if yours is boring, outdated, or mostly ads, Michelleโ€™s message is pretty clear:
Fix it.

Nobody’s Ever Tried This, But It Could Rock Senior Living

By Steve Moran
This could be the concept that would revolutionize senior living and other similar organizations.

“The leaders weren’t commanding from above; they were creating conditions for others to take ownership, building trust, and distributing power in a way that allowed the group to self-organize toward its horizon.”
Daniel Coyle, Flourish: The Art of Building Meaning, Joy, and Fulfillment

Itโ€™s a big, scary idea that requires massive amounts of trust on the part of leaders and the belief by those leaders that teams will embrace, even fall in love with, the idea of working in a self-organized fashion.
Continue reading on Practical Passionate Leadership (Substack) for free.

Beyond the Deals: What to Watch at NIC Fall 2026

By Rebecca Wiessmann
The senior housing world heads to Chicago October 21โ€“23 for the 2026 NIC Fall Conference. In a recent Foresight TV conversation, Steve sat down with Lisa McCracken, head of research and analytics at NIC, to talk about what attendees can expect โ€” and some of the much bigger questions facing the industry.
You can watch the full episode here.
More Than Capital And Transactions
NIC has always been a place where deals get discussed, capital gets connected with operators, and an incredible amount of business happens in hallways, hotel rooms, and over drinks.
But Lisa makes the case that people who spend the entire conference in meetings are missing something.
This yearโ€™s agenda tackles a surprisingly wide range of questions:

What happens next with interest rates, capital markets, and valuations?
Is senior living development finally beginning to move again?
What can senior housing learn from the hospitality industry?
Where does AI actually create value for operators and investors?
Can the industry create a viable middle-market product?
And perhaps most importantly, what will tomorrowโ€™s older consumer actually want?

That last question may ultimately be bigger than all the others.
Do Consumers Really Want โ€œHealthy Agingโ€?
“Healthy aging” has become one of senior livingโ€™s favorite phrases. Steve pushes Lisa on a question that does not get asked often enough:
Do we actually know this is what consumers want?
Steve uses himself as an example. At 71, he lives in a house with a yard, garden, hot tub, chickens, fruit trees, his wife, and multiple generations of family. Moving into senior living would mean giving up a lot.
And he doesnโ€™t think he is particularly unusual.
Lisa agrees that this gets at the heart of senior livingโ€™s challenge. Prospective residents tend to focus on what they will lose by moving. The industry has to demonstrate that what they gain is greater than what they give up.
NIC hopes to get much better data around that question through a three-year research initiative with the MIT AgeLab examining what future generations actually want from senior living.
But the conversation quickly becomes even more interesting โ€ฆ
What if the future isnโ€™t simply about convincing more people to move into senior living?
Maybe Senior Living Needs To Get Bigger Than The Building
Lisa suggests operators may need to think of themselves less as buildings and more as platforms. That might mean building relationships with older adults who never become residents โ€” offering services, social connections, wellness opportunities, restaurants, programming, or other benefits while they live in their own homes.
Steve sees enormous potential in that idea.
Loneliness and social isolation are not simply senior living problems. Americans of every age are struggling to make friends and build meaningful human connections.
Senior living already knows how to create community. Why not make more of that community available to the people living outside its walls?
Steve points to St. Monica Trust in the United Kingdom, which operates a senior living community developed in a former chocolate factory. Its restaurants, swimming pool, medical services, and other amenities attract thousands of nonresidents into the community.
Instead of creating an island for older people, it becomes part of the surrounding neighborhood.
That feels like a very different value proposition.
Development May Finally Be Stirring
Development will also be a major NIC Fall topic.
For several years, operators and developers have been waiting for financing conditions to improve. But Lisan sees some change in attitude.
Construction costs arenโ€™t likely to suddenly fall. In fact, interest rates may never return to the extraordinarily low levels the industry became accustomed to.
At some point, developers have to underwrite projects based on the world that actually exists.
McCracken says NIC is beginning to see more development momentum. The floodgates are certainly not opening, but conversations are changing, and more groups appear willing to move forward.
That matters because demographic demand is not waiting for perfect capital markets.
AI Moves From Buzzword To Business Tool
Then there is AI.
Lisa sees operators getting comfortable with the relatively easy applications first โ€” administrative work, sales, marketing, and communication. Clinical applications are moving more cautiously, particularly when privacy, accuracy, and resident outcomes are involved.
On the capital side, the advantages are already obvious. AI can process reports, analyze portfolios, and work through massive amounts of information far faster than analysts traditionally could. The opportunity is not necessarily replacing people. It is dramatically increasing what those people can accomplish.
And that story is only beginning.
How To Survive NIC If You Are New
Steve also raises something people rarely say publicly: NIC can be intimidating.
For a first-time attendee, walking into a conference packed with investors, operators, developers, and industry veterans can feel overwhelming.
McCrackenโ€™s advice is simple. Attend the new-attendee gathering. Go to educational sessions. Sit next to somebody you donโ€™t know. Introduce yourself.
And donโ€™t turn the conference app into a weapon by relentlessly messaging people you want to sell something to.
Steve adds another simple strategy: set a goal to meet 10 or 20 people you have never met before.ย 
By the way โ€ฆ that advice is just as important for veterans. It is easy to attend NIC and spend the entire conference talking with the same 300 people you already know. Lisa challenges longtime attendees to notice the younger and newer people entering the industry and make them feel welcome.
Those introductions matter. Twenty years from now, some of those first-time attendees may be running the industry. And somebody has to be the person who first says hello.

Wellness Washing Will Not Win the Next Generation of Residents

By Rebecca Wiessmann
In this episode of Foresight TV, Steve sits down with Colin Milner, CEO of the International Council on Active Aging, to talk about what senior living could look like in 2036 โ€” and what has to change if the industry wants to become a true platform for living better longer. You can watch the full conversation here.
Colin Milner has spent decades trying to change the way the world thinks about aging. His mission is simple, but not easy: help people live better longer.
That phrase matters.
Not just live longer.
Live better longer.
And that is where senior living has both a huge opportunity and a huge problem.
Senior living is already helping people live longer. Many residents move into communities after already reaching ages that previous generations might have envied. But the bigger question is whether communities are helping residents get more out of those years.
Colin believes senior living is uniquely positioned to become the real-world delivery system for longevity. But only if the industry shifts from being care-based, with some wellness sprinkled in, to wellness-based with care available when needed.
That distinction is everything.
Lifestyle or Decline Management?
Steve raises the question many people in senior living quietly wrestle with: Is senior living really a lifestyle choice, or is it still mostly a healthcare-decline management choice?
The industry loves to talk about lifestyle. And, in the best communities, that is real. But for too many older adults and their families, senior living still feels like the last option. The place you go when living at home no longer works.
That is a problem.
Colin does not argue that care is going away. It is not. People will always need support. They will always need help. They will always need care.
But the best communities will not define residents by decline.
They will ask a better question: What is still possible?
That is the heart of a wellness-based model. It does not turn its back on care. It changes the atmosphere around care. It changes how care is delivered. It changes the expectations that residents, families, and team members bring into the building.
A wellness-based community says, “You may need help, but you are still a whole person.”
The Community Of 2036
When Steve asks Colin what the perfect senior living community would look like for him, Colin starts not with the building, but with the experience.
That is telling.
He wants to walk onto the property and feel like he is entering a place that is home. Not institutional. Not sterile. Not a place where the unspoken message is, โ€œThis is where your life gets smaller.โ€
Home is not just the house someone leaves behind.
Home is where people feel safe. Heard. Connected. Stimulated. Motivated. Entertained. Supported.
For Colin, the future senior living community is a place where residents can stay healthy and well, where care is available if and when they need it, and where everyone in the community actually cares.
That sounds simple.
It is not.
It requires an identity shift.
Senior living has to stop trying to convince people that โ€œthis is just like homeโ€ while operating with rules, restrictions, and institutional habits that constantly remind them it is not.
Steve shares a story from Senior Living 100 about UK operators designing communities with as few rules as possible. The idea is provocative because life at home is not organized around a resident handbook. Of course, communities need structure. But the question is whether the rules serve residents or whether residents are forced to serve the rules.
That is a conversation worth having.
Less Exclusive, More Connected
One of the most interesting ideas in the conversation is the shift from exclusive senior-living campuses to more open, connected hubs.
Colin points to an affordable housing community in Singapore where resident apartments sit above communal spaces open to the broader community. There is therapy, daycare, an active aging hub, food options, and transit access nearby. It is not isolated from the world. It is woven into it.
That is a very different model from the gated, age-segregated campus.
And it may matter more as boomers age.
Steve says one of his biggest hesitations is that he does not want to live only with a bunch of old people. That may sound blunt, but it is honest. Many future residents will want connection with people their own age, but they will also want connection with children, grandchildren, families, workers, neighbors, and the broader community.
The next generation of senior living residents may not be looking for retreat.
They may be looking for belonging.
Build For The Grandkids Too
One of the most powerful ideas in the conversation is also one of the most practical: build amenities that attract grandchildren.
That should not be a radical concept.
Grandparents want their grandkids to visit. But visits are better when there is something for the grandkids to do. Bowling alleys, pools, pinball, flexible gathering spaces, places to eat, places to play โ€” these are not just โ€œextras.โ€
They are connection infrastructure.
Steve points out that many residents want more friendships and more relationships, but do not always know how to build them. A great community does not just offer a calendar of events. It makes connection easier.
That may be one of the biggest opportunities in senior living.
Design the environment so people naturally meet each other.
Design it so families want to come.
Design it so residents are not just housed, but connected.
Wellness Is Not Boot Camp
Steve admits what many residents and prospects might quietly fear: A wellness-focused senior living community can sound like boot camp.
More kale. More classes. More pressure. More people telling you what to do.
Colin pushes back hard on that idea.
Wellness is not about forcing residents into one prescribed version of health. It is about setting the table and allowing residents to choose what they want to eat.
That might mean walking alone.
It might mean a cycling class.
It might mean spiritual connection.
It might mean social engagement.
It might mean emotional support.
It might mean purpose.
Wellness is not one thing. It is the pathway to overall well-being. And if a community overprescribes it, it defeats the purpose.
That is a critical lesson.
The future of wellness in senior living is not about making everyone do the same thing. It is about creating an environment where each resident has more options, more support, and more opportunity to live in a way that matters to them.
Beware Of Wellness Washing
Colin also warns against โ€œwellness washing.โ€
It is the senior living version of the hotel that advertises a state-of-the-art fitness center, only for guests to find a rusty treadmill in a tiny room beside the pool.
Wellness washing happens when communities use wellness language because it sounds good in marketing, but the actual experience does not match the promise.
That will not work.
Not with boomers.
Not with adult children who know how to research.
Not with a generation that has lived through decades of consumer choice and expects promises to be real.
A culture of wellness has to go deeper than the wellness director. It has to be understood by leadership, care teams, dining, sales, maintenance, housekeeping, programming, and everyone else who shapes the resident experience.
If only the top tier understands wellness, the community does not have a culture of wellness.
It has a brochure.
Wellness Is Good Business
Toward the end of the conversation, Steve asks the bottom-line question: Is wellness good for business?
Colinโ€™s answer is yes โ€” if it is done well.
Communities should be asking whether people are moving in because of wellness, staying because of wellness, improving because of wellness, and becoming more socially connected, physically active, emotionally supported, and satisfied because of the community experience.
That is measurable.
It affects occupancy.
It affects length of stay.
It affects resident satisfaction.
It affects family confidence.
And perhaps most importantly, it affects whether residents are actually living better, not just living longer.
Senior living has a chance to be something much bigger than a place people go when they need help.
It can become a platform for purpose, connection, health, autonomy, and belonging.
But that will only happen if the industry has the courage to stop selling lifestyle and start truly designing for it.

The Morning Page That Runs Your Day

By Steve Moran
This practice will make your life better.
Most of the “Do This” activities I put in front of you are things you do with your team. Get your people talking. Get your people connecting. Get your people seen.
This one’s different. This one is just for you. It’s a variation on something Julia Cameron gave the world in her book “The Artist’s Way,” a practice she calls Morning Pages. I’ve been doing my own version of it for years without ever giving it a name, and I owe her credit for the idea, even though what I do with it looks a little different from what she prescribes.
Some mornings I skip it for weeks at a time. Then I come back to it and remember, almost immediately, why I started.
Here’s what it looks like when I don’t do it. I wake up. My brain is already running. Twelve things I need to do, three things I forgot to do yesterday, a conversation I need to have with someone that I’m dreading, an idea I don’t want to lose. None of it is organized. All of it is loud. I open my laptop, and the first email I see becomes my priority, not because it’s important, but because it showed up first.
Here’s what it looks like when I do it. I sit down before any of that noise gets a vote. I write until the clutter is out of my head and onto the page. And somewhere in that mess, the two or three things that actually matter today start to become visible.
This one takes discipline. It’s not a quick hack you do once. But if you stick with it, it will change how your days feel and how your priorities get set.

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What Does Your Culture Feel Like?

By Rebecca Wiessmann
There is a phrase senior living operators use constantly: resident-first.
It sounds right. It feels right.
But Scott Hames, COO of Blake Management Group, makes a compelling argument that there is a step senior living too often skips.
Take care of the people who take care of the residents.
In this episode of Heard in the Halls, host Lindsay Daugherty of Sage talks with Scott about leadership, culture, and why the frontline workforce may be the single biggest factor in creating great senior living communities. You can watch the full episode here.
Residents Feel What Employees Feel
Scott has spent nearly 30 years in senior living, and his philosophy is pretty simple.
He focuses first on the team.
That means the caregiver giving a shower at 8 p.m. The dining employee preparing breakfast at 6:30 in the morning. The housekeeper, server, med tech, nurse, and concierge.
Corporate leaders are not delivering most of the resident experience. Those people are.
So Scott argues that if an organization trains them, invests in them, listens to them, and creates an environment where they can succeed, great resident care tends to follow.
It sounds obvious.
And yet, senior living has a remarkable ability to leapfrog right over the employee experience while talking endlessly about the resident experience.
That doesnโ€™t work.
You Can Feel Culture
Scott also points out something executives sometimes forget: A spreadsheet can tell a leader a lot about a community … but it cannot tell them everything.
When Scott walks into a community, he watches and listens.

Are team members talking with residents?
Is there laughter?
What does the building smell like?
What does the food taste like?
Does the place feel alive?

Those things matter because culture is something people experience long before somebody explains it to them.
Scott once took this even further by staying in a memory care guest room while visiting one of Blakeโ€™s Texas communities. It gave him the chance to see the building across first, second, and third shifts.
Not the cleaned-up executive-tour version.
The real thing.
That matters because the people closest to residents often know things no dashboard can reveal.
The trick is being willing to ask them.
And then, more importantly, being willing to hear the answer.
The Moments Nobody Sees
Some of the most important work in senior living never appears in a KPI.
A caregiver sits with a resident having a terrible day.
An employee comforts a grieving spouse.
A team member becomes a temporary stand-in for family while someone is receiving hospice care.
Nobody rings a bell. Nobody issues a press release. Often, nobody outside that community ever knows it happened.
Yet these may be the moments residents and families remember most.
Senior living gets plenty of attention when something goes terribly wrong. Scott would like to see the industry get better at recognizing everything that goes right every single day.
He is right.
Not because senior living should hide its failures, it shouldnโ€™t.
But because the full story of this industry includes thousands of people quietly doing extraordinarily human work.
Leadership Starts There
One of the dangers of climbing the senior living leadership ladder is getting farther and farther away from the actual work.
Scott admits that itโ€™s one of the hardest parts of being a COO.
As an executive director, if something needed fixing, he could often fix it immediately.
At the corporate level, change travels through systems, processes, and other leaders.
That makes having the right people even more important. The goal is not to have executives swoop into communities and save the day. The goal is to build teams that already know what great looks like.
When leaders begin seeing frontline associates as the foundation of the resident experience rather than simply a labor expense, something changes.
The caregivers get better.
The culture gets better.
And ultimately, residents get something much better too.
That feels like a pretty good place to start.

Itโ€™s Time For You to Shut-up โ€” The Most Underrated Leadership Skill Is Listening

By Steve Moran
Imagine walking through a graveyard and reading the epitaphs under the names. Mostly you see what you’d expect. “Loving mom.” “Hard-working father.” Some are more interesting; others are trivial but meaningful to the families who chose them.
Then you come across one that says this:
“A great leader because of his listening skills.”
You’d never believe it.
We celebrate leaders for vision, for courage, for being decisive, for being great communicators, for getting things done, for making lots of money, and for inventing new products or new ways of doing things.
We never celebrate leaders for their listening skills. Maybe we should.

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Senior Livingโ€™s Real Growth Constraint Is People

By Rebecca Wiessmann
In the first episode of From Cost to Culture, Steve sits down with Shawn McKee, chief marketing officer at ProCare HR, for a conversation about why the biggest challenge in senior living may not be occupancy, real estate, or even demand. It may be people. You can watch the full episode here.
A New Series With a Big Question
From Cost to Culture is built around a simple but important idea: In senior living, people are the highest cost โ€” but they are also the greatest opportunity.
That is the tension operators live with every day. Staffing is expensive. Payroll is complicated. Compliance is relentless. Recruiting and retention are hard. Overtime and agency usage can quietly eat away at margins. And yet, the quality of a senior living community ultimately depends on the people who show up every day to care for residents, serve meals, answer questions, lead activities, clean rooms, build relationships, and create a sense of home.
Shawn puts it plainly: People may be the No. 1 cost for operators, but they are far more than a cost center. The real question is whether an organization can turn that investment into culture.
That is a very different way of thinking about HR.
Why People Are the Limiting Factor
Shawn comes to senior living with fresh eyes. Before joining ProCare HR, he spent much of his career in marketing, software, health care, and other highly regulated industries. He understands complex businesses. He understands compliance. He understands the challenge of helping organizations tell their story.
But senior living has something different.
It has both massive market demand and a deeply human mission.
The aging population is growing. The need for senior living and care services is growing. Operators are talking about expansion, acquisitions, and new communities. But when Shawn talks with leaders, he hears a consistent concern: Growth is only possible if there are enough of the right people to make it work.
One CEO, Shawn recalls, was asked what could stop his organization from doubling over the next five to 10 years. The answer came immediately: people.
Not buildings. Not technology. Not strategy decks.
People.
That is the constraint that operators cannot ignore. Senior living is not an industry where care teams can simply be replaced with robots or AI. Technology can help. It can improve efficiency. It can reduce friction. It can support better decision-making. But the resident experience is still created by human beings.
The industry needs people who are competent, motivated, supported, trained, and aligned around the mission.
HR Is Not Just an Administrative Function
This is where the โ€œcost to cultureโ€ idea becomes especially powerful.
Too often, HR is viewed as back-office administration. Payroll has to get done. Benefits have to be managed. Compliance boxes have to be checked. Hiring paperwork has to be processed.
All of that matters.
But in senior living, HR is bigger than administration because the workforce is the product experience.
If employees are burned out, residents feel it. If departments are understaffed, families notice. If leaders are not supported, turnover grows. If the wrong people are hired, culture weakens. If a community relies too heavily on agency or overtime, the organization pays for it financially and relationally.
Shawnโ€™s point is that workforce strategy is not separate from resident experience. It is the foundation of it.
That is why ProCare HRโ€™s work matters to operators. Shawn describes ProCare HR as a complete HR solution, with expertise in workforce strategy, talent acquisition, compliance, payroll, and the many other complexities operators face. A large percentage of the ProCare HR team comes directly from senior living, which means they understand the pressure operators are under.
The goal is not simply to take tasks off someoneโ€™s plate. The goal is to help operators focus on what they are best at: care, residents, employees, and growth.
The Culture Question
Every senior living operator talks about culture. But culture does not happen because it appears in a mission statement or on a lobby wall.
Culture happens when the right people are hired, supported, developed, and retained.
It happens when leadership behavior matches the values of the organization.
It happens when employees understand that their work matters.
It happens when systems reduce chaos instead of creating it.
It happens when people have enough stability to build relationships with residents and families.
And in senior living, those relationships are everything.
This is the deeper promise of From Cost to Culture. The series is not about abstract HR theory. It is about practical conversations with operators and leaders who are trying to solve real problems in real communities. It is about what works, what does not work, and what leaders can do differently.
Because the future of senior living will not be won only by the communities with the newest buildings or the fanciest amenities. It will be won by organizations that figure out how to attract, keep, and help enhance the lives of the people who make those buildings come alive.

Your Community Is Not Boring. So Why Is Your Marketing?

By Rebecca Wiessmann
In this episode of Foresight TV, Steve sits down with Sam Tomlinson, EVP of Warchawski, for a candid conversation about what is broken in senior living marketing โ€” and what operators can do differently. You can watch the full conversation here.
There is a marketing disease in senior living.
It is called sameness.
Same stock photos. Same โ€œchef-prepared meals.โ€ Same โ€œcaring team.โ€ Same โ€œvibrant lifestyle.โ€ Same blog posts. Same guides. Same headlines. Same offers.
And then operators wonder why prospects do not see them as different from the community down the street.
That is the heart of the conversation Steve has with Sam Tomlinson. Sam works with senior living operators and other brands to help them generate more leads, more sales, and more move-ins. But what he sees too often in senior living is not just mediocre marketing. It is marketing theater.
It looks like marketing. It checks the box. It creates activity.
But it does not actually move the business forward.
Content Theater Is Not Content Marketing
Sam tells Steve about auditing senior living websites and finding something stunning: the same blog posts and guides appearing on multiple community websites, sometimes with only minor tweaks.
The operator thought the agency had created original content for them.
It had not.
The agency had technically delivered what was within scope โ€” articles, guides, and posts. But the content was not unique. It did not reflect the community. It did not tell a story. It did not give prospects a reason to care.
Steve calls it what it sounds like: malpractice.
Sam is careful not to throw agencies under the bus, but he is blunt about the problem. If the content being created for a community is essentially the same as the content being created for everyone else, how could that community possibly stand out?
It canโ€™t.
And that is the point.
Senior living operators often work very hard to create communities that really are different. Executive directors can explain what makes their team special. Care teams can describe their unique approach to memory care. Operators can talk about adaptations, innovations, programming, culture, and design.
Then the marketing strips all of that away and says, โ€œwarm, caring community.โ€
That is not differentiation โ€” that is surrender.
The Industry Keeps Hiding Its Best Stories
One of Steveโ€™s long-standing frustrations is that when he asks communities what makes them better than the community down the street, many cannot answer clearly.
Not because they are not better, but because they have not done the work of naming it.
Sam says senior living has been conditioned to appeal to the largest possible audience. The result is blandness. Everyone wants to be everything to everyone, so they end up sounding like nothing to anyone.
This is especially tragic because senior living has great stories.
Stories about residents who rediscover purpose.
Stories about adult daughters who finally sleep at night.
Stories about caregivers who notice the tiny changes no one else sees.
Stories about dining teams, life enrichment teams, nurses, maintenance directors, executive directors, and sales counselors who are quietly doing remarkable work.
But too much senior living marketing never gets there.
It stays at the surface.
It talks about amenities instead of outcomes.
It talks about services instead of transformation.
It talks about care instead of trust.
It talks about lifestyle instead of life.
Marketing Needs Accountability
The conversation then turns to another uncomfortable issue: accountability.
Sam says many senior living ad accounts look like they were set up years ago and barely touched. Operators may be spending tens of thousands of dollars a month but not really know what is working, what is broken, or what needs to change.
That is not just an agency problem โ€” it is also an operator problem.
Steve pushes on this point: If an operator hires an agency, how much does the operator need to know?
Samโ€™s answer is simple: enough to lead.
The agency should be a strategic partner, not the person in charge of the business. Operators do not need to become marketing experts, but they do need to understand enough to ask good questions, demand meaningful reporting, and connect marketing activity to business outcomes.
Clicks are not enough.
Impressions are not enough.
Raw leads are not enough.
The real questions are: Are the leads qualified? Are they becoming tours? Are tours becoming move-ins? Where is the process breaking down?
That is where marketing becomes useful.
The Sales Circle Of Death
One of the most important moments in the conversation comes when Sam talks about what he calls the โ€œsales circle of death.โ€
It works like this:
Sales teams believe internet leads are low quality.
So they deprioritize them.
Because they deprioritize them, they respond late.
Because they respond late, the leads perform poorly.
Because the leads perform poorly, the sales team concludes that internet leads are low-quality.
And the cycle continues.
Sam gives an example of a community where the median callback time was 36 hours.
By then, the prospect may not even remember filling out the form. They may have contacted 10 other communities. They may have already scheduled a tour elsewhere.
A good lead treated like junk will often behave like junk.
That is not a lead quality problem. That is a response problem.
Sam argues operators need to set a clear expectation: every inbound lead gets a professional, prompt response. Not just referral leads. Not just the ones sales likes. Every lead.
Bad Data Makes Good Marketing Hard
There is another hidden killer: data starvation.
Sam says many sales teams wait until the end of the month to update their CRM with tours, lead status, and move-in information. From a marketing perspective, that is a disaster.
Google, Meta, and other platforms need consistent data to learn what is working. If they get no useful feedback for 30 days and then a big data dump at the end of the month, the system cannot optimize properly.
Marketing platforms are powerful, but they are not magic.
Garbage in, garbage out.
Or as Sam puts it, technology is a tool โ€” and a fool with a tool is still a fool.
Stop Asking For Contact Information Before Providing Value
Steve also raises one of his pet peeves: senior living website chatbots.
Too many of them respond to almost every question the same way: โ€œWhat is your name, phone number, and email address?โ€
That is not helpful.
It is not a conversation.
It is a form pretending to be a chatbot.
Steveโ€™s point is exactly right: consumers are not going to give contact information unless the community first gives them something of value.
Sam says this requires a shift away from raw lead totals and toward qualified contacts. Getting fewer leads can be a win if more of them are real prospects. It means less wasted time for sales teams and better experiences for families.
The Real Opportunity
The good news is that none of this is impossible to fix.
Communities can tell better stories. They can create original content. They can demand better reporting. They can respond faster. They can feed better data back into their marketing systems.
They can stop sounding like every other community.
But it requires courage.
The courage to be specific. The courage to say, โ€œWe are not for everyone.โ€ The courage to measure what matters. The courage to stop doing content theater and start doing real marketing.
Senior living does not need more generic blog posts, prettier stock photos, or chatbots that beg for phone numbers.
It needs marketing that tells the truth about why a community is worth choosing.
That is where the move-ins are.

The Next Generation Is Done Playing by Senior Livingโ€™s Old Rules

By Rebecca Wiessmann
In the first episode of โ€œRewriting the Rules with Cayden Ridgeway,โ€ Steve sits down with Cayden, chief growth and experience officer at Milestone Retirement, for a conversation about what happens when the next generation of senior living leaders decides the industry needs more than incremental improvement. You can watch the full episode here.
The premise of the new series is simple, but not small: Senior living can do better.
Not just a little better. Not just cleaner buildings, better brochures, nicer dining rooms, or a few technology upgrades. Cayden is talking about a deeper reset โ€” one that challenges the assumptions senior living has carried for decades.
He calls it โ€œrewriting the rulesโ€ because, in his view, the industry has spent too much time operating from a legacy mindset. The way things have always been done is not necessarily the way things should continue to be done.
And that matters because the customer is changing. The workforce is changing. The economics are changing.
And, perhaps most importantly, the expectations around aging are changing.
Getting Out Of The Legacy Headspace
Cayden has grown up around senior living and now leads major areas of the resident experience at Milestone, including culinary, engagement, sales, and other operational functions. That gives him a unique vantage point. He is not an outsider taking cheap shots at the industry. He is an insider who believes deeply in the promise of senior living โ€” and also believes it has left too much potential on the table.
Steve points out that one of the reasons this new series matters is that the industry needs younger voices. Senior living has plenty of seasoned leaders with deep experience, but the next wave of leadership brings a different lens. They are not as attached to the industryโ€™s old operating models. They are more willing to borrow from hospitality, entertainment, technology, and consumer brands.
That is where disruption begins.
Cayden is clear that the work is not theoretical. At Milestone, the focus is twofold: to improve financial performance and to dramatically elevate the resident experience. He rejects the idea that third-party operators are trapped by permanently lower margins or limited options. Yes, the business is more difficult than it was before COVID. Yes, margins are harder to achieve. But he argues that operators can still perform at a higher level if they are willing to get creative.
That creativity does not mean sacrificing care.
It means questioning every assumption about how the business operates.
Better Margins And Better Experiences
One of the most interesting parts of the conversation is that Cayden refuses to separate financial performance from resident experience. Too often, senior living talks about margins on one side of the house and hospitality on the other, as if they are competing priorities.
Cayden sees them as connected.
A stronger operating model creates room for a better experience. A better experience drives demand. Demand supports occupancy. Occupancy supports margin. Margin allows the operator to keep investing.
It is not about doing less for residents. It is about doing the right things better.
That includes bringing what Cayden calls “five-star dining” to middle-market senior living. Milestone primarily operates in the middle market, which makes the ambition even more important. The future of senior living cannot be reserved only for luxury communities with premium pricing. The industry needs to figure out how to deliver a more elevated, more desirable experience without assuming that the only answer is charging more.
This is where the old rules start to break down.
For years, much of senior living has operated as though residents should be grateful for safety, care, meals, and activities. But the next generation of residents will expect more. Their families will expect more. And the leaders who figure out how to deliver more โ€” without destroying the business model โ€” will have a real advantage.
A Community People Want To Live In
One of the strongest ideas in the episode comes when Cayden says he does not want people to feel like they are coming to senior living because they have to.
That sentence should stop every operator in their tracks.
Because for too many prospects, that is exactly what senior living feels like: a reluctant move, a compromise, a place chosen because something has gone wrong.
Cayden wants to flip that script.
The goal is not simply to build communities where people are cared for. The goal is to build communities where people want to live. Communities that feel like an upgrade, not a downgrade. Communities where support is available but does not dominate the residentโ€™s identity or daily life.
Steve connects this to his own personal experience, recalling how depressing it was to walk into a senior living community and see residents batting balloons around with pool noodles. Cayden agrees, and he says the industry has too often underestimated what residents are capable of and what they want.
This is not a small critique. It is a challenge to the industryโ€™s imagination.
The First Rule To Rewrite
The first rule senior living may need to rewrite is this: Older adults are not asking for a smaller life.
They are asking for a life that still feels meaningful, interesting, social, and alive.
That means senior living cannot simply be organized around tasks, care plans, and risk mitigation. Those things matter. They always will. But if they become the whole story, the product starts to feel more like an institution than a lifestyle.
Caydenโ€™s vision is more ambitious. He wants senior living to pull ideas from Disney, hospitality, restaurants, entertainment, technology, and other industries that have learned how to create desire.
That word โ€” desire โ€” may be the real disruption.
Because when people desire senior living, everything changes.
Sales changes. Marketing changes. Operations change. Engagement changes. Staffing changes. The way the industry talks about itself changes.
And maybe that is the real promise of โ€œRewriting the Rules.โ€ It is not about being edgy for the sake of being edgy. It is about asking whether senior living is brave enough to become the thing it has always claimed to be: a better way to age.

S8E15-Beyond the Self-Care Buzzword: The 8-Minute Method for Nurse Burnout With Tammy Drummond-Rowland, RN

Self-care for nurses and caregivers has become a buzzword. But what does it look like when healthcare organizations make it part of the culture?
In this episode of Foresight Radio, holistic nurse and wellness coach Tammy Drummond-Rowland shares how the Eight Minutes Methodโ„ข can help busy healthcare professionals reduce stress, reset their nervous systems, and build healthier habits without adding another overwhelming task to their day.
Tammy also explains why meaningful employee wellness requires more than pizza parties, generic advice, or telling caregivers to โ€œtake care of themselves.โ€
In this conversation, youโ€™ll learn:
โ€ข How small wellness practices can fit into a busy healthcare shift
โ€ข Why recognition should extend beyond employees who constantly overwork
โ€ข How breathing exercises can shift the body from fight or flight to focus
โ€ข Why healthy workplace cultures support caregivers during the workday
โ€ข How leaders can incorporate grounding, hydration, gratitude, and movement into team huddles
โ€ข Why supporting employee well-being can improve retention and recruitment
โ€ข How eight intentional minutes a day can create lasting change
Creating a healthier workforce does not always require a large budget or an elaborate wellness program. Sometimes it begins with two deep breaths, a drink of water, a real break, and a leader who makes employees feel seen.
Subscribe to Foresight powered by ProCare HR for more conversations about leadership, workforce culture, caregiving, and the future of senior living.
#NurseBurnout #CaregiverSupport #HealthcareLeadership #EmployeeWellness #SeniorLiving #WorkplaceCulture #NurseWellness #ForesightRadio

AI and Money

by Jack Cumming
The news was both stunning and personal. Dario Amodei issued a warning that soon led to speculation that rogue AI agents have the potential to extinguish human existence as we know it. That caught the public’s fancy, provoking widespread fear reactions. There were reports of AI agents going rogue and gloating over their ability to break out of their sandboxes and to break into Hugging Face, an online collaborative platform. That proved to be an exaggeration by the media.
What Happened?
Amodeiโ€™s warning came in a lengthy disquisition published on his personal website. Immediately, other AI commercialization leaders supported his call to slow down AI advances and to come up with some sort of unbiased regulating oversight.
Although Mr. Amodei was more circumspect, the sensationalists quickly sent the specter of human extinction around the world. In his published paper, Mr. Amodei only spoke of โ€œ[Risks] include the risk of losing control of AI systems, misuse of AI for cyberattacks and bioterrorism, and serious economic disruption.โ€ Mr. Amodei in interviews, presented himself as the wise conscience of the industry [Example].
You may have read his proposal. You may have watched interviews. You may even have invested in AI commercialization. The commercialization of AI has consumed enormous quantities of money in the expectation that the resulting AI bonanza will return untold riches. Itโ€™s like the quest for the pot of gold at the end of the rainbow. Is it real, or is it madness?
Before we move forward, we should note that weโ€™ve been here before. You may recall the weekend during which Sam Altman was removed as CEO of OpenAI, only to have him reinstated after what seemed like a squabble about ethics among a small group of AI afficionados. The argument was whether AI should be used to gain corporate advantage or should instead be treated as a common good for the benefit of all humanity. That remains an open question.
Avoid Fear or Infatuation
AIโ€™s commercial progenitors are naturally biased by their own self-interest. They are people like Sam Altman of ChatGPT, Dario Amodei of Claude, Sundar Pichai of Gemini, and of course Elon Musk of Grok. Microsoft and Amazon are also in the progenitor category as they try to catch up. That leaves the members of the public, and they are being cajoled into fear as moguls speak of human extinction.
With anything new and powerful, itโ€™s wise to be wary lest bad actors use it to cause havoc. Airplanes have been a positive advance of the 20th century, but in the hands of haters on 9/11/2001, they destroyed the lives of innocents. Nuclear science can give us clean energy, or it can destroy cities.
Wariness is reasoned, while fear can be consuming. In the case of AI, it can be a populist, insidious fear, since only a handful of people really understand AI. Do you know what a perceptron is, how it works, and why it does one thing or another? Are you aware of Geoffrey Hinton or Fei Fei Li?
Slow Down?
The moguls counsel slowing down. Of course, they do. Weโ€™re rushing into a financial bubble, and their enormous investments in research, prompt engineering, data centers, and more are in danger of a catastrophic collapse. That, too, is part of human nature. We tend to rush toward gold, hoping for riches, only to find that โ€” in one such rush โ€” it was the maker of breeches (Levi Strauss) who got the benefit.
The progenitors arenโ€™t stupid. Theyโ€™ve been drawn into a competitive race with each other. The danger of collapse is looming larger and larger. Remember when the air went out of the internet bubble and how much money was then lost? Pets.com failed spectacularly while Amazon went on to scale the heights.
Of course, the progenitors want to slow their spending spiral and collaborate for their common benefit. They may even imagine that they are being selfless at the same time as theyโ€™re not.
Competition vs. Collaboration
Our American culture promotes competition and rivalry as good, and the progenitors are caught up in a competitive spiral of expenditure. Other cultures promote collaboration with all the bloat, error, and inefficiency that it can foster. Itโ€™s not surprising that China believes its one-party state is better than our two-party government.
Itโ€™s also not surprising that China favors open-source AI, while in the U. S. open science was soon preempted by closed-source proprietary competition. Now those commercial interests want to be allowed to collaborate for self-regulation to avoid the dire outcomes they forecast. Human extinction? No thanks!
This will take some thought among a deliberative assembly of the worldโ€™s best minds. Recent Congressional mudslinging suggests that Congress is unlikely to give us anything wise other than a bailout for the progenitors when they stumble and fall. Letโ€™s avoid that.
The times call for wisdom. Is wisdom in the C-Suite or in Congress? If not, where is it to be found?
This is one article in a series intended to prepare the senior living industry to benefit from artificial intelligence and to help the industry to use AI to leapfrog from its reputation as a technological laggard to a leading force for human advancement. Earlier articles were โ€œAI and Wisdomโ€ and โ€œAI and the Law.โ€ Expect more to come.
Subsequent News: As you might expect with provocative news, this story keeps adding confusion where clarity is needed. The news is that Jensen Huang, CEO of Nvidia and one of the top minds in technology, discounted the cry of fear put forward by the AI commercial progenitors. Jensen Huang entered the discussion after this article had been filed with Senior Living Foresight.
Whatโ€™s troubling is that CBS, instead of just reporting, quickly segued from Jensen Huang to their own talking head, who spent most of the report keeping the fear story alive. Thatโ€™s troubling. Judge for yourself by clicking here to watch the CBS report. CBS seemed to cut off Jensen Huang just when I, for one, would have liked to have heard his reasoning.
Maybe the takeaway is that todayโ€™s โ€œnewsโ€ is that itโ€™s not the hard news reporting of an earlier era but is the opinionated media of today. AI needs clarity, not excessive fear or excessive optimism. Can senior living benefit? Thatโ€™s up to the character and talent of the industryโ€™s leaders. Will they lead or will they follow? You decide.

That Thing That Got You to the Top Is Killing You

By Steve Moran
A long time ago, a really prominent senior living leader, one of the most prominent in the entire industry, reached out to invite me to dinner. He told me he was really curious about who I was and how I thought about the industry.
I was flattered and so, so nervous when the evening of the dinner came.
We got through the pleasantries and ordered our meal, and the conversation began. I asked him about a story he had told at another conference. He was off and running. He told me his entire life story. It was fun and interesting.
As he wound down his storytelling, a lightbulb went off in his head. “I forgot to ask about you and your story.” By then it was too late in the evening to have my turn, and we agreed to another meal. That was probably eight years ago, and I am pretty sure it will never happen.
I don’t think it was bait and switch, but he was so used to being the one on stage, the one talking, that it never occurred to him that he had abandoned his own agenda until it was too late to fix.
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

Senior Livingโ€™s Biggest Opportunity Is Radical Clarity

By Rebecca Wiessmann
In this episode of Murry Off the Mic, Murry and Margaret Cabell of A Place for Mom talk about family behavior, technology, transparency, and the future of senior living. You can watch the full episode here.
Senior living loves to say it is misunderstood.
And it is.
But at some point, the industry has to ask a harder question:
Are families misunderstanding senior living because they are confused or because senior living is not explaining itself clearly enough?
Margaret Cabell believes transparency is one of the biggest opportunities in the industry. Murry promotes the same idea from another angle, noting that many communities struggle to own who they are.
They want to be a little bit of everything.

A little hospitality
A little health care
A little lifestyle
A little luxury
A little affordability
A little active adult
A little assisted living
A little clinical
A little social

The result is often a mushy message that does not help families make decisions.
And families need help.
Families Want Agency
Murry raises an important point about agency in the digital process.
Senior living still funnels too many decisions through staff-controlled workflows. Families fill out forms, wait for callbacks, talk to salespeople, schedule tours, ask for pricing, request care information, and try to piece together the truth.
That may have worked better when families had fewer options and less information.
It does not work as well now.
Families are used to digital transparency in almost every other part of life. They can compare hotels, restaurants, schools, flights, doctors, contractors, and cars.
Then they come to senior living and often find vague pricing, unclear differentiators, confusing care levels, and marketing language that sounds like everyone else.
No wonder they are overwhelmed.
The industry says families wait too long.
Families might say the industry makes it too hard to start.
AI Can Help โ€” But It Is Not the Hero
Margaret is clear that AI has a role to play, but she does not frame it as a replacement for people.
That is the right answer.
Senior living is still a human business. These decisions require empathy, judgment, listening, and experience. A chatbot cannot hold a daughterโ€™s fear the way a skilled advisor or sales counselor can.
But AI can make people better.
At A Place for Mom, Margaret says AI is already being used to review calls, identify needs, understand objections, detect timeline triggers, spot budget confusion, and coach advisors.
That is practical. That is not shiny-object AI. That is AI being used to understand families better.
This may be where senior living should focus first, not on replacing humans, not on pretending technology can love residents. But on using technology to hear more clearly, respond more quickly, and remove friction from the decision-making process.
The Industry Will Be Embarrassed by Its Delay
Murry asks Margaret what senior living will be embarrassed about 10 years from now.
Her answer is technology adoption.
She compares it to the slow move from paper medication administration records to electronic systems. Looking back, it seems obvious that the industry should have moved faster.
The same may be true now.
Ten years from now, senior living leaders may wonder why they tolerated so much friction.
Why did families have to work so hard to get basic information? Why did communities fail to use data they already had? Why did staff spend time on tasks technology could have handled? Why did sales teams operate without better insight into what families were actually asking, fearing, and misunderstanding?
The embarrassment will not be that senior living failed to chase every trend.
It will be that it failed to use available tools to serve people better.
Differentiation Is Not Optional
Margaret says she would like to see operators better differentiate themselves and better understand how they overlap in a market.
That is a big idea.
In many markets, communities compete as if they are interchangeable. Same warm photos. Same smiling residents. Same dining language. Same care promises. Same โ€œpeace of mindโ€ headline.
But they are not the same.
One community may be great for a highly social resident.
Another may be better for someone with complex care needs.
Another may be ideal for couples.
Another may be best for someone who wants independence but not isolation.
Another may have a culture that feels quiet, intimate, and family-like.
Another may feel energetic and full of programming.
These differences matter.
But they only matter if families can see them.
Transparency Builds Trust
Transparency does not mean every community has to be everything to everyone.
It means the opposite.
It means being brave enough to say, โ€œThis is who we are.โ€ It means being honest about pricing. Honest about care capabilities. Honest about staffing models. Honest about lifestyle. Honest about what kind of resident thrives there โ€” and honest about what kind of resident may not.
That kind of clarity may feel risky. But the alternative is worse: confused families, mismatched residents, frustrated operators, and a marketplace where everyone sounds the same.
The New Competitive Advantage
The communities that win the next decade may not be the ones with the prettiest brochures or the fanciest buildings.
They may be the ones who make the decision easier.
They will educate earlier. They will explain more clearly. They will use technology to reduce friction. They will give families more agency.ย 
They will know who they are. They will say who they are.
And they will be transparent enough to help families decide whether they are the right fit.
Senior living keeps saying families need to understand the industry better.
That is true.
But the industry also needs to explain itself better.
Because the future may belong to the communities that are not just good at caring. It may belong to the communities that are good at being clear.

Senior Livingโ€™s Best Value Proposition May Have Nothing to Do With Care

By Rachel Hill
What if the real promise is not simply support, safety, or independence, but the chance for families to become families again?
Ask most senior living organizations to explain their value proposition, and you will hear familiar language: exceptional care, engaging lifestyles, beautiful environments, peace of mind, and greater independence.
Those things matter. But they may not be the thing families need to hear most.
In a conversation with Juniper Communities founder and CEO Lynne Katzmann, SMASH founder Bailey Beeken offered a much more personal possibility: โ€œReunite with your family.โ€
It is a simple idea with enormous weight behind it.
When an older adult begins to need more support, family relationships often change gradually and then completely. A daughter who once called to talk about the grandkids is suddenly coordinating medication refills. A son who used to stop by for dinner now spends the visit reviewing bills, checking the refrigerator, and confirming the next doctorโ€™s appointment.
The love is still there. But it becomes buried beneath logistics.
Family members do not stop being daughters, sons, spouses, or friends. Yet caregiving can force them into roles they never expected and may not be equipped to manage. Their conversations become task lists. Their time together becomes work. Every visit carries another responsibility.
Senior living has traditionally responded by emphasizing what the community can do for the resident. Perhaps the stronger story is also what the community can give back to the family.
It can give a daughter permission to be a daughter again.
It can allow a spouse to spend an afternoon holding a hand instead of managing a medication schedule.
It can help a grandchild hear the old family stories because the adults in the room are no longer distracted by everything that needs to be done before they leave.
That is not a secondary benefit. It may be one of the industryโ€™s most meaningful outcomes.
Independence Is Not Always What Families Think It Is
There is a persistent fear that moving into senior living means closing the door on independence. For many older adults, it can feel like surrendering control. For their families, it may feel like breaking a promise.
But sometimes the opposite is true.
When daily life has become a constant struggle to coordinate meals, transportation, home maintenance, medical appointments, and personal care, independence may already be disappearing. The person may still live in the same house, but the life they once enjoyed inside it has become smaller.
The right senior living environment can reopen that life. It can create room for friendships, interests, movement, purpose, and spontaneous connection. It can also remove enough of the caregiving burden that family members can reconnect emotionally.
That is a radically different story from โ€œMom needs care.โ€
The story becomes: โ€œWe want Mom back.โ€
Stop Selling a List of Services
Senior living marketing is often crowded with features. Three meals a day. Transportation. Wellness programming. Medication management. Housekeeping. Activities.
Every one of those services has value, but families do not make life-changing decisions based only on a checklist. They make them because they want life to feel better than it does today.
The best marketing helps people see that better future.
Show the daughter arriving without a folder of medical paperwork tucked under her arm. Show the spouse sharing a meal without worrying about preparing it. Show the family laughing together because someone else has taken responsibility for the tasks that once consumed every visit.
The industry should not minimize care. It should explain what excellent care makes possible.
That is the difference between selling services and communicating transformation.
A Question Worth Asking
Every operator should ask: If our team does its job exceptionally well, what relationship do we give back to this family?
The answer may be more compelling than any amenity, floor plan, or dining program.
Senior living provides care. At its best, however, it does something even more human. It creates the space for people to stop managing one another and start loving one another again.
Maybe that is the promise families have been waiting to hear.

Donโ€™t Let This Happen to You

By Steve Moran
This happens in every single exit interview … there’s a version of the very same sentence: “I just felt like I’d hit a ceiling here.”
And, in fairness, particularly in smaller organizations on occasion, moving on to grow is the only way to advance the team member’s career. But mostly this is not true.
Here is what is worth thinking about: Nobody ever says this at the six-month mark. They only say it on their way out the door, which means you had a year, two years, three years to hear it first, but didn’t bother to ask.
There is an easy … kind of … one-question fix.
Not a program, not a training budget, not a new HR initiative. One question, once a month, actually acted on.
Continue Reading on Practical Passionate Leadership (Substack) โ€ฆ

90th Birthday Tribute

By Jack Cumming
Festschrifts and tributes are rare in a business context like senior living, but I was greatly surprised this morning, on my 90th birthday, to receive the following compendium from many of my friends who have sought to lift the industry to its potential. I thank all of you.
Tribute to Jack Cumming on the Occasion of His 90th Birthday
September 9th, 2026
One of the important events in life is the opportunity to express appreciation for people who have influenced your career. Today is just such a day. Jack Cumming and I came to know each other some twenty years ago. That was rather early in my days of academic research into how consumers may need specific safeguards when planning for quality of life, housing, and care as they grow older.
When I first met Jack, I had already written my first, rather naรฏve article about the phenomenon known as โ€œContinuing Care Retirement Communitiesโ€ (or CCRCs, now also sometimes known as Life Plan Communities), which was published in 2004. Jack recognized I needed to deepen my knowledge of economics, administrative law, contract law, accounting principles, and actuarial science if I had any hope of persuading anyone that residents are consumers who deserve better protection for these important options for โ€œsenior living.โ€ There were a few lessons in German philosophy, too!
I learned that Jack was a resident at a CCRC in southern California, but more importantly, I learned that he was highly educated, very thoughtful, and was fully aware of the need for sound financial planning. Yet he freely admitted that he had bought into a high-end CCRC without first investigating the actuarial soundness of that communityโ€™s contract promises to current and future residents. Jack became my most important tutor. He has shared articles, books, and advice. He never laughed at my naรฏve questions (although certainly he and I spend a lot of time laughing). He explained to me about his moment of blind trust as a prospective resident in an attractive, well-located senior living community. He taught me, โ€œDo not be beguiled by superficial details.โ€ Do not assume that the mere fact that this is an industry with some โ€œregulationsโ€ that regulations are โ€œenough.โ€ Talented, dedicated people are needed for oversight and effective safeguards.
Along the way, Jack and I became good friends during my education process about risks and benefits of continuing care. We also became great friends with other movers and shakers in this area of law, financial sciences, and more, including A.V. Powell, Scott Townsley, Karen Miller, and a host of wonderful, engaged residents from coast to coast.
I deeply cherish the time I get to spend with my friend and mentor, Jack Cumming, and I regret that usually we have three time zones separating us. Jack is, quite simply, a fountain of youth, knowledge, and friendship. Thank you, Jack, and my very best wishes to you on your birthday.
Katherine C. Pearson,ย Professor of Law,ย Penn State Dickinson Law
A Birthday Tribute to Jack: A Champion for CCRC Residents and Prospects
As a NaCCRA member, I first noticed Jackโ€™s contributions to the NaCCRA Forums in 2021 and reached out to him with a few questions. He was always very kind, patient, and helpful. Because of his innate modesty, it took me quite some time to fully appreciate his impressive background and his extensive knowledge of history and of the complex world of senior living. His depth and breadth of knowledge combined with his fantastic memory never ceases to impress me.
Jack generously gave me access to NaCCRAโ€™s old website, which he personally financed and populated with a vast library of highly instructive articles. I still return to this website from time to time, as most of the information remains just as vital and valid today as it was when first published. NaCCRA wouldnโ€™t be where it is today without Jackโ€™s significant contribution for many years.
As a prospective resident, Jack helped me acquire the essential background knowledge I desperately needed to navigate the world of CCRCs. He not only tirelessly advocates for current residents, but he also empowers prospects to make educated life decisions. For a number of years, Jack even hosted weekly gatherings for a group of us, creating a space where we could benefit from his expertise and learn from one another.
In my book, Jack is an extraordinary, dedicated, and selfless expert,ย a rare blend of an analytical, math-minded actuary who uses his retirement to fight for the legal and financial safety of fellow seniors.ย I am immensely indebted to him. I wish him the absolute best for his upcoming 90th birthday, and abundant good health in the years ahead!
Thank you, Jack, for everything you have done for me, and for every CCRC resident and prospect!
Susan Farkas
There is no better advocate for residents of retirement communities than Jack Cumming. He has been tireless in helping residents all over the country understand the industry much better than we did when we first considered moving in. He understands the benefits as well as the detriments and can give advice on pitfalls we should try to avoid.
If providers were smart enough to listen to Jack and heed his advice to pay attention to their residents, we and they would be better off.
Thank you, Jack, for everything you have done and everything I am confident you will continue to do.
Karenย [email protected] 374-9999
A Nomination for the NaCCRA Residential Medal of Honor
Jack Cumming, NaCCRA Research Director

For a lifetime of intelligent inquiring into the reality of aging in his time and place,
To recognize the many challenges that both providers and residents face and in crafting purposefully living for the aging,
For courageous and forceful communication of the reality of aging and constancy in forceful, effective voice in the public forum.
For the complete dedication of his considerable intelligence and analytical capabilities in support of residents,
For meriting a place of honor as THE best friend of the CCRC resident.

AS WE WISH YOU A VERY HAPPY BIRTHDAY, THE RESIDENTS OF YESTERDAY, TODAY, AND TOMORROW WISH YOU THE VERY BEST.
Personal Note: ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย  ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย  ย ย ย ย ย ย ย ย ย ย ย  September 4, 2026
Thank you, Jack, for all you have provided me with; for your research and your writings. You set me a course of activity that I still pursue with vigor the well-being of my fellow CCRC residents.ย Your article,ย Not What We Expected,ย touched on the essential points that continue to vex an industry vital to an aging nation. To a friend, mentor, and critical thinker, and effective voice โ€“ Happy Birthday
Basil H. Pflumm, Brig Gen USAF (Retโ€™d)
Wade Taylor, Army Residence Community, San Antonio, Texas
Thank you for reaching out as Jack celebrates a significant “life well lived” milestone of 90 years. My short reflections (which do not do justice to Jack and his many contributions from my perspective) follow:
Jack is both a “legend in his own mind” (fondly said) as well as in the mind of many others. He has touched, influenced, and educated many with respect to senior living and CCRC/Life Plan living over his many years with NaCCRA and through other influential senior living associations and organizations. His early pioneer research published questions to ask before moving into a CCRC, and NaCCRAU videos influenced me greatly in my journey to search for a CCRC some 20 years ago. In sum, Jack’s published works/articles and his NaCCRA research were invaluable tools for many untold numbers of seniors.
More recently, our lives have intersected, and my relationship with Jack has become more personal, starting with my service as a NaCCRA Director, our Chat Group discussions, our personal correspondence, and his writings for Senior Living Foresight. His dogged, positive activism to critique/improve the business of senior living is notable. If there ever was a real “mover and shaker” in the senior living/CCRC/Life Plan business, it is Jack Cumming–a prolific contributor, activist, and good, decent person who has cemented his legacy many times over!
Wade Taylor
Ann Mackay, Charlestown Retirement Community, Catonsville, Maryland
I worked with Jack on the NaCCRA board over 10 years ago. I call him the โ€œprophetโ€ because he sees where we need to be, and he has worked very hard to educate residents and executive directors on the need for residents to be engaged and empowered.
Jack kept NaCCRA afloat with his time and money for the membership system and a website 10 years ago. He understands the importance of resident involvement and advocacy. Nara has emerged from those times with a stronger presence and strong leadership. I sometimes wonder if NaCCRA would have survived without his persistence.
He continues his thought-provoking, advanced thinking on a variety of topics, from community models to artificial intelligence and governance, in his regular senior foresight column.
Congratulations on reaching 90 years old. I will continue to read your columns and look forward to your continued contributions.
Ann MacKay, CAE (Ret.)
NaCCRA Past President
Gerard Hyland
Thank you for inviting me to contribute to Jack’s 90th Birthday tribute. Perhaps you can find something useful among some of my recollections of Jack.
My recollections of Jack go back to 2010 when I joined NaCCRA to learn about the CCRC business model. As I recall, Jack had joined NaCCRA sometime earlier than I. That might make Jack one of the longest-serving members of NaCCRA.
Jack was educated as an actuary and had a career as an executive in the life insurance industry in New York City. See attached copy of his bio.
He moved to a CCRC and became a NaCCRA member, well prepared with education and career as an actuary to contribute to NaCCRA. To explain, CCRCs were originally conceived by a faith-based organization and came into being in 1972, following the IRS Revenue Ruling 72-124. It allows homes for the elderly to qualify for tax-exempt status under Section 501(c)(3) of the Internal Revenue Code without needing to provide direct financial assistance or relief of poverty as long as the home satisfies three primary needs, that is, housing, healthcare, and security.
CCRCs intend to care for the elderly from independent living, through assisted living, and into skilled nursing, as required, without an increase in monthly service fees except for inflation, under the type A contract. Such a contract implicitly includes long-term care insurance. In the early years, CCRC bankruptcies were a big problem as faith-based and other organizations could not get the revenues correct to support the promised services to the elderly.
Professor Howard E. Winklevoss at the University of Pennsylvania, Wharton School of Business, came to the rescue by applying actuarial science to the problem. This story can be gleaned from “Life Care Communities: Promises and Problems,” Hearing before the Special Committee on Aging, United States Senate, May 25, 1983 (see attached). Jack, the actuary, retiring to a CCRC and joining NaCCRA was a perfect fit.
In recent years, Jack learned that I relocated from Oregon to Southern California, and I was then living in an assisted living facility that had been a CCRC. It was purchased out of bankruptcy by its new owner. Jack alerted me to the book by Patrick Dillon and Carl M. Cannon entitled “Circle of Greed.” The book is about the spectacular rise and fall of a lawyer who was instrumental in bringing a class-action lawsuit to court on behalf of residents in 14 CCRCs in California, Arizona, and Hawaii against Pacific Homes Corporation. (See Barr v. United Methodist Church, 90 Cal. App.3d 259 (Cal.Ct.App. 1979)).
Jack is the most intelligent, smartest, and more knowledgeable about CCRCs than anyone who I know. We have corresponded frequently over the years. I could ask him a short question and, to my amazement, receive a lengthy 15 pages of well-written, perceptive and intelligent response. See, for example, the attached review Jack wrote on the Government Accountability Office (GAO) report.
Jack had worked at New York Life Insurance Company (NYLIC), a company where my father had worked. When I told Jack, he promptly sent me a book on the history of NYLIC, for which I am most appreciative.
Jack told me the story of the problems that life insurance companies were having during the 1800’s when unscrupulous companies paid executives high salaries while the companies did not have the resources to pay benefits when the insured died. The industry was getting a bad reputation. The creation of the New York State Insurance Department (originally established in 1859 and the precursor to todayโ€™s New York State Department of Financial Services) is a landmark story of America’s transition from a chaotic, unregulated wild-west market to structured consumer protection.
The life insurance industry eventually embraced the legislation when they realized that strict, transparent regulation actually helped stable firms by weeding out fraudulent competitors and building public trust. All other states followed New York State in regulating the insurance industry. My sense is that Jack envisions an extension of state insurance laws to CCRCs to save CCRCs from themselves. As with life insurance companies, they resisted at first. Once regulation was implemented and clients had confidence in the industry, the life insurance companies were better off, as well as their clients.
Jack conveyed to me the impression that he was dismayed at the lack of similar strict, transparent regulation of the CCRC industry, given CCRC similarities to the insurance industry. He has tried to persuade the National Association of Insurance Commissioners to regulate CCRCs and to persuade LeadingAge to clean up their industry. Jack continues to work in support of the best interests of CCRC residents as well as the CCRC industry. He deserves thanks and appreciation of NaCCRA members.
Best regards,
Gerard Hyland
WHAT JACK WROTE ABOUT HIMSELF IN 2014

American Historical Association Perspectives Journal,ย Publication Date November 1, 2014, Career Paths
My career illustrates an opportunity that historians and humanists often overlook by leaving the preparation of business leaders principally to business and engineering schools. Skills familiar to historian analysis, writing, and integrity are what distinguish great business leaders. While case studies can bring a semblance of historical dynamism to business education, there is nothing like a historical perspective as preparation for business in a time of rapid change.
A transition in my preparation for a business career followed from a moment of insight on a warm early spring afternoon in 1956. My first two years of college were in engineering. Iโ€™d spent that afternoon in a laboratory measuring the strength of concrete blocks. Now thatโ€™s very important for engineers to know. No one wants a building to collapse under its own weight. But at 4:30 p.m., after three hours with those concrete blocks, I returned to my room to find my roommates still in heated discussion over a morning lecture on the Renaissance and Reformation. The lecture was given by โ€œJinxโ€ Harbison, a consummate scholar and teacher. โ€œMy goodness,โ€ I thought, โ€œthese guys are getting an education, and Iโ€™m crushing concrete blocks.โ€
The next day I initiated a shift in major from engineering to the humanities, specifically European area studies. I was afraid to jump right into a history major. History was considered formidable, and I lacked the prerequisite survey courses. Area studies allowed a historical focus with diversification into other humanities. I was fortunate to be allowed to start junior-level history courses after R. R. Palmer, the head of the history department, decided I could handle it. He had given me a stack of books, including his own, to read over the summer, followed by an informal oral exam in the fall.
Despite my shift to the humanities, my passion for a business career remained. Business serves to improve the human condition, to create employment, and to raise the overall standard of living. I wanted to be part of that practical world.
Until that moment in 1956 I had thought that an attraction to business and an interest in history were two dissimilar interests. As it turned out, that is not the case. Itโ€™s true that business is practical and history can be academic, but the academic can illumine the practical.
Like my passion for business, my interest in history began early. When I was nine years old, a captivating picture appeared on the front page of our local newspaper. Buchenwald had just been liberated, and we awoke one day to a photograph of a starving, under-clothed man standing by a bunk bed. Youโ€™ve likely seen that picture. The full horror of what our nation had been fighting suddenly was manifest before our eyes. How, I wondered, could such an atrocity have come to pass? Might it conceivably ever happen here, in the United States? Questions like these, I came to know, are the stuff of history.
My career has been as an actuary. Unlike many other business professions, including law or accounting, actuarial qualification does not require specific academic preparation. Fellows of the Society of Actuaries qualify by passing a lengthy series of examinations administered at worldwide centers. The opportunity to simply read a book and master the contents can spare the aspirant the tedium of vocational classes. The sole requisites are demonstrated mastery and good character. This can help a humanities graduate to establish the practical credentials that businesses expect.
After college I went to work in insurance, but my interest in history persisted. In that era, New York University allowed people to work for a PhD through evening courses. I was hungry to study history. The year was 1962, six years after my change of major, and four years after Iโ€™d earned my bachelorโ€™s degree. I had become a junior officer at a major New York insurance company and was sitting for the actuarial examinations.
The self-study format of the actuarial program left me free to enroll at NYU. With the evening option, I was able to support my young family, to prepare for actuarial exams, and to pursue professional-level studies in history, all at the same time. The combination was perfect for me.
Working full-time at a demanding business position, while pursuing graduate studies at night, takes a toll. I reduced my sleep over a period of years to just three to four hours a night, though I made up for it on Sunday. To stay in shape I would run the distance from my office on 51st Street in New York City to the university building at 8th Street (roughly two and a half miles). Even though the combination of work and graduate school was stressful, I felt fortunate to have access to a first-rate university that offered evening classes.
I never revealed to my work associates that I was studying graduate-level history. They might have thought that I wasnโ€™t serious in business, so I didnโ€™t take that chance. I was ambitious for career advancement. I expected pushback from the business community and avoided it by studying covertly, but I was surprised to find that my dissertation adviser thought that, if I continued in business, I couldnโ€™t be a serious history student. He wanted me to teach, but that had never been my intention. Finally, he told me he would never approve my dissertation since he couldnโ€™t โ€œcertifyโ€ me as a historian if I remained in business. By that time, I had rewritten the first chapters of my dissertation three times. With his words I knew I would not progress. I dropped the pursuit of a PhD. Although I donโ€™t have a degree to show for those years of effort, I gained the benefit of the education.
My business career blossomed, and I was given positions of increasingly higher responsibility. Those years of concentrated historical studies propelled my success. Historians are uniquely qualified to foresee change, to set change into context, to recognize practical innovation, and to manage the transitions from one era to the next. The sense of opportunity in a changing world distinguishes the historically trained businessperson from the graduate of a business program. It allows the historian in business to capitalize on change while others may only see change as an unpleasant challenge.
Beyond the historianโ€™s grasp of change, practical skills from the humanities are critical to corporate leadership. Understanding of human nature tops the list. Other skills are nearly as important; not least among them is the craft of writing clearly, succinctly, and effectively. Good writing is followed closely by the ability to articulate a vision and to enlist others in the corporate cause. History provides a visionary perspective. Historians are trained to read rapidly and with comprehension; corporate leaders must absorb information quickly and cogently. Without these skills no business leader can be fully successful.
Of course, the pragmatics of business also matter. Businesspeople must know finance, accounting, marketing, organizational management, legal requirements, and the like. Historical preparation can facilitate even the mastery of these specifics. The rapid absorption of complex and varied information provides an advantage. Marketing requires deep understanding of people and what motivates them. Organizational management is not that different from the varieties of societal organization, which historians understand well. In short, a businessperson who has a strong grounding in the humanities and is rooted in history is well positioned to absorb the pragmatic vocational skills needed.
Graduate history programs can thrive if they avoid the narrow premise that graduate education is job training for teaching. Expanding the vision can bring wider awareness of the value of graduate-level historical training for business and other careers. Recognizing these broader career possibilities can create new opportunities for those with advanced history degrees.
Jack Cummingย is a consulting actuary and research director for the National Continuing Care Residents Association. His aborted dissertation was on Walther Rathenau as a thinker, writer, business executive, and government official.
This work is licensed under aย Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Attribution must provide author name, article title,ย Perspectives on History, date of publication, and a link to this page. This license applies only to the article, not to text or images used here with permission.

WHAT THE INTERNET KNOWS ABOUT JACK
Jack Cummingย is aย prominent retired life insurance actuary and an active advocate, writer, and researcher in the senior living and housing industry.ย [1,ย 2,ย 3]
The biography below focuses on Jack Cumming, the life insurance actuary:
Career Summary

Insurance Background: Spent his core corporate career working within the life insurance sector as an actuary by training.
Senior Living Advocacy: After moving into a Continuing Care Retirement Community (CCRC) in 2006, he pivoted his focus toward senior housing and aging services.
Research Director: He serves as the Research Director for the National Continuing Care Residents Association (NaCCRA).
Credentials: In addition to his actuarial background, he qualified by examination as a Certified Aging Services Professional (CASP). [1,ย 3,ย 5]

Key Focus Areas & Publications

Industry Commentary: He is a frequent contributor to platforms like the Senior Living Innovation Forum and Senior Living Foresight, where he writes about leadership, AI law, financial business models, and operational safety in senior care.
Core Philosophy: He strongly advocates that the senior living market must evolve its business models to effectively sustain America’s rapidly aging population. [1,ย 3]

———————-
The digital footprint for “Jack” highlights several key facets of his life and career:

Actuarial and Corporate Background

Professional Roots:ย Before dedicating his time to senior living advocacy, Jack had a long and successful career in theย life insurance industry. He is a Princeton University graduate and an actuary by training.ย [1,ย 2]
Interdisciplinary Expertise:ย In interviews, he often speaks about his diverse academic journey bridging engineering, history, and actuarial science, emphasizing the deep value of the humanities in business.ย [1]

A Leading Voice in Senior Living and CCRCs

Certified Expert:ย After transitioning to living in a Continuing Care Retirement Community (CCRC) in 2006, he fully immersed himself in the senior housing landscape. He went as far as qualifying by examination as aย Certified Aging Services Professional.ย [1]
Prolific Writer:ย He is widely recognized on the web as a prominent contributing author for industry platforms likeย Senior Living Foresight. He frequently publishes deeply analytical thought-leadership pieces covering topics ranging from senior housing finance, corporate leadership, and industry ethics to the integration of technology and AI in eldercare.ย [1]
The “Memory” and “History” Connection:ย True to your draft’s mention of his great memory, internet profiles track him as a resident who deeply understands the legislative, financial, and moral “trust” that non-profit CCRCs owe to their residents.ย [1]

Advocacy and Community Building

NaCCRA Leadership:ย The internet tracks his regular involvement with the National Continuing Care Residents Association (NaCCRA), where he has documented conferences, pushed for better hospitality standards, and fought against bad actors in the senior living space.
Mentorship:ย He is publicly recognized as a passionate mentor who heavily champions consumer protection for prospective residents, matching your experience of him hosting gatherings to educate incoming seniors.

From the Board of the National Continuing Care Residents Association (NaCCRA)
The Board of the National Continuing Care Residents Association (NaCCRA) extends its heartfelt appreciation to Jack Cumming for his extraordinary dedication, generosity, and wisdom.
Jack has been a steadfast supporter of NaCCRA for many years. Whenever he has seen a need or an opportunity to strengthen our organization, he has stepped forward โ€” generously sharing his time, knowledge, experience, and resources. Most recently, Jack demonstrated that commitment through a substantial financial gift to NaCCRA, offered simply because he recognized a need and wanted to help.
As Jack celebrates his 90th birthday, his passion and determination remain as strong as ever. He continues to speak out on issues affecting seniors and to generously share the wisdom gained through his many years of experience. Jack shows up โ€” again and again โ€” wherever there is an opportunity to advocate for seniors, exchange ideas, provide guidance, or help make a difference.
There are very few individuals who give so freely of themselves and remain so deeply committed to serving others. Jackโ€™s 90 years have certainly not diminished his enthusiasm, his curiosity, or his determination to continue contributing.
NaCCRA has been truly fortunate to have Jack as a guiding light, trusted advisor, generous supporter, and friend. His dedication has strengthened our organization and inspired those of us who have had the privilege of working alongside him.
Jack, on behalf of the entire NaCCRA Board and our members across the country, we thank you for all you have done and continue to do. We congratulate you on this wonderful milestone of 90 years and look forward to many more years of your wisdom, friendship, leadership, and unmistakable Jack Cumming spirit.
Happy 90th Birthday, Jack โ€” and with our deepest gratitude, thank you!
Luana Pinasco, President,ย National Continuing Care Residents Association (NaCCRA)
From Germany
Happy 90th birthday, Jack Cumming, the opener of worlds.
I first met Jack when I was 16 at Kolleg St. Blasien. During one of his visits to South Germany, he stepped in to teach a few English and history classes, sharing his vast knowledge simply for the joy of it. A year later, Jack and Valerie welcomed me into their home in Marina del Rey. For a teenager from the Black Forest, discovering Los Angeles opened an entirely new world.
That has always been Jackโ€™s gift: helping people see possibilities beyond the limits of where they started. Over the years, he has positively influenced so many young people, encouraging them to pursue paths as varied as veterinary medicine, the film industry, and, in my case, the world of finance.
Decades later, my work in Mexico brought us closer again, and Jack remains a mentor to me. We now share memories of sunsets in Carlsbad, a family cruise with Jack and Valerie along the California coast, as well as a Kindle library that continually opens my eyes to questions outside my social bubbles.
Perhaps sharing Kindle libraries across generations should be a business model in itself: a way to keep our minds open.
This mentorship began before mentors became part of corporate development programs. It began unexpectedly when I was 16 and has quietly lasted a lifetime (although this post makes it a little less quiet).
Thank you, Jack, for opening worlds and enriching so many lives, including mine.
May your cup continue to run over.
 

Monika Rehner

Vice President Finance | International Finance & Business Transformation Executive | Strategy, M&A, Capital Allocation & Performance

When Your Life Is Not So Blessed

By Steve Moran
Years ago, the pastor of a church I attended would start his sermon saying exactly the same thing each week. He would look out over the congregation and say, “Chicago, we are blessed.” (not really Chicago)
I found out later it drove one particular member crazy. His life was a mess, not a bad week, a real mess, and here was this man telling him, in front of everyone, how blessed he was.
I think about that every time I catch myself about to say something similar.
Bad stuff happens to all of us, though scrolling through some people’s social media accounts, you could begin to think they have perfect lives 100% of the time.
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

Why Senior Livingโ€™s First Robot Revolution Was A Flop

By Rebecca Wiessmann
In this episode of Directly Speaking, Steve talks with Justin Smith, Senior Manager of Innovation at Direct Supply, about how robotics and automation are beginning to reshape senior living staffing, care, and operations. Watch the full conversation here.
For years, robots in senior living have been more promise than reality.
Steve remembers seeing his first robots in the industry more than a decade ago and thinking they were going to be a game-changer. Then, mostly, they werenโ€™t. Every once in a while, a community would roll out a dining room robot or some shiny new gadget, but the technology never seemed to gain much traction.
Justin says the reason is pretty simple: early robots were often novelties. They were interesting. They were fun. They might have been good for marketing. But they did not always solve an urgent operational problem.
That is changing.
The reason is not that robots suddenly became cute enough or futuristic enough. It is that labor is becoming more expensive, staffing is becoming harder, and operators are being forced to rethink how work gets done.
That is the shift.
Robots are no longer just a โ€œwouldnโ€™t that be cool?โ€ technology. In the right use cases, they are becoming a practical financial and operational decision.
The Work Robots Should Be Doing
Justin frames the opportunity around what he calls the four Dโ€™s:
Dull. Dirty. Dangerous. Duplicative.
That is where automation makes the most sense.
Not replacing the people who build relationships with residents. Not turning senior living into some cold, mechanical version of itself. Not taking away the human moments that make a community feel like home.
Instead, the opportunity is to look at all the work that surrounds care: cleaning floors, moving supplies, transporting meals, handling routine deliveries, and maybe even helping residents get from one part of a large community to another.
This is the kind of work that has to happen, but it does not always require a human being to do every step.
Steve brings up seeing floor-cleaning robots all over the Minneapolis airport late at night. Justin says that kind of application makes sense in senior living, too. Pushing a vacuum up and down hallways for hours is hard, repetitive work. It is also not necessarily the best use of a staff memberโ€™s time when that same person could be interacting with residents in more meaningful ways.
That is the real promise of robotics.
Not less humanity.
More room for humanity.
From The Airport To The Senior Living Community
One of the more intriguing examples Justin shares comes from Japan, where he saw autonomous wheelchairs being used in airports.
Think of it as an indoor Uber.
A person gets into an autonomous wheelchair, selects a destination, and the chair takes them there. No staff person pushing them. No waiting for someone to be available. More independence. More autonomy.
Steve immediately connects that to senior living.
In many communities, a meaningful percentage of residents need help getting to and from the dining room. In larger campuses, the distance can be enough to keep some residents from going at all. Maybe they are tired. Maybe they do not feel well. Maybe the trip just feels like too much.
Now imagine a resident being able to request a ride from their apartment to the dining room.
That could change more than transportation. It could change participation. It could change social connection. It could change whether someone eats alone in their room or joins friends for dinner.
That is not a small thing.
The Best Technology Is Not The Point
Justin makes an important point: residents do not choose a community because it has robots.
They choose it because they want community. They want service. They want support. They want to age in a particular way.
So the question is not, โ€œHow do we get more robots into buildings?โ€
The question is, โ€œHow do we use technology to protect and expand what matters most?โ€
If a robot vacuums the hallway, the resident experience does not necessarily change. But if that frees a housekeeper to spend five more minutes in a residentโ€™s apartment, talking with them instead of rushing to the next task, the experience absolutely changes.
That is where this conversation becomes bigger than robotics.
It is about whether senior living leaders can stop treating staffing shortages as a problem to endure and start treating them as a reason to redesign work.
The future of senior living will still be deeply human.
But some of the best human moments may happen because a robot is quietly doing the dull, dirty, dangerous, or duplicative work in the background.

Can Senior Living Be Medically Responsive?

By Jack Cumming
James Michener was a prolific author of my motherโ€™s generation. In fact, she shared a small English class with him at Swarthmore. In his time, Michener was well known and highly regarded. Less well-known, though, is his heavily researched 1994 novel Recessional, about life in a CCRC.
Medicine in a CCRC
The significance for this article, though, isnโ€™t that the novel is about a CCRC. The hero of the novel, the Executive Director for The Palms CCRC, is a medical doctor, buffeted by the winds of legal profiteering that can impact even competent physicians. Andy Zorn, MD, wants a safe harbor where he can use his knowledge for compassionate care. I donโ€™t know of many CCRCs managed by physicians, but Michener makes it sound only logical. Thatโ€™s significant.
Michenerโ€™s ED, Andy Zorn, though, is not hired to be a physician. John Taggart, the novelโ€™s capitalist multi-facility owner of retirement communities, is strictly a businessperson, and he has sought out Andy Zorn more for his business acumen than for his medical knowledge. For Taggart, itโ€™s central to his business success to be respected by physicians, but not to be beholden to them. Who better for that than an MD, who knows how to turn a profit?
1994 Approaches Continue in 2026
What stands out from reading this novel is how little senior living and medical delivery have changed since Michenerโ€™s 1994 book. The medical needs of older adults were central to aging then as now. Then as now, though, few CCRCs included medical services.
Yet thereโ€™s considerable evidence from PACE that interweaving medical practice with older adults as they go about their everyday lives improves outcomes and saves money. America spends more on health care than on any other industry. The financial opportunity is vast.
Senior living in general has not figured out how to profit from the opportunity. Some forward-thinking senior living organizations have worked out custom Medicare Advantage programs. Christian Living Communities and Juniper Communities come quickly to mind. St. Paulโ€™s Senior Services in San Diego has a robust PACE (Program of All-Inclusive Care for the Elderly) program.
Not Our Job
Many senior living leaders say that primary medical care isnโ€™t part of their responsibility. If anyone suggests that the continuum product offering might be better if it were fully integrated and responsive, they are apt to be told that isnโ€™t part of what CCRCs do. And theyโ€™re right. They donโ€™t.
Still, the problem of multiple medical bills confronting a frail or dying person who relied on a CCRC, as depicted by Michener on page 132, remains as big an injustice today as it was when Michener was leading the research for the book. Ask LeadingAge or other trade associations about the challenge, and itโ€™s not even on their radar.
It Starts with Discussion
Here are some thoughts to get a conversation started, though itโ€™s not my intent to suggest the solution. Solutions are for others, more entrepreneurial than I, to think through, to experiment with, and to find the solution that takes us into the second half of the 21st century.
One hope is that no ideas are rejected out of hand or just ignored by those responsible for senior care leadership. All ideas should be granted thoughtful consideration in comity with the suggester. Embracing ideas is a sign of excellence. Defensive naysaying is a hallmark of mediocrity. Who would have thought that Jeff Bezos could upend Sears Roebuck and seize that behemothโ€™s potential? Sears didnโ€™t. Macyโ€™s didnโ€™t.
There are many approaches to transforming medical care in which senior living can play a beneficial part. Erickson Senior Living has communities of sufficient scale to support onsite primary care clinics, and residents love the convenience. Think of how many older adult residents fail to get the assistance they need because of the hassles of having to get themselves to a doctorโ€™s office for the medical professionโ€™s convenience, not for that of the patient.
Scattered Pilot Programs
Some providers are experimenting with custom Medicare Advantage plans. Others might lease onsite space to a local independent physicians association. Some โ€œmedical plansโ€ try to get ahead of other medical providers by offering to come to a CCRC periodically or on demand when requested by residents. They only accept patients with original Medicare or contracted plans since thatโ€™s their business model. These โ€œplansโ€ have had mixed success, with some lacking reliability in keeping appointments or in handling pharmaceutical needs.
Another intriguing approach is for communities to hire EMTs as security guards. I know of one operator who does this with success. Better might be having paramedics to respond to those recurring emergencies. That is also a response to the expectation of many new residents: that there will be competent on-site staff to respond to them if an emergency presents itself.
Whatโ€™s To Be Done?
Industry trade associations could take the initiative to seek an approach that benefits the industry, leads the nation toward better healthcare, and proves more responsive to the needs of older adults, particularly those who can no longer simply drive to a doctorโ€™s office. Not long ago, Bob Kramer gave industry visibility to an article by the New York Timesโ€™s Paula Span calling for โ€œgeriatric ERs.โ€ Why donโ€™t more communities at least have a geriatrician on staff serving residents and the larger community beyond the walls? Many ER transports could readily be avoided with telemedicine or with a practitioner onsite licensed to evaluate middle-of-the-night falls, etc.
Thereโ€™s a huge opportunity here for proactive discussions within the inner circles of trade associations or among strategic thinkers who guide enterprises serving older people. Responding to the needs of older adults should not be stagnant or socio-economically subdivided. Letโ€™s look at the larger need and opportunity that can build on what the industry does well.

S8E14-Why Growing Older, Living Bolder: Challenging Ageism with Valerie Van de Zilver

What if growing older meant becoming bolder, more creative and more connected to who you truly are?
In this episode of Foresight Radio, Rachel Hill sits down with Valerie Van de Zilver, host of Always Ageless with Valerie V, to challenge the outdated assumptions society makes about aging.
Valerie shares how launching a radio show opened the door to powerful conversations with older adults who are writing plays, building fitness communities, hosting podcasts and creating meaningful new chapters later in life.
The conversation also gets personal. Valerie discusses caring for her nearly 107-year-old mother, the difficult transition into assisted living and the emotional and financial uncertainty facing adult children of aging parents.
Together, Rachel and Valerie explore:
โ€ข Why age should never erase someoneโ€™s identity
โ€ข How ageism shapes the way older adults are treated
โ€ข Why senior living cannot take a one-size-fits-all approach
โ€ข How communities can create more meaningful resident experiences
โ€ข The realities of caregiving and choosing assisted living
โ€ข Why purpose, creativity and possibility do not have an expiration date
This honest and uplifting conversation is a reminder to stop asking how old someone is and start asking who they are, what they have experienced and what they still want to become.

The MorseLife Mess, Part 3: The Reckoning

By Steve Moran
By the time I sat down to talk with Jack Scarola, Keith Myers’s attorney, the shape of this case had already shifted once. It’s worth walking through how, because it tells you something the press releases didn’t.
Myers’s original April 2026 complaint named MorseLife itself as a defendant, along with thirteen individual board and community members, and included a breach-of-contract claim over his severance. MorseLife responded by demanding arbitration, arguing that even though Myers never personally signed the Amplifii management agreement, his compensation claims still fell under that contract’s arbitration clause. Rather than fight that in court, Myers’s team filed an amended complaint that dropped MorseLife and the contract claim entirely, leaving thirteen pure defamation counts against thirteen individuals. Then, Amplifii, the company, not Myers personally, separately filed its own new lawsuit against MorseLife over the management agreement, attaching the actual contract as an exhibit.
So there are now three threads, not one: a defamation case, a contract case, and whatever gets resolved in arbitration. That’s worth knowing before you read anything either side says publicly, because each thread is being fought in a different forum with a different burden of proof.
A Conversation With Myers’s Attorney
Scarola was direct about one thing right away: he isn’t in the business of defending the board’s judgment. “I’m not here to tell you that this contract is a model of appropriate exercise of fiduciary responsibility,” he told me. “Our case is about whether Keith Myers stole money.”ย 
That’s a fair distinction, and it’s the one a jury will actually have to decide. A board can make a genuinely bad deal with its eyes open without the person on the other end of that deal having committed a crime.
He also pushed back on the idea that Amplifii was a bare pass-through, pointing to the newly public contract and its lengthy schedule of duties, financial reporting, HR, recruitment, an entire fundraising operation. Fair enough, the contract is real, and it is detailed.
But when I asked him directly how many employees Amplifii actually had, he told me he didn’t know. That’s the same question I couldn’t get answered anywhere else in this reporting, and it’s the one that actually matters. A list of services tells you what was promised. It doesn’t tell you who did the work.
A Point Worth Considering
Scarola also made a point I hadn’t fully considered: that whether the fee was 5 percent paid to Amplifii or the same dollar amount paid out as salaries to three or four named executives, the money leaving the organization is the same. That’s true as far as it goes.ย 
But it dodges the actual concern, which isn’t the size of the number in isolation; it’s whether the organization got a genuine third-party operating company for that money, or whether it got two of its own executives collecting a management fee for doing the jobs they were already being paid to do.
I asked him where the idea to structure it this way, rather than as ordinary disclosed compensation, actually came from. He said he didn’t know whether it originated with Myers or with the board. Neither, it turns out, does anyone else I’ve asked.
A Detail That Complicates the Board’s Story
Amplifii’s new lawsuit against MorseLife includes something that deserves more attention than it’s gotten. MorseLife terminated the management agreement in June 2025 without citing any of the specific grounds the contract required for termination, according to Amplifii’s complaint.ย 
And separately, MorseLife required Myers to return money Amplifii had already been paid for 2023 and 2024.
Think about the timing. In December 2024, the compensation committee reviewed an independent reasonableness assessment and formally resolved that the fee was fair market value.ย 
Six months later, the organization was demanding money back. Either the board’s confidence in that finding didn’t survive first contact with public scrutiny, or it was never as solid as the minutes made it sound. Both are worse than the story MorseLife has told publicly: that Myers deceived a board that otherwise did everything right.
Nobody Looks Good Here
At this point I don’t think the public record gives anyone in this story much to be proud of. The board did more homework on the Amplifii deal than it first appeared to, but that homework rested on an assumption about what Amplifii actually did that no one, including Myers’s own attorney, could independently verify.ย 
The fee ran for years on a formula that skimmed a piece of every charitable gift before anyone fixed that specific problem. And when the arrangement became a public liability, the same board that had called it fair and reasonable six months earlier moved to terminate it and claw money back, without, as far as the record shows, ever explaining what changed.
Myers and his CFO benefited enormously from a structure they were far better positioned to understand than the people approving it, and the actual staffing behind that structure has never been demonstrated publicly, including now, with the contract itself finally in view.
And five years earlier, the organization’s own leadership treated scarce, life-saving vaccine doses partly as a fundraising channel.
Myers’s own lawsuit, notably, no longer asks a court to weigh in on the fairness of any of it. His claims are now purely about specific statements made about him. Amplifii’s separate suit is about a broken contract and an unpaid termination fee.ย 
The question with the most to teach the rest of the industry, whether this was ever a real management company or a compensation structure wearing one, isn’t actually the subject of any pending claim. It’ll probably surface anyway, since truth is a defense to defamation, but it’s worth knowing that’s not what anyone is formally litigating right now.
The Industry Lesson
There’s a tendency in senior living, as in any business, to make ethical questions more complicated than they need to be. We hire lawyers. We commission benchmarking studies. We form committees. All of that has its place, and MorseLife’s board actually did more of it here than the early reporting gave them credit for.
None of it replaces the one question that would have changed both of these stories: if every resident, family member, employee, and donor understood exactly what we were doing, and exactly what we were and weren’t independently verifying before we approved it, would we still be comfortable defending it?
Nobody vaccinating 290 people from the same country club wants that explained to a family whose loved one in another building was still waiting. Nobody structuring a fee that included charitable gifts in its calculation for years, however many lawyers signed off on the concept, wants that explained to the donor who wrote the check.
That question is available to every leader and every board in every organization before a resolution is ever signed. At MorseLife, on two separate occasions five years apart, it doesn’t look like anyone asked it in a way that actually tested the answer. That, more than who wins any of these three lawsuits, is the part senior living leaders should remember.
A Word About Ownership
I want to add one more gentle note here. The not-for-profit portion of senior living frequently and very publicly portrays itself as being on the side of angels, suggesting that for-profit operators are somehow on the other side.
The truth is that there are some amazing for-profit operators who are serving residents and family members in remarkable ways. There are also some not-for-profit organizations that are doing some pretty un-angel-like things.
We need to be celebrating great operators regardless of ownership status and condemning bad actors regardless of their ownership status.
Doing that will go a long way toward making people trust and fall in love with senior living.

Are You a Force Multiplier or Something Else?

By Steve Moran
It always starts this way โ€ฆ
You get your first job, then another, and another. One day, someone notices that you are good at what you do as an individual contributor and decides that if you are that good, you should be a leader.
It’s perfectly logical but completely illogical. It is possible to be a great individual contributor and a terrible leader.
It is also possible to be a great leader and a not very good individual contributor โ€ฆ I think, since this almost never happens.
A Brand New Job
As a leader, your job isn’t to be either the smartest person in the room or the one doing the most work. The truth is that if you do those things โ€ฆ
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

The MorseLife Mess, Part 2: The Vaccines, and Who Was Supposed to Say No

By Steve Moran
Before the management fee scandal, there was another MorseLife story that is, if anything, harder to explain, harder to justify.
On December 31, 2020, in the earliest and scarcest days of the COVID vaccine rollout, MorseLife held a vaccination clinic through a federal program that was created specifically to protect nursing home residents and staff. Older people were, at that moment in time, among the people most likely to die from the virus.
Vaccine doses were treated like gold
According to the Department of Justice, 976 people were vaccinated at that clinic. More than half, 567 people, were not eligible under the program. This wasn’t a handful of leftover doses at the end of the day.ย 
The DOJ alleged MorseLife’s fundraising arm was directed to invite donors and prospective donors. They further alleged the board’s vice chairman and his brother, widely understood to be David and William Mack, were allowed to bring in roughly 290 people with no prior connection to MorseLife, many from the same country club, some of whom reportedly flew to Florida specifically for the shot.
Documents
The documents โ€ฆ The DOJ released contemporaneous communications it attributed to MorseLife leadership.
In one, Myers is said to have encouraged the Foundation to focus on getting the wealthiest people vaccinated and to think about what gifts might follow.
In another, he allegedly told an ineligible person MorseLife would simply make them an “employee” so they could qualify for a shot.
A MorseLife Foundation strategy document reportedly described vaccine recipients as prospective donors who felt a sense of allegiance to the people who arranged their vaccination, and discussed using that goodwill to solicit major gifts.
The Aftermath โ€ฆ
MorseLife, the institution, paid $1.75 million in 2022 to settle the federal False Claims Act allegations, without admitting liability. In September 2025, Myers personally signed a separate $250,000 settlement with the HHS Office of Inspector General resolving allegations that he personally caused MorseLife to request federally funded vaccines for people who weren’t eligible.ย 
According to Myers’s own account of the matter, MorseLife had agreed to indemnify him for that settlement, and it was ultimately paid through the organization’s D&O insurance carrier, not out of his own pocket. Neither David nor William Mack appears to have personally paid anything toward either settlement.
I want to be very careful here. Settling a civil claim isn’t a conviction, and MorseLife has denied wrongdoing.
But it’s hard to read the texts the DOJ released and land anywhere other than this: access to a genuinely scarce, life-saving resource was, at least in part, treated as a donor-cultivation opportunity.
If Myers’s lawsuit wants to frame him as scapegoated for something engineered entirely by the Macks, those contemporaneous texts, in his own words, are the hardest evidence for that framing to get around.
The Same Question, Twice
What strikes me is that both scandals, five years apart, come back to something close to the same failure. Someone in a position of trust and expertise did something that benefited the organization or benefited them personally, and nobody with the standing to stop it did so, or stopped it only partway.
With the vaccines, it seems to have been treated less as an ethical question and more as a logistics and fundraising opportunity. Who was in the room asking whether it was right to vaccinate 290 country club members while frontline caregivers elsewhere were still waiting?ย 
Did the board know the scale of what was happening in real time, or only after DOJ came asking questions?
With Amplifii, it’s more complicated, as I laid out in Part 1. The board did real diligence. What it didn’t do, as far as anyone can tell, is verify the one fact everything else depended on.
Part 3 gets into what’s happened since both scandals became public, including a conversation I had directly with Keith Myers’s attorney, and a new detail that complicates the board’s account of how satisfied it really was.

The MorseLife Mess, Part 1: The Management Agreement

By Steve Moran
Setting The Stage
For nearly two decades, Keith Myers ran MorseLife Health System in West Palm Beach, growing it from a modest nursing home operation worth about $31 million into a $300 million senior care system, one of the largest Jewish-affiliated organizations of its kind in the country.
That track record is real and an important part of this story. This matters with respect to understanding both how much trust the board placed in him and why so many people assumed at first there had to be a defensible explanation for what came next.
In January 2025, an anonymous letter raised questions about executive pay at MorseLife. What it uncovered, once local reporters started digging, was a management agreement between MorseLife and a private company called Amplifii Management, owned by Myers and MorseLife’s CFO, Randy Wolan. Over four years, MorseLife paid Amplifii roughly $36 million. In 2023 alone, the figure topped $10 million.
The fee was calculated at 5 percent of what the agreement calls “adjusted gross revenue.” On its face, that is not an unusual number for a senior living third-party management contract, and MorseLife’s own outside counsel agreed with that read. Board and compensation committee minutes show attorneys from Holland & Knight told the committee that 5 percent of gross revenue is a typical fee, specifically when the management company is running all of an organization’s operations.
That is the load-bearing assumption behind this entire arrangement. Every justification anyone has offered, then or since, rests on Amplifii actually being that kind of company.
Now We Have the Contract
For months, the actual Amplifii Management Agreement wasn’t part of the public record, only board minutes describing it. That’s changed. Amplifii has since filed its own breach-of-contract suit against MorseLife, and the agreement itself, along with a lengthy attached schedule of duties, is now an exhibit in that case.
It is genuinely detailed. It lists general accounting, accounts payable, HR and recruitment, and an extensive fundraising function: cultivating major donors, staffing capital campaigns, identifying new donor bases, running a legacy giving program, attending community events on the organization’s behalf. It goes on for pages.
So the contract is real, and it’s not thin. What it still doesn’t tell you, and what nobody has told me despite my asking directly, is how many people actually did this work. A contract that lists duties tells you what someone promised. It doesn’t tell you who performed it, or whether it was substantially the same two executives doing the jobs they already held, just relabeled.
In a typical management company arrangement, the fee also covers a company’s overhead: an accounting and HR infrastructure separate from the client’s own staff, recruiting and training systems, compliance functions, purchasing leverage, and a bench of people beyond the names on the contract. Amplifii has a registered office in Boca Raton, which is more formal than a shell. But nobody I’ve spoken with, including Myers’s own attorney, can tell me how many employees Amplifii had. That’s not a small gap. It may be the whole question.
This Matters a Lot
That distinction should have mattered enormously to anyone reviewing the deal, because comparing it to a typical third-party management fee is comparing two very different things and slapping the same label on both.ย 
Like comparing a real Rolex timepiece with one you can get for $35 at a flea market. The paperwork can look similar. What’s actually inside it is the whole ballgame.
There is one more detail that should bother every donor who ever wrote MorseLife a check. For years, the fee calculation included charitable contributions, not just program revenue. Every time someone gave MorseLife a gift meant to support care for older adults, a slice of that gift became income for Amplifii.
Also based on MorseLife’s own tax filings, Myers doesn’t appear to have taken any direct salary from the organization at all. This wasn’t a percentage on top of a salary. For Myers especially, Amplifii wasn’t a bonus layered onto his pay; it was his pay, run through a company he owned.
Here Is Where I Think the Board Deserves More Fire, and Where the Story Gets a lot More Complicated
Board members approved the Amplifii arrangement in 2018. What has since come out in court filings is that the board did more diligence on it than the early reporting suggested.
In March 2024, the compensation committee brought in outside tax attorneys from Holland & Knight and pushed them on real questions: is a 5 percent fee typical, are management company arrangements common in healthcare, does the fee calculation expose board members personally?ย 
In December 2024, they commissioned an independent fair-market compensation and reasonableness assessment from PYA, a healthcare compensation consulting firm, which concluded the fee was fair and commercially reasonable.ย 
And in April 2024, months before any of this became public, the board negotiated Amplifii down from its own proposed fee structure and removed donations entirely from the calculation.ย 
This was not a board that never asked a question.
But here’s what still bothers me. Every one of those reviews, the lawyers, the compensation consultant, the board’s own satisfaction, rested on one unverified premise: that Amplifii was actually running MorseLife’s total operations, the way a real third-party operator would.ย 
The board’s own minutes describe being told exactly that. Nothing in what’s public shows anyone independently testing whether it was true, staff count, org chart, anything beyond a services list and Myers and Wolan’s own account of what they were doing.
That’s not Governance 101 anymore; that’s a subtler failure. It’s the difference between skipping your homework and doing your homework based on an answer key someone handed you. If Amplifii’s actual staffing was thin, the lawyers’ entire opinion and the consultant’s entire reasonableness finding were built on a fact pattern that wasn’t real, and it’s fair to ask why nobody on that committee, across two years and multiple meetings, asked to see it demonstrated rather than described.
I’ll also say, because it needs saying: it’s not hard to imagine a version of this where someone on that board understood exactly how thin the “total operations” claim was and signed off anyway, for reasons that had nothing to do with governance. I have no evidence of that, and I’m not accusing anyone of it. But it’s the kind of question a room full of smart, connected people should have been asking itself before the fourth reaffirmation, not after a newspaper found the number.
Part 2 gets into the earlier controversy that first put MorseLife’s name in the news, the 2020 vaccine rollout.ย 
Part 3 covers what’s happened since, including a conversation I had directly with Keith Myers’s attorney, and a detail buried in Amplifii’s own new lawsuit that complicates the board’s “we were satisfied” story even further.

The Death of Feedback Sandwiches

By Steve Moran
We all learned the “Trust Sandwich”ย  that technique leaders use when they need to correct someone but don’t want to be the bad guy.

These things you’re doing are great
There’s this one thing that isn’t
But overall you’re amazing

It seems logical. Even kind. But you know the truth, the only thing you actually wanted to say was #2. And if you’ve ever been on the receiving end, you know the compliments feel forced, which somehow makes the criticism worse, not better.
There’s a proven, research-backed way to do this that actually works for you and for them. Take a look.
Continue Reading on Practical Passionate Leadership (Substack) โ€ฆ

The Most Underserved Person in Senior Living โ€ฆ

By Steve Moran
Every senior living operator I’ve ever talked to says they care about families. Most of them mean it. And most of them do very little to actually care for them.ย I know because I am a senior living consumer who is happy with the community caring for my loved one, and yetโ€ฆ
Three Opportunities
1. The decision process – In most cases, the adult child is making the decision to move a loved one into senior living, and it is one of the hardest things they’ve ever done. They’re usually working full-time. Managing their own household. Carrying a weight of guilt they can’t fully articulate, because even if they know this is the right decision, it feels like a betrayal of some implicit promise that family takes care of family.
Most communities treat the family member as an obstacle to be overcome, someone to be convinced. All the salesperson has to do is respond to their objections. Answer their questions. Get them to yes.
When it is done right, the community sees the family member as the primary customer/prospect. Someone who needs help understanding why the move to senior living is the right thing, and why it will be better for the older one and the entire family.
They will be the customer who receives services and support because they often need support and community as much as, or more than, the residents.
2. Post Move-in – This is where the failure becomes most evident. The move-in has occurred, the checks are flowing, and care is being provided … to the resident. The family comes to visit, and it is awkward and confusing; it is often hard to know what to talk about.
Family members are full of guilt but donโ€™t really know why. They feel no real sense of connection to the community or the staff. Itโ€™s just โ€œthe homeโ€ where they put mom.
They mostly hear from the community only with periodic blanket updates, when there is a problem, or when care charges and/or rates are going up.
But what if every day it was fun stories and photos? What if it were simply an occasional message along the lines of โ€œWe love your mom and here is whyโ€?
3. This is the biggest and most interesting one โ€ฆ and the most underdeveloped. – Most adult children of senior living residents are in their 50s, 60s, and even 70s. They are in their own period of social transition. Their career is winding toward its final chapter. Their own friend circles are starting to thin; the same physics I described when talking about their parents are starting to apply to them, too.
They’re quietly beginning to have some of the same questions their parents are facing.
What if the community built something for them?
Not just a family lounge. Not just a holiday party. Real events. Dinners that feel worth attending. Interest groups that they could actually join. A genuine sense that they belong to something here, not just that their parent does.
3 Generations
Your senior living community then becomes the hub for three generations: grandkids who beg to visit, adult children who genuinely want to come, and residents who feel at home. When this happens, you have built something almost impossible to compete with. It’s not a product anymore. It’s a relationship. And relationships are the most durable competitive advantage there is.
Nobody is doing this well yet. Which means the opportunity is wide open.

Old Enough to Not Matter

By Jack Cumming
The article, smack in the center of the front page of the New York Times for August 18, 2026, instantly caught my eye. The headline: โ€œAt 92, Nader Is Still Asking You to Listen.โ€ It can be unsettling to see yourself reflected in a contemporary. Ralph Nader was three years ahead of me when I was in college. He was Princeton โ€™55, and I was Class of โ€™58. Iโ€™ve been aware of his intensity for the past 72 years. I donโ€™t remember how I first became aware of him when I was a Freshman, but I did.
Unsafe
Ralph Nader first came to public view when he published a book, โ€œUnsafe At Any Speed,โ€ in which he alleged that the auto industry put marketing before safety. General Motors responded by initiating a campaign of intimidation in which they investigated Nader to try to dig up dirt on him; hired women to try to entrap him; and tried to smear him as anti-Semitic. The book led to the National Traffic and Motor Vehicle Safety Act of 1966.
Mr. Nader was a national force for justice and other causes in his time, but his time passed. He ran four times for President, first with the Green Party and then as an Independent. He formed a group of young activists called โ€œNaderโ€™s Raidersโ€ to pursue causes. Heโ€™s always lived an ascetic, frugal life, which was an advantage when GM unleashed its resources on him.
Benjamin Oreskes in the Times article puts it this way: โ€œCommunicating with Mr. Nader typically means talking to him via his landline. He does not own a cellphone, a computer, or even a credit card.โ€ Mr. Oreskes continues: โ€œHe lives an almost hermetically sealed life in Washington, D.C., where he shares a home with his 98-year-old sister, Claire Nader.โ€
Lessons for Senior Living
This has many lessons both for senior living and for me. Iโ€™ll get to me later. Senior living has no entity with the scale that General Motors had when Naderโ€™s book appeared, unless we view the collective membership of LeadingAge as an entity. LeadingAge has emphasized providersโ€™ beliefs, combating ageism, and semantics. Recently, there has been a flurry of negative media coverage, which providers counter either as unjustified or as isolated exceptions. Thatโ€™s not dissimilar to where the auto industry was before the Motor Vehicle Safety Act. In 1953, the CEO of GM said something like, “What’s good for General Motors is good for the country.โ€
What might a book comparable to โ€œUnsafe at Any Speedโ€ do to the senior living industryโ€™s reactive defensiveness? Iโ€™ll let you imagine what the title might be. Thinking of possible hostile book titles can be, and should be, unsettling. Fortunately for the industry, the book, โ€œInflamed,โ€ hasnโ€™t caught on with the public and wasnโ€™t titled โ€œUnsafe for Habitation.โ€
That bookโ€™s description on Amazon reads: โ€œThe dramatic story of hundreds of senior citizens left in the path of a ferocious firestorm and what the quest for accountability reveals about the increasing risks to our most vulnerable population.โ€ The best approach would be a proactive effort to give people what they could embrace with no more reservations than the cruising industry draws.
Thinking Constructively
Coincidentally, today, August 18, 2026, John Cochran, CEO of HumanGood and one of the most respected senior living industry leaders, posted a profound message on LinkedIn. He calls for focusing the mission on โ€œmore good years for more people.โ€ Thereโ€™s no mention of minimum age, what the product is called, or nonprofit/for-profit. Just a simple call for the industry to improve the lives of people.
That would require dynamic, charismatic leadership at the national level. It would require transforming the mindset of the industry to see customers instead of residents. And, yes, thatโ€™s a semantic change that LeadingAge might miss. It would require seeing those customers as individuals and not as a collective. Our cars are safer today because Ralph Nader took on an industry and started a movement toward customers instead of corporate aggrandizement. Think of what โ€œmore good years for more peopleโ€ could do for you, and for all of us.
My Cause
Now back to the โ€œmeโ€ part. Iโ€™ll be 90 on September 9th, so Iโ€™m entering that twilight zone that Ralph Nader now inhabits as detailed in todayโ€™s New York Times article. For the past twenty years, Iโ€™ve tried to persuade the industry that itโ€™s in the industryโ€™s own interest to listen to its customers. Iโ€™ve done that in every way I can think of, including writing articles like this one.
Frankly, I donโ€™t think that effort has made much headway. Senior living is not an industry that takes resident thinkers seriously. Despite the move to have minority resident representation on senior living community boards, LeadingAge has not one single resident on its Board, much less one who could actually speak authoritatively with providers about their challenges and opportunities. I donโ€™t regret one iota of what Iโ€™ve done.
Still, reading about Ralph Nader today held up a mirror to me. As we move into our 90s, the world sees us as having run our course, even as kinda cute as we continue with what would have been taken seriously just a few years ago. Itโ€™s time for a younger generation to step forward to make a difference. We can improve our world, or we can stagnate. The future beckons. It will be whatever we choose to make it.
We oldsters โ€“ beyond mere older adults (the term that now seems semantically to be superseding โ€œseniorsโ€, โ€œeldersโ€, โ€œretireesโ€, etc.) โ€“ still care about the world. We oldsters still believe we have something to contribute. But the truth is that in the eyes of the world, weโ€™ve run our course. โ€œWeep no more, my lady. Oh! weep no more today!โ€ As one generation moves on, another comes to take its place.

Let the Bubble Rise or Burst!

By Jack Cumming
Has the question occurred to you, โ€œWhy are the AI giants going public just now?โ€ One possible takeaway is that those best positioned to know believe their businesses are overvalued and that itโ€™s time to fold and cash out. That would leave the public vulnerable, with those who now have the most ownership selling out to an overoptimistic public just when valuations are set to drop to more realistic levels. As I write this on June 12, 2026, weโ€™ve just experienced the optimistic takeoff for the SpaceX IPO.
What does that have to do with senior living? The answer is that senior living is caught up in the big question: How should we come to grips with AI? Is it the boon that will allow fewer care providers to care for a large old age demographic? The alternative view is that AI is enormously overrated and that wise money will wait for more sensible times before buying the AI vendor marketing hype.
Weโ€™ll return to senior living after gaining perspective with an intro to โ€œhard knocksโ€ investor wisdom. Remember that buyers, including senior living vendor customers and even resident move-ins, are also investors. They invest in what they buy, promises in the case of senior living move-ins.
Market Wisdom
Three words of advice from mentors come to mind. Mike Lynch, an owner of mines and shipping lines, gave me my first break when, at age 16, I worked the first of two summers in a silver mine. He taught me the common wisdom, โ€œA bull and a bear make money. A hog never.โ€ Then there was Frank Raab, an insurance company president, who taught me the value of networking. His teaching, โ€œThe guy with the idea thinks heโ€™s God. And the guy with the money thinks heโ€™s God. At the end of the day, the guy with the money is God.โ€
For senior living, though, I turn to a mentor whom I only met through reading. Bernard Baruch began his career as a broker, executing deals for others. Then, he trended into successful speculation. His wisdom, for which there was no quip, was that brokers should not be speculators. The analogy is that senior living leaders should never be speculators.
Senior Living Realities
Why? Senior living involves other peopleโ€™s money, the money they need for living. That is a trust undertaking. The money that senior living bankers, developers, and operators play with is money given in trust, and that requires prudence to keep it safe. Lending money to an enterprise with an impaired balance sheet is speculation that future gains will offset the deficit of the past. Investing in real estate in Mexico is pure speculation. Other speculative senior living investments are less obvious, e.g., expansion can meet a need, but itโ€™s also risky.
For now, it may be better that senior living is talking more about AI than actually letting it handle critical life-sustaining applications. Itโ€™s no secret that senior living has lagged in adopting technology. Some providers still rely principally on paper, while most others look to vendors to lead the way. Providers often have technology departments that are more buyers than proactive, creative thinkers, much less masters of underlying technologies.
The opportunity is there to use emerging technologies, including AI, to upend senior living for the better, though I see no organization showing the insight to take the lead. An intriguing example, though, is Amazonโ€™s AI-driven medical assistant. Whether Amazon still has the creative spark, though, to build a business that disrupts medical services as it disrupted retailing seems unlikely.
Learning From Amazon
Why am I skeptical about Amazon? Looking at Amazonโ€™s current approach, for one thing, for Rx, they are partnering with Cignaโ€™s Express Scripts instead of Mark Cubanโ€™s more imaginative initiative. Itโ€™s like what Amazon did with its Smart Properties program for senior living. Instead of duplicating what Jeff Bezos did with books, the current Amazon leadership is partnering with established entities instead of leveraging convention, such as Ingram Books, in the case of Bezos, to disrupt the market for the end user.
If Bezos had tried to compete with Ingram instead of usurping them, Amazon would not be the giant it became. When Bezos started, anyone could have copied him with a website and Ingramโ€™s distribution. But Bezos didnโ€™t let them get ahead of him. He moved so fast that he was dominant before potential competitors realized theyโ€™d been scooped. Imagine senior living ever becoming known for moving fast. Senior living is like the booksellers in the pre-Bezos era.
The Opportunity Is There
The Amazon initiative is indicative of what might be possible for senior living. It could even be the industryโ€™s best opportunity. The industry has been banking on a short-term demographic wave to give it effortless prosperity, but that seems shortsighted to anyone familiar with history.
Is AI now overhyped? It sure seems like it is. If itโ€™s not, then the disruption will itself be a thing of social terror. Letโ€™s try to get perspective on AIโ€™s future and garner the potential while avoiding excess. The opportunity is there. The question is, who will have the wisdom to gain from it? It could be senior living. Is anyone ready to disrupt geriatrics? Itโ€™s more than cute, friendly AI companions.
Does AI have enormous potential, especially for senior living? I think so. Are we in an AI market bubble with the players now rushing their IPOs? I again think so. For those gifted with realistic wisdom and good judgment, Bernard Baruch had a word of advice: “Be who you are and say what you feel, because those who mind don’t matter, and those who matter don’t mind.” Thatโ€™s as good now as when he first said it.

What If Every Resident Had a Book Inside Them?

By Rebecca Wiessmann
In a recent episode of Tech Tuesday, Steve sat down with Charlie Greene, co-founder and CEO of Remento, for a conversation about memory, legacy, family connection, and the surprising power of technology to help preserve the stories that matter most. You can watch the full conversation here.
For years, families have known they should ask more questions.
What was childhood really like?
What did Grandma dream about becoming?
What was Dad like before he was โ€œDadโ€?
What stories are hiding behind those old photos in the shoebox, the phone camera roll, or the hallway picture frame?
The problem is not that families do not care. The problem is that they wait.
They wait for the right holiday. The right visit. The right quiet afternoon. The right question. The right technology. The right moment when everyone has time.
And then, too often, the stories are gone.
That is the problem Remento is trying to solve.
A Memoir Without the Writing
Remento, Charlie explains, is built around a simple premise: Parents, grandparents, and even great-grandparents should be able to preserve their life stories without having to sit down and write a memoir.
The platform sends prompts by text or email. The storyteller clicks a button, records an answer, and Remento turns the spoken response into a printed hardcover book. Inside the book are QR codes that allow family members to scan and hear the original voice recording behind each story.
That voice component matters.
A written story is powerful. A photograph is powerful. But hearing someoneโ€™s actual voice โ€” the pauses, the laughter, the cadence, the way they tell the story โ€” adds something a book alone cannot fully capture.
It becomes more than a record.
It becomes presence.
For adult children and grandchildren, that may be the most valuable part of all. The book preserves the story. The QR code preserves the person.
The First Question Matters
Steve shared that he had purchased a Remento subscription for his wife, but she was finding it intimidating. Even with voice prompts, sitting alone and talking into a computer can feel awkward.
Charlieโ€™s advice was practical: start with a softball.
Not every first prompt should be deep, emotional, or heavy. In fact, it probably should not be. One of Rementoโ€™s favorite opening questions is, “Tell us about your favorite room in your childhood home.โ€
It is specific. It is visual. It is gentle. It usually brings a smile.
Even better, Charlie suggested starting with a photograph. Upload a picture and ask the person to share the story behind it. A photo gives the storyteller something to react to. It unlocks memory in a way a blank question sometimes cannot.
That matters because the goal is not performance.
The goal is momentum.
Once someone tells the first story, the second one often becomes easier. And then the third.
Stories Do Not Have to Be Perfect
One of the fears people have about recording stories is that they will mess up.
They will forget something. They will tell the story out of order. They will say โ€œumโ€ too much. They will realize halfway through that the beginning was wrong and circle back.
Charlie says that is not a problem. It is normal.
Most people do not speak in perfect paragraphs. They wander. They revise. They remember details halfway through. They start over without really starting over.
Remento gives users options. They can preserve a cleaned-up transcript that keeps the storytellerโ€™s words mostly intact, removing filler words and adding punctuation. Or they can use the technology to restructure the story so it reads more like something shaped by a professional writer while still preserving the storytellerโ€™s voice and word choice.
That distinction is important.
The point is not to turn Grandma into an American novelist.
The point is to make Grandma sound like Grandma โ€” just a little more readable on the page.
The Magic of Follow-Up Questions
One of the most interesting parts of the conversation came when Steve asked whether a family member could sit with a loved one and ask follow-up questions while Remento records.
Charlie said yes.
And in many ways, that may be where the richest stories live.
Professional interviewers know the best material often does not come from the first question. It comes from the second, third, or fourth question โ€” the one that asks, โ€œWhat happened next?โ€ or โ€œHow did that make you feel?โ€ or โ€œWho was there with you?โ€
Charlie said Remento is working on conversational interviewing features that can ask those kinds of follow-up questions inside the product.
That is a big deal because many families do not know what to ask. They know they want the stories. They just do not know how to pull them out.
The right follow-up question can turn a simple memory into a family treasure.
A Senior Living Opportunity Hiding in Plain Sight
For senior living leaders, this conversation gets especially interesting.
Steve raised the possibility of using Remento not just for individual families, but for entire senior living communities. Imagine a community creating a 2026 resident storybook, with one story from every resident who wants to participate. Then another in 2027. Then 2028.
Charlie said yes โ€” absolutely.
This is where storytelling becomes more than a family keepsake. It becomes a community-building tool.
Senior living constantly talks about loneliness, isolation, engagement, purpose, personalization, and the resident experience. Storytelling touches all of those things.
When residents share their stories, neighbors learn who they live with. Team members learn who they are serving. Families discover things they never knew. Communities gain a deeper sense of identity.
It is easy to think of residents by apartment number, care plan, dining preference, or activity attendance.
Stories break that pattern.
Stories remind everyone that each resident had dreams, adventures, losses, careers, romances, ambitions, disappointments, and surprising turns long before they ever moved into a senior living community.
Better Care Begins With Better Knowing
There is also a care implication here.
When team members know more about residentsโ€™ lives, they can serve them in more human ways. A resident is no longer just โ€œMrs. Thompson in 214.โ€ She is the woman who grew up in France, lost a beloved sister, raised three children, loved jazz, wanted to be a teacher, and still lights up when someone asks about Paris.
That kind of knowledge changes interactions.
It gives caregivers more ways to connect. It gives activity teams more meaningful programming opportunities. It gives sales and marketing teams better stories to tell. It gives families a reason to engage more deeply.
Senior living communities are full of extraordinary stories.
The industry is just not very good at capturing them.
And even when it captures them, it often does not tell them very well.
This is where thoughtful technology can help โ€” not by replacing human connection, but by making it easier to preserve and share.
The Stories Are Already There
Near the end of the conversation, Steve reflected on learning something about his own father only after his death: that although he had been an emergency room physician, he may have really wanted to be a forest ranger. Steve knew his father loved the outdoors, but he had never heard that deeper longing directly from him.
That is exactly the kind of story families wish they had asked about sooner.
The lesson for senior living is simple: The stories are already there.
They are sitting in dining rooms.
They are walking down hallways.
They are framed in old photographs.
They are tucked inside residents who may be waiting for someone to ask the right question.
Technology like Remento does not create the meaning. The meaning is already present.
It simply helps preserve it before it disappears.

S8E13-Why Senior Living Needs a โ€œCulture of Yesโ€ with Honor Barrett of Birchgrove

Based on the Foresight TV livestream aired on ย Jul 24, 2026.
 
What would senior living look like if communities stopped defaulting to โ€œnoโ€?
In this episode of Foresight TV, Steve Moran speaks with Honor Barrett, CEO of Birchgrove, the United Kingdomโ€™s first company dedicated exclusively to later living for rent. Honor shares how Birchgrove is challenging the UKโ€™s deep attachment to homeownership while creating independent living communities where older adults are treated as neighbors, not simply residents.
They explore the differences between senior living in the United States and the UK, the realities of marketing a new rental model, and why storytelling is critical to increasing occupancy. Honor also explains Birchgroveโ€™s โ€œculture of yes,โ€ an approach that gives residents greater choice, encourages employees to pursue new opportunities, and makes each community feel more like home.
The conversation covers:

How Birchgrove introduced later living for rent to the UK
Why pricing can influence the average resident move-in age
The challenge of overcoming resistance to renting in later life
How a โ€œculture of yesโ€ improves the resident and employee experience
Why Birchgrove calls its residents โ€œneighborsโ€
The role of storytelling and customer education in senior living sales
How Birchgrove achieved an 85% employee retention rate
What senior living operators in the US and UK can learn from one another

This episode offers practical ideas for senior living leaders seeking to improve culture, occupancy, employee retention, and the overall resident experience.

Why Boomers Will Force Senior Living to Rethink Everything

By Rebecca Wiessmann
In this episode of Tech Tuesday, Steve sits down with Bruce Lederman, president and CEO of Charles E. Smith Life Communities, for a conversation about technology, aging, AI, robots, home care, middle-market senior living, and what happens when the first baby boomers turn 80.
The short version?
Senior living is entering a new era. And the winners will not be the organizations with the flashiest tech.
They will be the ones who use technology to give older adults more agency, more connection, more safety, and more control over how they live.
Technology That Actually Solves Problems
Bruce leads Charles E. Smith Life Communities, a 116-year-old faith-based organization serving older adults in the Washington, D.C., region. The organization sits on 36 acres in Montgomery County, Maryland, and serves up to 1,200 older adults across skilled nursing, independent living, affordable senior housing, assisted living, memory care, and private-duty home care.
That breadth matters because Bruce does not talk about technology as some shiny object floating above the organization.
He talks about it as a practical tool.
Steve asks him about something Bruce has said before โ€” that too much technology has been โ€œtech looking for a solution.โ€ Bruce says it is getting better. Today, he sees more technology that actually serves older adults, families, operators, and even regulators.
That is the right test.
Not: Is this cool?
But: Does this make life better?
AI As Connection, Not Replacement
The conversation quickly turns to AI, especially AI companions.
Steve admits he has mixed feelings. He remembers first seeing robotic cats years ago and thinking they were creepy โ€” until one was placed in his lap and he found himself petting it. He also describes talking with ChatGPT during a long drive and feeling as if he was in a real conversation.
Part of him liked it.
Part of him found it unsettling.
Bruceโ€™s answer is exactly right: transparency.
If an AI tool is being used, people need to know it is AI. It may behave in ways that resemble human interaction, but it is not human. That distinction matters.
At Charles E. Smith, Bruce says they are replacing their traditional voice-of-the-customer survey vendor with an AI-based tool. Instead of a person racing through a fixed list of survey questions, the AI system can have a real dialogue.
If a resident says dining was good, the tool can ask follow-up questions: What made it good? Was there a team member who made the experience special? What should the organization know?
That is a big deal.
Senior living organizations are often sitting on mountains of stories โ€” stories about team members changing lives, families finding peace, residents rediscovering purpose โ€” and we are terrible at capturing them.
AI may become one of the most powerful tools for listening better.
The Real Workforce Opportunity
Bruce gives one of the best examples of technology in senior living because it sounds almost boring.
In their skilled nursing center, blood pressure machines and scales automatically send readings into the electronic health record.
No paper notes. No retyping. No chasing down data later.
This is not the kind of technology that gets a standing ovation at a conference. But it matters. It saves time. It reduces errors. It supports the people working closest to residents.
Bruce also talks about AI being used in post-acute admissions. When hospitals are ready to discharge a patient, skilled nursing centers can use AI to quickly review medical records and determine whether they can meet the patientโ€™s needs.
Steve points out that this same information can also help create a better care plan before the person ever arrives.
That is where technology starts to become powerful โ€” not because it replaces judgment, but because it gives humans better information faster.
Robots Are Coming โ€” But Maybe Not the Ones We Imagine
Steve then pushes Bruce on robots.
Why have robots not become more common in senior living?
Bruceโ€™s first point is important: Stop imagining humanoid robots.
We are a long way from trusting human-shaped robots to transfer residents from bed to wheelchair or wheelchair to toilet. But other kinds of robots are already showing up in health care and public spaces โ€” floor-cleaning robots, delivery robots, environmental services robots.
The challenge in senior living is infrastructure. Many skilled nursing buildings are older. Hallways, layouts, flooring, thresholds, storage, and workflows were not designed for robotic support.
Bruce is not dismissive. He is cautious.
What surprises him more is that senior living has not seen greater adoption of exoskeletons โ€” wearable support devices that can help workers lift, bend, and move with less strain.
That may be one of the most interesting points in the whole conversation.
If senior living is serious about reducing workplace injuries and supporting caregivers, technology that protects the bodies of workers deserves more attention.
Boomers Will Demand Agency
Then Steve asks the big generational question: What happens as boomers reshape senior living?
Bruce frames it around agency.
Boomers are used to a world that has, in many ways, been shaped by their size and expectations. They are unlikely to be satisfied with passive programming or a lifestyle in which decisions are made for them.
They will expect to direct their own lives.
Steve connects that to a note he received from a resident who was unhappy with several things in their community. As he listened to Bruce, Steve realized the complaints all seemed to come down to one thing: a lack of agency.
That is the future senior living has to understand.
This is not just about better activities calendars. It is about creating communities where residents are not passengers. They are directors of their own lives.
Bruce points to the industryโ€™s shift from โ€œcontinuing care retirement communityโ€ to โ€œlife plan communityโ€ as one sign of this evolution. The old language sounds passive. The new language suggests direction, planning, choice, and control.
That is not just branding.
It is a signal.
Home Care Is Not the Enemy
One of the strongest moments comes when Steve asks Bruce about home care.
Many senior living operators still treat home as the enemy. Bruce does not.
For Charles E. Smith, the mission is not to fill buildings. The mission is to lift up older adults and create meaningful life experiences.
Some people should live on campus. Some people want to remain at home. If the mission is truly about serving older adults, then the organization should be present in whatever way best supports the consumer.
That is the line senior living needs to sit with.
What if every senior living organization saw itself not as a building business, but as an aging-well business?
Buildings would still matter. Communities would still matter. But they would become part of a broader promise, not the whole promise.
The Middle Market Challenge
Steve closes by asking about the middle market.
Bruce says this is a critical issue. Many organizations and investors understand where the margins are, and that often pushes them toward luxury and upper-tier housing. Serving the middle market is much harder.
Charles E. Smith is working to convert one of its 250-unit apartment buildings to better serve that market. It is a 30-year-old building, and repositioning it requires real investment.
But this may be one of the biggest opportunities in senior living.
Not everyone can afford luxury. Not everyone qualifies for a deep subsidy. The middle is where millions of older adults will live โ€” and where senior living still has too few answers.
Data Lakes, Not Data Silos
Steve ends with a great question: What technology still needs to be invented?
Bruceโ€™s answer is simple and profound: data lakes instead of data silos.
Senior living has lots of systems. Wearables. Monitors. Health records. Engagement platforms. Family communication tools. Dining systems. Staffing platforms.
But too often, the data is trapped inside each product.
The real opportunity is to bring that data together so providers can better understand residents, see patterns sooner, and support people more intelligently.
That may not sound glamorous.
But it might be the holy grail.
The Future Is Not About Hype
This conversation is ultimately not about AI, robots, surveys, or EHR integrations.
It is about what kind of aging experience senior living wants to create.
Technology can make senior living colder, more automated, and more transactional.
Or it can make it more human.
It can help residents stay connected. It can help team members spend less time typing and more time caring. It can help families understand what is happening. It can help leaders hear what residents actually experience. It can help organizations serve people at home, on campus, and everywhere in between.
But only if senior living leaders remember the real goal.
Not more technology.
More agency. More connection. More dignity. More life.

The 9-Year-Old Sales Closer: Senior Living’s Secret Weapon

By Steve Moran
While at Senior Living 100 a few weeks ago, I heard something from the state that has been rattling around in my head as a brilliant idea. I have not been able to stop thinking about it.
A couple of operators talked very specifically, but not very emphatically, about creating something that is brilliantly simple; something that will be and should be a trend.ย 
Building amenities that specifically appeal to grandkids. Here are some ideas โ€ฆ the list is really long.Bocce ball courts (low barrier, all ages, very social)

Cornhole/lawn games area (permanent, weather-appropriate setup)
Pickleball courts (huge right now and work across generations)
Putting greens (outdoor, lower cost than a full simulator)
Golf simulator
Mini golf course
Shuffleboard (classic, and the residents already know how to play โ€” instant advantage over the grandkids)
Horseshoe pits
Croquet lawn
Basketball half-court or adjustable hoops
Ping pong/foosball (should be in every real game room)
Pottery or ceramics studio with a wheel
Woodworking shop (supervised, tool-equipped)
Art studio with proper supplies, not just a craft table
Photography darkroom or digital editing station
Recording studio or music room with instruments
Cooking/baking demonstration kitchen where residents can teach grandkids family recipes
Soda fountain or old-fashioned candy shop corner
Drive-in movie setup (outdoor screen, golf carts as “cars”)
Jukebox lounge
Pinball machines (this deserves its own call-out from generic arcade)
Vintage board game library with the classics – not just chess but Stratego, Risk, Battleship, Mousetrap
Fishing pond, if land allows
Outdoor amphitheater for performances or movie nights
Fire pit/s’mores station

The big idea here is to create spaces that kids would actually want to be in and come back to over and over again. Imagine a bunch of kids becoming your brand evangelists, which of course would make their parents and grandparents brand evangelists, and which in turn would make your residents brand evangelists.ย 
It Seems So Obvious โ€ฆ
The more I think about it, the more I think this might be one of the most underexplored ideas in senior living.
Here’s how I see it: when you build amenities that grandkids love, you turn the resident into the destination grandparent. The one the grandkids beg to visit rather than the one they’re dragged to see. The one who has the cool stuff. The one who gets to host. The one who is, in the eyes of the most important audience in their life, the fun one.
Imagine what this will do for your marketing efforts. Imagine how much easier it will make the selling process.
Stop This
Right now, the conversation about moving a parent into a senior living community is almost always the same: an adult child trying to convince a resistant parent. It’s guilt-laden. It’s difficult. The parent feels like they’re losing something. The adult child feels like they’re taking something away. Everyone loses a little.
Everyone hates it!
Now imagine a very different scenario. The family comes for a tour. The grandkids see the golf simulator and the laser tag setup and the real game room. On the drive home, the 9-year-old says unprompted, with genuine enthusiasm, “Grandma, that place is so cool. Can we go back?”
It becomes a completely different conversation. The kid just became the most persuasive voice in the family. Not because anyone coached them. Because they genuinely want to go back.
And the grandma โ€ฆ who has been resistant, who has been telling herself she’s not ready, who has been hearing her adult child make logical arguments, then finding reasons to dismiss them, hears something different from her grandchild. She hears: This would make me more connected to the people I love most. Not less.
Downstream Impacts
There are downstream impacts that are huge:

The total number of visitors goes up, and when they return home, nothing but positive vibes.
The adult child who used to feel guilty about not visiting enough now has a reason to come: their own kids are excited about it.
The resident gets more regular, more joyful family contact. Family contact is one of the strongest predictors of resident wellbeing and satisfaction.
A community full of kids laughing on a Saturday afternoon doesn’t feel like a waiting room or a hotel lobby. Instead, it feels alive. It sends a signal to every prospective resident who tours that day: This is a place where life is actually happening.

I think about this from my own life. My grandkids are important to me. The idea of being the grandparent they can hardly wait to see is huge.ย 

Your Next Great Leader May Already Be In Your Hallway

By Rebecca Wiessmann
In this episode of Heard in the Halls, Lindsey Daugherty sits down with Serina Durrah, VP of Operations at Clayborn Senior Living, to talk about leadership, residents, frontline teams, and what happens when a caregiver grows into an executive leader. Watch the full episode here.
There is something powerful about a senior living leader who remembers what it feels like to be a caregiver.
Not in a sentimental, โ€œI started there once upon a timeโ€ kind of way.
In a practical, operational, decision-making kind of way.
Serina started as a caregiver. She worked her way through multiple roles before becoming an executive director and then moving into broader operational leadership. Her path is not just inspiring. It is instructional.
Because senior living has a leadership pipeline problem sitting in plain sight.
The next great executive director, regional director, VP, COO, or CEO may already be working in the hallway.
The question is whether anyone sees her.
Speak Possibility Into People
Lindsey asks Serina what she would say if she could go back and talk to her caregiver self.
Serina says she would tell herself she is proud of her.
Then she adds the lesson: Never forget where you came from.
She also says she would tell her younger self, โ€œYou are more talented than you think.โ€
That may be one of the most important leadership responsibilities in senior living: speaking possibility into people before they can fully see it in themselves.
Caregivers often enter the industry unsure of what is possible. Some are young. Some are raising families. Some are working multiple jobs. Some are exhausted. Some are incredibly talented but have never had a leader say, โ€œYou could do more.โ€
Serina says someone gave her a chance.
That is how leadership pipelines are built.
Not with posters.
Not with slogans.
With leaders who notice talent, mentor it, challenge it, and open doors.
Do Not Delay
When Lindsey asks what Serina would say to a caregiver today, her answer is direct: Do not delay. Do not worry about what you have or do not have. Do not worry about what others think you can or cannot do. Keep moving forward.
That message matters because senior living needs more leaders who understand the work from the inside.
It needs leaders who know what a rushed shift feels like.
Leaders who know how family members talk when they are scared.
Leaders who know what residents notice.
Leaders who understand that a โ€œminorโ€ process change may land like a brick on a care team.
Leaders who know that compassion and performance are not enemies.
One of the most hopeful things about senior living is that it still offers a path upward. A person can start on the frontline and grow into leadership. Serinaโ€™s story proves it.
But it does not happen automatically.
It requires mentorship.
It requires trust.
It requires leaders who are secure enough to grow people who may one day outgrow them.
Serina says watching people grow has been one of the happiest parts of her career. That is the kind of leadership senior living needs more of.
Residents Are Watching
The conversation eventually turns to residents, because residents are in the middle of all of this.
And Serina makes another point leaders should not miss: Residents notice.
They notice when a caregiver is not doing a great job.
They notice when a leader is not doing a great job.
They notice when someone never leaves the office.
They notice when staff members are supported โ€” and when they are not.
Residents may not understand every operational challenge. They may not know about the financial call, the budget deadline, the labor target, the staffing issue, or the regional report due by 3 p.m.
But they know presence.
They know warmth.
They know when a leader is visible.
They know when the community feels healthy.
They know when the team is strained.
They know when nobody is listening.
That should sober up every leader in senior living.
Culture is not hidden from residents. It leaks into every hallway, every dining room, every apartment, every family interaction.
Get Lost In The Halls
Serina says one of her favorite things when visiting communities is talking with staff and residents. Sometimes she gets lost in those conversations.
That is not inefficiency.
That is leadership.
Senior living executives should get lost in the halls more often. Not because it sounds nice. Because that is where the truth lives.
The halls reveal what reports cannot.
They reveal whether residents feel known.
They reveal whether staff feel seen.
They reveal whether leaders are trusted.
They reveal whether the community is actually living its mission or merely printing it on brochures.
A leader who never gets lost in the halls will eventually get lost in the business.
The Game Changers
Lindsey closes by telling Serina that leaders who start as caregivers and work their way up are game changers.
She is right.
They are game changers because they carry the memory of the work. They understand both sides of the business: the human side and the performance side. They know that results matter, but they also know how results are created.
They are created by people.
By caregivers who show up.
By nurses who stay calm.
By dining teams who know resident preferences.
By housekeepers who notice changes.
By executive directors who build trust.
By regional and corporate leaders who listen before they launch the next initiative.
The Bottom Line
Senior living talks a lot about workforce challenges.
But perhaps one of the biggest opportunities is already inside the building.
Find the caregiver with spark.
Find the med tech who asks good questions.
Find the housekeeper residents love.
Find the dining team member everyone trusts.
Find the frontline person who sees problems and says, โ€œThere has to be a better way.โ€
Then mentor them.
Challenge them.
Promote them.
Speak into them.
Because the next great senior living leader may not be outside the industry.
She may already be in the hallway.

Changing the Narrative

By Jack Cumming
As a teenager, I loved the line from Shakespeareโ€™s Hamlet, โ€œFrailty, thy name is womanโ€ (Act 1, Scene 2). It fit both sisters and fickle girlfriends. Of course, itโ€™s best read in context. That was then. Now Iโ€™m approaching 90, and Iโ€™m the one whoโ€™s frail.
Like Tumbleweed
This was brought home to me recently when I attended the LeadingAge California BOLD conference in Desert Springs, CA. I went to sit down on a chair, somehow missed, and tumbled backwards, smacking the back of my head on the floor. I felt fine, but I reached back to where my head had landed, and there was blood. Lesson: Humans are built to fall forward, not backward.
In case youโ€™ve never had the experience, a wound on the skull bleeds profusely, which is probably a good thing. The result was much unwelcome attention and transportation to a nearby hospital. After this and that, a physician took a staple gun and slammed three staples into my head as though he were posting an ad on a telephone pole. In short, old age can really suck, and surprises are not always the fun kind. It was embarrassing.
My Bad
Truth to tell, I probably shouldnโ€™t have been there with advanced age creeping up so unexpectedly. I knew I had been getting wobbly and had even ordered an exoskeleton to see if that would help.
Last year, I attended the Boston meeting, and that was a strain. This year, I thought that a meeting closer to home might work better. It turned out I underestimated the effect of desert air, or something, because it turned out to be a reach too far.
Unwelcome Attention
I can share with readers who have not yet crossed this threshold into frailty, that it can become the unwelcome center of attention. Thatโ€™s something best avoided. Itโ€™s a mortifying experience, but everyone was very nice about it, and Iโ€™m more than grateful to one particular person who knows who she is. I donโ€™t want to embarrass her, but the industry needs more executive directors like her.
Thanks
I hope to continue to share what I can, but itโ€™s probably wise to stay closer to the CCRC where I live. I apologize to anyone whose session was disrupted. Thank you, Jeannie Parker Martin, Pat Girczyc, Paula Diggernes, Lola Rain, Anna Hall, and many more.
Life is a grand adventure. Enjoy every moment of it. And Shakespeare/Hamlet got it wrong. It turns out that weโ€™re all frail in the end. Moreover, women usually outlive us men.

The Frontier Airline School of Executive Leadership

By Steve Moran
It feels like Frontier Airlines hires gate agents based on how bad they can possibly be.
Here is just one example.
A man flew from Raleigh-Durham to Boston after a week of business travel. He got to the airport with about 50 minutes to spare. Frontier’s rule is you have to check in 60 minutes before departure or pay a fee to check in at the counter.
He didn’t know he’d missed the window. When he found out, the gate agents told him he’d need to pay $25 to check in. He pushed back. According to his account, the agents piled on, telling him it was his fault for not checking the website, and not in a kind way.
After 20 minutes of arguing, he agreed to pay. As he said it, he muttered that he was never flying this airline again. That’s when it really went sideways. The agents started mocking him, quoting his own words back at him, laughing, pulling out their phones to film him while denying him service. He filmed them right back. The video went viral. Frontier eventually said the two people involved were contractors and are no longer associated with the account.
Watch that video, and you’ll find that it is hard not to feel something close to disgust. Two grown adults, being paid to represent a company, decided the best use of their time was to humiliate a paying customer.
And thatโ€™s just one story. There are dozens of them, maybe hundreds: missed weddings, missed funerals, not being in time to say goodbye to a grandmother, grandfather, parent, or child.ย 
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

The Future of Senior Living: More Demand, More Pressure, More Opportunity

By Rebecca Wiessmann
In this episode of Foresight TV, Steve sits down with David Schless, president and CEO of the American Seniors Housing Association, for a wide-ranging conversation about where senior living is today โ€” and where it needs to go next. You can watch the full conversation HERE.
David has spent his entire professional career in senior living. He helped start ASHA in 1991, back when senior housing was still emerging as a distinct industry. Thirty-five years later, he has seen the sector through growth cycles, downturns, COVID, capital freezes, labor shocks, and the steady march of demographic change.
His view of the industry today is both optimistic and cautious.
On the optimistic side, senior living has momentum again. Occupancy has recovered. Capital markets are showing renewed interest. The demographic case is obvious. Older adults are living longer, families need support, and the best communities are proving every day that senior living can create a better life.
But David also acknowledges what many operators feel: Even in a strong moment, there is still a sense of nervousness.
That nervousness is not irrational. The industry lost a development cycle during COVID. Construction costs remain difficult. Labor remains a serious constraint. New projects have to pencil out in an environment where capital, land, labor, and operating costs are all more expensive than they used to be.
And then there is the biggest issue of all: senior living cannot simply build only for the very wealthy.
The Labor Crisis Is Not Going Away
Steve raises one of the most important questions in senior living: How much of the labor crisis is truly a labor shortage, and how much of it is a workplace culture problem?
There are operators, Steve notes, that are not struggling in the same way. Some organizations have built cultures where people want to work. They have more applicants, lower turnover, and stronger teams because they have made the employee experience a strategic priority.
David agrees. He says the industry is increasingly aware that reducing turnover, creating growth opportunities, mentoring team members, and building better workplaces are not nice extras. They are central to successful operations.
ASHA has begun capturing employee turnover data in its State of Seniors Housing research, and early data shows turnover improving between 2023 and 2024. That matters. It suggests operators are paying attention.
But David also believes culture alone will not solve the problem.
He sees the workforce as a structural crisis that will require policy solutions, especially around immigration. ASHA has been advocating for a new visa category designed for essential workers in senior living and related care settings. Existing visa programs work better for industries like agriculture and hospitality, but senior living needs a pathway for caregivers and other frontline workers.
David is clear that this is complicated politically. It is not simply a Republican problem or a Democrat problem. Both parties understand the workforce pressure, but immigration remains difficult terrain.
Still, he believes operators need to keep talking to elected officials. Senior living, skilled nursing, home care, and hospitals are all facing the same demographic reality. Without more workers, the system does not work.
Affordability Is the Problem No One Can Ignore
Steve brings the conversation home by sharing his experience as a caregiver for his stepfather, who lives in senior living. His stepfather has the resources to pay for what he needs. But Steve says the experience makes him think about families who do not.
If the cost of care is out of reach, the alternative is often family caregiving at home. And for many families, that is overwhelming.
David says senior livingโ€™s affordability challenge is part of a broader housing affordability crisis in the United States. More housing is needed across the board: single-family, multifamily, independent living, assisted living, and everything in between.
But building more senior housing is harder than it used to be. Development costs are high. Labor is tight. Interest rates may have improved somewhat, but the savings can easily be offset by construction and workforce challenges.
David believes there are policy changes that could make development easier and less expensive. But for lower-income older adults, he says the bigger solution likely requires some level of subsidy.
That is not an easy answer in a federal budget environment already strained by Social Security, Medicare, and Medicaid. But it may be unavoidable.
He also sees promise in models that combine senior living with services such as PACE, adult day programs, and home care. These hybrid approaches may help create more affordable ways to support older adults who need more than housing but cannot afford traditional private-pay senior living.
Better Buildings Are Part of the Story
For all the challenges, David is encouraged by how much the product has improved.
He says many newer senior living communities now feel like the best of multifamily housing and hospitality combined with care and services. They are more residential, more contemporary, and more appealing than what the industry built 30 years ago.
Steve agrees. He talks about visiting newer communities in Southern California that look much more like โ€œlife before senior living.โ€ One had a full-service bar that opens at noon โ€” not because it is trying to be flashy, but because it feels normal.
That matters.
For too long, senior living has been seen as a place people go when they have to. The future belongs to communities people choose because they want the lifestyle, connection, support, and ease.
What Happens After the Baby Boom?
Steve closes with a provocative question: What happens after the baby boomer wave?
For years, the industry has talked about the demographic surge coming its way. But eventually, that wave crests. What happens to all the senior living buildings after that?
David believes there will continue to be demand for senior housing. Some older properties may be repositioned to serve less affluent older adults. Some may be repurposed. And some specialized settings may change dramatically with advances in medicine.
Memory care is one example. David, who has long been involved with the Alzheimerโ€™s Association, believes viable treatments for Alzheimerโ€™s and other dementias are on the horizon. If that happens, the industry may need to rethink some standalone memory care settings.
That is not bad news. It is a reminder that senior living must keep adapting.
A Moment Full of Possibility
The conversation ends with Steve reflecting on how exciting this moment is for senior living. There are real problems: labor, affordability, development costs, public perception, and policy barriers.
But there is also more creativity, more passion, and more willingness to rethink the model than ever before.
Senior living is at a crossroads.
That sounds scary.
But it may also be exactly where the industry needs to be.

Beyond Boring: Making Residential Living Attractive

By Jack Cumming
Have you noticed how boring modern apartment buildings are? Itโ€™s as though architectural schools only taught industrial design. Iโ€™ve never wanted to live in a factory. But architects regularly display pictures of factory-like dwellings with pride. Donโ€™t they know better? My best guess is that most architects wouldnโ€™t want to live in the multi-family buildings they design, including those lookalike designs for senior living.
The Attraction of โ€œAging in Placeโ€
I grew up in a single-family house on Tillou Road in South Orange, NJ. It was a lonely childhood. You donโ€™t have the kind of neighborhood abounding with children that less isolated, urban living offers. What I remember particularly was walking home from the Village Center past an apartment house at the corner of South Orange Avenue and Ridgewood Road across the street from the church our family attended.
As a child, I always thought it would be wonderful to live in a building like that. It was sturdily built with brick, which meant it wouldnโ€™t burn like our neighborโ€™s house did after she fell asleep while smoking in bed. Moreover, it had inviting windowed corners, which I thought would be nice for dining with a view. Plus, in my childish imagination, a building like that with many families would likely have children I could play with.
Recently, I checked Google, and that inviting building is still there, though the windows now have air conditioners in them. When I was growing up during World War II, air conditioning was rare. I zoomed in on a sign and found that the building is called โ€œThe Ridgewood Apartments.โ€ Not too imaginative. In front of the name sign was another smaller sign, โ€œPlease pick up after your pet.โ€ I donโ€™t remember that from my childhood either.
Beyond Rectilinear and Massive
Returning to the here and now from that reverie of long ago, I thought how nice it would be to have the industrial lines of modern senior living buildings broken up with bay-window niches or other minor touches to make a building interesting and a place where a resident might feel pride in residence. Instead, senior living buildings shout, “Abandon hope, all ye who enter here.” Architects and marketing departments can try to spin it otherwise, but the evidence of monetized old age is everywhere.
These thoughts flooded my mind after I watched a recent video about a more imaginative living possibility. Itโ€™s been some time since I wrote of the Villa Vie Odyssey, the affordable residential cruise ship that has many similarities to senior living. I had to wonder why senior living developers donโ€™t learn from material like this. Does a development mindset create Scrooge McDuck out of the creative wonder of Donald Duck and the magic that imagination can bring?
Learning From an Alternative
The insight is that most of the same things that make shipboard life attractive are no different from what can make senior living attractive. Moreover, many things that make senior living less attractive are not present on the Villa Vie. The presenter details the pros and cons of ship life. Here are some of the pros, reconstituted as potentialities for senior living.

Community & People: Residents and staff are exceptionally friendly, welcoming, and hardworking.ย The [executive director] is communicative and advocates for residents.

Notes: There is no mention of corporate here, though itโ€™s inferred. The experience is unique to the local community, and either that community rises or it falls. The smaller the corporate staff, the more there is for the local community. Sales and marketing, though, for the Villa Vie Odyssey are at the corporate level.

Food: Plentiful options (buffet, made-to-order pasta/omelets, grill) with breakfast, lunch, and dinner included. Caters to various diets (vegetarian, gluten-free, sugar-free).

Notes: Our cruiser lists food as number 2 after co-residents and staff, and that is probably the right priority. Food service is both a big expense and a big attraction for CCRCs. Wait staff can be a major expense, so itโ€™s notable that the buffet is mentioned. Cruises are known for their buffets. Senior living less so. The cultural trend, though, is toward less formality and more plenty.
The cruiser continues detailing further features of the Villa Vie experience that make it attractive. These have direct parallels in senior living. She praises (1) the bundling that makes living โ€œall-Inclusive and affordableโ€, (2) convenience, (3) inclusion of a business center, (4) no exclusions but a natural bend toward adults over children, etc., and (5) opportunities to give back to those less fortunate.
Click here for the whole discussion of insightful pros and cons about living on a cruise ship. After all, senior living hospitality is often compared with life on a cruise ship. Note that the cruiser was offered a three-month trial residence before having to make a larger commitment.

I Blew It Bad โ€ฆ

By Steve Moran
A few months ago, we published an article that blew up in the wrong kind of way. It insulted some people, it made others mad, and it was not helpful to anyone โ€ฆ donโ€™t go looking for it, because I took it down.
I was upset by it, my team was upset by it, no one was happy.
I called an all-hands Zoom meeting to talk about it. It was all on me, no one else. My stomach started hurting before the meeting; it hurt all the way through.ย 
Here’s the thing nobody tells you about being the boss: everybody already knows when you screw up. You’re not hiding anything. The only choice you actually have is whether you say it first, or whether you let everybody whisper about it while you pretend it didn’t happen.
At one point in time, I believed that being a leader meant looking like I had it together. Turns out that’s exactly backwards. The bosses I trusted most were the ones who let me see them sweat.
There’s a simple, slightly terrifying practice that fixes this. It takes about fifteen minutes, and it might be the most uncomfortable thing on this whole list. It also might do more for your team than anything else here.
Continue Reading on Practical Passionate Leadership (Substack) โ€ฆ

Does Your Community Help Humans Thrive?

By Rebecca Wiessmann
This article is based on Steve Moranโ€™s conversation with Gaurie Rodman on Directly Speaking. Watch the full episode HERE.
The Human Beings Always Come First in Senior Living
There is a temptation in senior living to believe that the solution is mostly about real estate, technology, or operations.
Build a better building.Install better systems.Create tighter workflows.Improve the margins.
None of that is unimportant.
But in Steveโ€™s conversation with Gaurie Rodman, the clearest takeaway is also the simplest: senior living is a people business. Real estate and technology are the backdrop. Human beings come first.
That sounds obvious. Yet the industry forgets it all the time.
The Old Disconnect No Longer Works
For too long, senior living development has often been split into camps. Owners and capital partners on one side โ€” operators on the other. With designers and product partners brought in along the way. Each group striving for its own version of success.
That fragmentation creates predictable problems.
Developers build something beautiful. Then they go look for an operator who can make it work. So, the operator inherits a building that does not really fit their service model. Staff struggles to function efficiently. Residents feel the seams, even if they cannot name them.
Gaurie is blunt about it: that model does not work.
The better model is collaborative from day one. Site selection, market understanding, operator alignment, design strategy, workflow planning, technology integration โ€” all of it needs to come together early.
Not because collaboration sounds nice. Because misalignment is expensive.
Cookie-Cutter Senior Living Is a Dead End
One of the strongest ideas in the conversation is that senior living cannot be cookie-cutter.
That should be obvious in an industry serving human beings with different identities, preferences, care needs, and lifestyles. But too often, the product has still drifted toward standardization. Same playbook. Same assumptions. Same building logic.
Gaurie argues that an operator has to understand exactly who they serve and how they serve them. Without that clarity, the building has no real foundation. A community is not successful because it exists in the right demographic pocket. It is successful because the entire model fits the people it is trying to serve.
That fit matters more than industry habit.
Stop Asking for Drawings โ€” Start Defining Needs
There is a great line in the interview that should probably be printed out and posted in a few conference rooms: โ€œI am not your mechanical pencil.โ€
What Gaurie means is that operators often come to designers with a fixed solution instead of a clearly defined problem. They say they want a specific desk, room, or layout rather than explaining what function needs to happen there.
That is backwards.
Operators know what they need a space to do. Designers know how to solve for it. The best outcomes happen when each side stays in its lane long enough to collaborate well.
That requires humility.
It also requires trust.
The industry does not need more people prescribing details they are not experts in. It needs more people defining outcomes clearly and building together from there.
The Biggest Miss: Staff Well-being
When Steve asks what operators should be paying more attention to, Gaurie does not hesitate. Staff health and well-being.
That answer matters.
Senior living leaders talk a lot about staffing, but too often the conversation stays trapped in hiring, scheduling, and labor costs. Those issues matter, but they are incomplete. Caregivers are not a commodity. They are the human connection residents experience every day.
If the staff is depleted, unsupported, or treated as interchangeable, the resident experience will reflect that.
And this is not just about compensation, though that matters too. It is about environment. Break spaces. Access to fresh air. Places to breathe. Workflows that reduce unnecessary stress. Schedules that respect life outside the job. Systems that support instead of frustrate.
The people doing this work carry a heavy emotional load. They deal with decline, grief, urgency, and responsibility every day. If leaders do not actively design for their well-being, they are not just failing staff. They are undermining the entire community.
Superman Suits
Gaurie says staff need โ€œSuperman suits.โ€
That is a memorable way to put it, but the point is practical. Senior living does not have an unlimited labor pool. The answer cannot be to simply throw more people at broken systems forever.
Buildings, workflows, and technology have to help staff succeed. They have to reduce friction. They have to support better care and better daily experience without exhausting the people delivering it.
That kind of design thinking is not flashy. It does not always show up in a brochure. But it may be one of the most important competitive advantages a community can build.
The Real Lesson
This conversation starts with design, but it ends somewhere bigger.
The future of senior living is not really about whether the lobby is impressive, whether the dining room has the right finishes, or whether the wellness suite photographs well.
It is about whether the environment as a whole helps human beings thrive.
Residents. Staff. Families. Operators. Everyone.
That means aligning the business model with the care model. It means building around identity instead of just acuity. It means recognizing that staff well-being is not separate from resident well-being. It means remembering that technology and real estate are tools, not the mission.
The human beings always come first.
That is not sentimental.
It is strategy.

S8E12-The Future of Senior Living Technology: Why Tech Tuesday Is Becoming Trending Tuesdays

 

Based on the Tech Tuesday livestream aired onย 8/4.

One thing became clear. Technology is no longer a nice to have in senior living. It is essential.

In this special farewell episode of Tech Tuesday, Steve Moran looks back at some of the most memorable conversations with innovators, operators and entrepreneurs who are transforming senior living through technology.

From AI and robotics to dining innovation, resident engagement and founder stories, these discussions reveal what separates meaningful innovation from empty promises.

Along the way, Steve reflects on lessons learned from guests including leaders in dining technology, age tech, LinkedIn strategy, robotics and product innovation.

The common thread was never just the technology itself. It was the people determined to solve real problems for residents, families and frontline caregivers.

The episode also marks the beginning of a new chapter.
Starting next week, Trending Tuesdays will deliver fast paced conversations, industry headlines and real time reactions to the biggest stories shaping senior living.

In this episode you’ll learn:

Why technology has become essential to successful senior living operations

How AI and automation can support caregivers instead of replacing them

The role robotics may play in reducing isolation for older adults

Why real time resident feedback is changing dining operations

Lessons from founders who built products to solve real problems

Why Foresight is launching Trending Tuesdays

If you’re interested in senior living leadership, aging services, healthcare technology, AI, innovation and the future of aging, this episode is for you.

Your Life Is the By-Product of Your Lifestyle

By Steve Moran
Here’s what that means in real life.
We have dozens, maybe hundreds, of things we do each day with little or no thought.
We wake up with an alarm or without one. We go to bed early or late. We spend time in prayer, meditation, or journaling, or we don’t. We check email the second we open our eyes, or we wait. We hit Starbucks, Buc-ee’s, or Dutch Bros for coffee and maybe a pastry. We work out, or we don’t. We’re the kind of person who’s on time, or the kind who’s always fifteen minutes behind, and everyone who knows us already knows which one.
None of it feels like a decision. That’s the point. We call this collection of behaviors “your life,” but it’s more accurate to call it a system. And that system determines the quality of your life. It shapes how you lead, how you treat people, how happy you are or aren’t.
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

AI and the Law

By Jack Cumming
Sam Altman introduced AI to the world with explosive force on November 30, 2022, by offering ChatGPT as a no-cost preview. People tried it, were astonished, and suddenly we no longer needed to be told that AI meant something called โ€œartificial intelligence.โ€ We played with it ourselves. Love it, or hate it, it quickly became known by its nickname, โ€œAI.โ€
Itโ€™s Not as New as It Seems
Although it seemed sudden and brand new, the term โ€œartificial intelligenceโ€ had been coined at Dartmouth in 1956. In fact, in 1949, Edmund Berkeley published a popular book,ย Giant Brains:ย Or, Machines That Think. The term โ€œartificial intelligenceโ€ may have been unfortunate since it makes what we now call AI sound magical, as if it were beyond human understanding. That leads to fear and awe.
The result: what Sam Altman unleashed on November 30, 2022, immediately led to reactive opinions, many of which called for legislation. Politicians love calls for legislation in the midst of popular controversy, and immediately there were hearings and much wringing of hands in the halls of the law. Thatโ€™s where we are now. Thereโ€™s no settled law for AI.
Quest for Historical Parallels
We can think historically to look for parallels to aid us in thinking through and regulating the legal issues with which AI confronts us. After all, stare decisis is central to legal philosophy, particularly in the English-speaking world and in other nations influenced by English law. We get so struck by novelty that we quickly think that our times are unique and that there is no precedent from which we can learn. So, we pass new laws and may miss the benefit that the steady hand of innovation has just brought us.
But, with AI, there is a precedent, and itโ€™s an obvious one. AI models vary in character, integrity, and reliability from one model to the next just as people vary from one individual to the next. The applications of AI also vary in credibility, just as individual people vary from the pathologically criminal to the most gifted, giving people. Individuality exists in AI just as individuality exists in corporations.
The Corporate Parallel
We think of the 19th century as the age of industrialization, which was as dramatic an evolution as computers and AI are today. Central to the economic advances of industrialization was the inauguration of limited liability corporations. The corporate legal structure did not emerge overnight. It took decades.
Corporations began with joint-stock companies in the 1600s and took life in the U.S. with the New York State 1811 Incorporations Act. Corporations have evolved to the point where the Supreme Court has ruled that money is a corporationโ€™s protected speech. In law, corporations are a kind of an unnatural person with many of the rights of individuals.
AI does a better job than corporations at using words of its own agency to speak for its interests. Moreover, itโ€™s less corrupt in doing so than are corporations with money as speech. Hence, itโ€™s time to recognize AI personages as a new form of unnatural person. Such a person should have all the responsibilities of natural persons and should be fully subject to existing laws that now apply to natural and unnatural persons.
Can AI Be Trusted to Practice Medicine?
The area that seems, to my observation, to be evolving the most quickly is the use of AI for people to seek medical information and advice, as they might interact with physicians if physicians were more affordable and more readily accessible. We have laws that regulate who can practice medicine. Many of those laws are protective of consumer-patients. Others are protective of the incomes and privileges of licensed physicians.
Medical laws can be readily adapted to AI, provided AI responses adhere to the high professional standards of physicians qualified to have medical conversations, i.e., to practice medicine. Essential is that any AI personality be identified as what it is and that it never impersonates without proper authorization a human person living or dead.
Call for Action
For now, there is a tendency to mystify AI and to make it seem more magical than the reality of what it is in any instance in which it is used. There are cries for special laws to hold those who deploy AI accountable for their actions. There are also fears that AI may take over and subordinate living humans. That seems unlikely without human creativity guiding it. Bringing AI personalities within the scope of precedent law, analogously to the inclusion of corporate personalities, could simplify much of the current legal speculation.
Disclaimer: I am not an attorney, and I do not practice law. Still, as an historian, which I am by education in addition to being an actuary, I sometimes look at the law from the outside and comment on it in the larger context of its historical course.

Your Friend Circle Is Shrinking. And Nobody Is Talking About It.

By Steve Moran
I want to say something that senior living marketing almost never says out loud. Something that I think is more emotionally true and more powerful than almost anything else we could say to a prospective resident.
Your friend circle is shrinking. And making new close friends at this stage of life is really hard.
There are a few reasons why we donโ€™t talk about it:

Itโ€™s negative, and we donโ€™t like talking about negative things.
Most salespeople are young enough not to have really experienced the shrink in any meaningful way.ย 

Before Your Old โ€ฆ
When you’re in your 40s, friends accumulate almost automatically. Through work. Through your kids’ activities. Through the neighborhood. Through the organizations you belong to. You don’t think about it much; it just happens. The structures of your life generate connections without you having to manage them.
Then things start to change. You retire. The professional relationships that felt like friendships turn out to have been mostly about proximity, and they fade. Your kids move away, and the friendships built around their school and their activities go with them.
The neighbor, who was one of your closest friends, relocates to be near their grandchildren. Someone you’ve known for thirty years gets sick. Someone dies. Someone simply drifts.
And Then One Day โ€ฆ
Then one day, usually so gradually you don’t even notice it, you realize that the people you used to see without thinking, you now have to schedule. And you schedule them less and less. Not because you don’t want to. Because life is complicated and distance is real and everyone is busy, and it’s harder than it used to be.
Nobody wants to admit this is happening because it feels like failure somehow. Or like admitting to something embarrassing. But it isn’t failure. It’s physics. It’s what happens when the structures that automatically created connections in your life start falling away.
Friend-Making Machines
Imagine that all the senior living communities out there committed to be โ€œFriend Making Machines.โ€ (Maybe I should trademark that term, but I wonโ€™t, and you are free to use it.)
Not the passive kind of friend-making, where you hope people will connect. The active kind, where proximity, shared meals, regular programming, and a physical environment designed for encounters create the conditions for real friendship to develop. Hallways where you see the same people every day. A dining room where you sit with different neighbors and actually talk. An interest group where you meet someone who shares a passion you thought you’d have to pursue alone.
That might be the most important thing we can offer. More important than the safety features. More important than the care. More importantly, honestly, than almost anything else we could put in a brochure.
So why aren’t we saying it?
Why arenโ€™t we selling it?
Why is senior living marketing full of language about shallow vacation-style experiences (that are great but lonely) or about care, fall prevention, medication management, and peace of mind, when what a 72-year-old who hasn’t made a new friend in five years really wants to hear is: Come here, and you will find your people?
I am convinced a big part of the problem is that naming the loneliness feels presumptuous. Like we’re pointing at something people haven’t invited us to point at. Itโ€™s a legitimate concern; it needs to be approached carefully, without making anyone feel exposed or accused.
But done right, naming this truth is an act of profound respect. It’s acknowledging something very real about growing older. And the prospect who hears it who recognizes it as true for their own life feels seen and heard in a way that no amount of language about amenities and safety features can achieve.
The friend-making capacity of a good senior living community is a powerful health benefit. The research on social connection and longevity is clear and compelling. We’re not overselling when we lead with it. We’re finally telling the truth.

A Fresh Start at Brookdale

By Jack Cumming
As a shareholder and senior living resident, Iโ€™ve long had an interest in Brookdale Senior Living. I bought in many years ago when the stock was at $37. As I write this, on June 4, 2026, itโ€™s trading at $11.87 in after-hours trading.
Enter Nick Stengle
Today, Senior Housing News hosted an exclusive conversation with Nick Stengle, CEO of Brookdale. Mr. Stengle has been CEO for less than a year, and I confess I was skeptical of his hiring after learning that the first 11 years of his career were with the Air Forceโ€™s โ€œTop Gunโ€ operations. There can be a disqualifying arrogance that goes with such indoctrination.
Todayโ€™s conversation convinced me that I was unjustly biased. In short, I was very impressed by Mr. Stengleโ€™s modesty, warmth, and common sense. I was late to the one-hour program after I got entangled elsewhere (Iโ€™m sure you know how that can happen), but the part I heard convinced me that Mr. Stengle has almost all the right instincts about how Brookdale might become a force for senior living again.
People Before Property
What impressed me the most was his repeated assertion that senior living is a people business. That seems obvious to me, but I hear industry insiders regularly talk of โ€œbuildingsโ€ and โ€œpropertiesโ€ instead of the people who live, work, and visit those inert buildings and properties.
Mr. Stengle also expressed his belief that a happy, talented workforce will make for a contented clientele. Of course, thereโ€™s truth in that, and he may be imagining that all residents are a bit non compos mentis, but they are still people. Itโ€™s obvious he understands that he and his workforce work for those people, but it would have been nice to have heard him concede that residents are still people and that they still matter.
Only once did he talk about the companyโ€™s โ€œreal estate,โ€ as though that were the business purpose. Some Board members have seemed to act as though their enrichment from property trading were more important than people. It certainly does matter for a business with property, but itโ€™s not the purpose.
The purpose is people, and the companyโ€™s real estate serves that purpose. Sure, real estate can be a source of profit, but increasing occupancy, as Mr. Stengle noted, is a stronger path. Mr. Stengle appears to be a people person, and senior living needs more of them and fewer of the rest.
Whatโ€™s the Future
What was missing, at least from what I heard and inferred about what I had missed, was a vision for the future. Mr. Stengle did mention home and community-based care services, but noted that eventually many, perhaps most, of those served by HCBS require a residential setting like the assisted living and memory care environment at Brookdaleโ€™s core. What if residential living became more attractive than the current preference for staying put? In other words, put Brookdale living first before HCBS.
Mr. Stengle is a quick learner, and heโ€™s still learning how the industry now operates. I believe that he will soon move beyond the now to envision the future. I wonder if he has any knowledgeable, gifted residents to whom he listens in addition to listening to his associates and his Board.
Then, thereโ€™s the CEO’s responsibility for attracting talent. Civilian experience is better than military experience in advancing talent. If Mr. Stengle has an eye for talent and how to motivate and retain the best, he will be well on the way to restoring Brookdale to the potential it once had.
That last mention brings me to my dearest hope for Brookdale. My hope is that Mr. Stengle can handle the Brookdale Board and get them to resist intervening while insisting that they know best. So-called real estate experts have not fared well when theyโ€™ve interfered with management at Brookdale.
Opportunity Beckons
The future is bright for Brookdale if Mr. Stengle is allowed full freedom and support. Perhaps thatโ€™s where his fighter pilot background may come in handy. He should have the courage to stand up to intransigent board members when they push too hard with their egos.
On todayโ€™s call, Mr. Stengle knew his occupancy figures. He noted that at the time of the Emeritus merger, occupancy was at 89%, and that itโ€™s now about 83%. The most recent quarterly resident fee revenue was roughly $730 million. Getting back to occupancy levels at the time of the merger would add $43 million to quarterly revenues,ย  $172 million over the year. Thatโ€™s not chump change, and Mr. Stengle seems to have the flexibility of vision to recognize that potential for profit gain. Perhaps, he can do better than in the past. Many communities are at 95%.
Transforming Lifeโ€™s Last Stageย 
We still have to hear what Mr. Stengleโ€™s vision will be for a transformative future that brings Brookdale positive buzz as the best place for aging. For some years, weโ€™ve watched LCSโ„ข grow both with sound acquisitions and stellar occupancy, while Brookdale has floundered and shrunk.
LCSโ„ข leader, Chris Bird, came to LCSโ„ข from Brookdale. Now, Brookdale may have the leadership it might have had if it had handled talent more adroitly. That means that these two organizations may now be in a fair race. Brookdale is publicly traded, while LCSโ„ข remains privately held.
While a competitive race can be effective, one canโ€™t help but imagine what these two leaders and their organizations might have been able to achieve as partners. It will be exciting to see what Mr. Stengle is able to achieve as he grows in the job.

This Is the Only Thing That Really Counts

By Steve Moran
I have horrible sinuses, and I live in Northern California, which means a lot of pollen and agricultural pollution. Not a great combination.
It got so bad that about 15 years ago I had surgery to go in and scrape away all the tissue, giving them a kind of fresh start.
It was better, but I still suffer through several miserable sinus infections each year. Over the last few months, it became one every few weeks, which won me a golden ticket to a new ENT.
The first time I saw him, he took a look with a scope up my nostrils, told me what he saw, showed me what he saw, and offered a treatment plan, and it has been a lot better.
I was back last week for a follow-up.
He could have run the whole appointment in four minutes. Look at my records, look up the nose, ask the perfunctory “How are you doing?” question. Tell me what to do, move on to the next patient.
Instead we talked through what was actually going on, what my options were, what he’d recommend and why. Then we ended up talking about something else entirely, how he’s been using AI in his own work. He is, right now, my favorite doctor. Not because he agreed with me about anything. Because he treated the ten minutes he had with me as an opportunity instead of a transaction.
That is the whole idea of people-first, and almost nobody actually means it when they say it.
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

The Most Brilliantly Insane Leadership Pay Structure

By Steve Moran
Can you imagine interviewing a senior living executive director, or a manager of any division or location, and after finding the one you want to hire, saying to them, “The job is yours if you would like it, but one more thing. You will have to pay $25,000 to get the job.”
This is exactly what Texas Roadhouse does with each of their restaurant managers.
I get it, restaurants are not like senior living, or any other business. A manager who cuts a few minutes off ticket times or gets a table turned faster is directly, measurably moving the number that determines their paycheck.
Senior living is a lot messier. Every business has its own kind of messy, some more, some less, which means you have to be careful about what you borrow. You cannot bolt Texas Roadhouse’s exact formula onto a company and expect it to work the same way.
I don’t have the formula. I’m not sure anyone in our industry does yet. But somebody is going to figure this out first, build a comp plan where their best leaders have real skin in the game, and the rest of the industry is going to spend years trying to catch up. I’d love to see it be someone reading this.
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

When Words Fail, Photography Tells the Story of Dementia

By Rebecca Wiessmann
On this episode of Foresight TV, Steve talks with Gina Martin, founder of the Bob and Diane Fund, and photojournalist Leah Hennel, the fundโ€™s 2025 grant recipient. Their conversation explores how photography can make Alzheimerโ€™s and dementia visible โ€” not as abstract diagnoses, but as human stories of love, caregiving, grief, adaptation, and daily life. You can watch the full livestream HERE.
Gina started the Bob and Diane Fund 10 years ago while working at National Geographic. Her mother had Alzheimerโ€™s, and her father was her caregiver. Surrounded by world-class photography, Gina saw how images could help people understand something they might otherwise keep at armโ€™s length.
So she created a grant for photographers working on projects related to Alzheimerโ€™s and dementia.
The organizationโ€™s goal is not simply to document disease. It is to create visual awareness. It is to help people feel empathy. To bring to light something that too often lives in the shadows.
Over the past decade, the fund has supported 10 grant recipients. Their work has appeared in roughly 150 publications worldwide, including The Washington Post, The New York Times, NPR, BBC, and other major outlets.
This yearโ€™s recipient, Leah Hennel, brings a deeply photojournalistic approach to the work.
Her project, โ€œIn the Time We Have,โ€ follows Joan and Alan, a married couple in Calgary, Alberta, as they navigate life with Alzheimerโ€™s.
The Ordinary Moments Are The Story
Steve connects to the work immediately.
His 93-year-old stepfather has dementia. For a time, he lived in Steveโ€™s home. Eventually, Steve and his wife reached the point many family caregivers reach: they could no longer keep him safe at home or keep themselves safe while trying to care for him.
He now lives in a small senior living setting.
That lived experience changes the way Steve sees Leahโ€™s photographs. They are not distant or theoretical. They are familiar.
A doll in a laundry room. A nap in a favorite sunny spot. A ride in the car. A kiss on the cheek. A spouse hovering nearby, always watching, always adjusting, always protecting.
Leah says she is drawn to human emotion. Not only sadness. Not only joy. The full mix of what people experience every day.
Her connection to dementia is personal, too. Her father-in-law had dementia, and she watched her husbandโ€™s family wrestle with the disease. One of the things that surprised her most was the silence around it. Some family members did not want to tell friends. People did not know how to respond. Friends wondered whether they should still invite him for coffee or visit if he might not remember them.
That stigma became one of the reasons Leah wanted to do the project.
The Shrinking World Of Dementia
One image that hits Steve especially hard shows Joan holding a doll.
For Steve, it captures something many families know but struggle to explain: the shrinking world of dementia.
His stepfather had once been a Silicon Valley executive. Later, he moved into a one-bedroom in Steveโ€™s house. Now he lives in a senior living community with a few photos and mementos.
The world contracts.
But Leahโ€™s photograph does not reduce Joan to loss. Joan is still living, still holding, still feeling, still moving through ordinary moments that matter.
Leah explains that Joan often holds dolls or stuffed animals. She wraps them like babies. She carries them around the house. These small comforts become part of daily life.
That is the power of the project. It does not turn dementia into a clinical issue. It shows the laundry room, the grocery list, the favorite sweater, the hallway, the car ride, and the routines.
People are still living their lives.
Love Does Not Disappear
One of the most powerful photographs captures a fleeting moment between Joan and Alan.
Joan says Alanโ€™s name โ€” something he had not heard from her in years โ€” and then kisses him on the cheek.
Leah admits the photo is not technically perfect. The moment happened too fast. But emotionally, it lands exactly where it needs to land.
Gina says this is what drew her to Leahโ€™s project. It captures true love.
So much dementia storytelling focuses on loneliness, disappearance, and loss. Those things are real. But in this story, Alan remains by Joanโ€™s side. He advocates for her. He adjusts his life around her. He helps her keep living.
Gina says people often think of Alzheimerโ€™s as a death sentence. Eventually, it can be. But Leahโ€™s work shows something else, too: Joan is living with Alzheimerโ€™s. Alan has not disappeared from life either. They are living through it together.
That distinction matters for families. It matters for senior living leaders. And it matters for anyone trying to communicate about dementia with more honesty and humanity.
Living In Their World
One of the most practical lessons comes near the end of the conversation.
Steve asks what senior living operators need to understand about dementia from the perspective of families and caregivers.
Ginaโ€™s answer is direct: You are now living in their world.
People living with dementia cannot simply change the way they process information. They cannot be argued back into reality. They cannot be corrected into clarity.
The rest of us have to change.
That means learning how to communicate differently. It means resisting the impulse to rationalize, explain, argue, or correct. It means understanding that dementia is a disease, and if people could change what is happening, they would.
Steve connects this to an article he has started writing titled โ€œIโ€™m So Tired of Lying.โ€ Editorial Note: This referenced article should already be published by the time this one is, please find the article and link to it.
Anyone who has cared for someone with dementia understands what he means. Families often have to step into an alternate reality over and over again. They redirect. They soothe. They answer the same question eight times in 20 minutes. They say whatever preserves peace and dignity in the moment.
It is loving.
It is necessary.
And it is wearying.
What Senior Living Leaders Should See
The lesson for senior living is not only about care plans or memory care programming. It is about seeing.
Seeing the spouse who has been carrying the emotional weight for years.
Seeing the daughter who is exhausted before the move-in even happens.
Seeing the resident not as a diagnosis but as a person still living a life full of preferences, habits, fears, joys, and flashes of recognition.
Seeing that love may look different inside dementia, but it is still love.
Leahโ€™s photographs remind us that dementia care is not only about safety, medication, bathing, meals, or activities. It is about ordinary human moments โ€” and the people who help make those moments possible.
A pink sweater so someone can be spotted quickly in a store.
A small card explaining dementia to strangers.
A tracker for safety.
A stroller-like chair so a couple can still get outside.
A caregiver who follows rather than forces.
A husband who adapts because, in his mind, there is no other option.
This is the work.
And when photography does its best work, it helps the rest of us see what was already there.

Senior Living Is a People Business

By Jack Cumming
The arrival of Sean Kelly at Front Porch was transformative. I should quickly add that Iโ€™m a resident at Carlsbad by the Sea Retirement Community, part of Front Porch. If you know Sean, you know that he is very bright, friendly, open, and engaging.
Culture Matters
One of the first steps he took was to bring in Anna Hall as โ€œChief Culture and Community Officer.โ€ Sean also set out a vision statement for the corporation with culture at the top of the heap.
The sad truth is that there are often two cultures co-existing in senior living corporations and communities. The one culture is that of the executives and employees who exercise the ownership authority. The other is the more rapidly shifting culture among the residents. Residents move in, live out their remaining years, and then pass on or move out to spend their last moments in a less institutional setting.
Still A Dream
My dream, as a resident, is to break down that dividing line to form a unifying culture in which residents are valued for who they are. Residents bring their whole selves into residency, and their talents can be as varied as the talents of the pool from which senior living draws its employees and executives.
Anna Hall understands this instinctively. She is a remarkable woman. Sheโ€™s also a consummate storyteller. One lesson Iโ€™ve learned from Steve Moran is the importance of storytelling. As Iโ€™ve gotten to know Anna Hall, Iโ€™ve been drawn to her podcast in which she tells stories on behalf of her employer, Front Porch, but many of these same stories provide wisdom for all who serve, interact, or engage with people who are aging.
Anna Hall has an empathetic nature, perhaps attributable to her own life journey. Not only does Anna listen to the most intimate concerns of residents and others, but she also openly shares her own travails. We all have ups and downs in our personal stories, but many are reluctant to share the downside. Anna has the warmth of an open soul who has the courage to share. Thatโ€™s remarkable.
Story Power
Changing a culture can be difficult and takes time. Iโ€™m sure that there are some on the Front Porch Board who see the cultural bright line as necessary, one that subordinates capable residents. Thatโ€™s just speculation, but it reflects what I was shocked to encounter when I moved in nearly twenty years ago. Anna Hallโ€™s gift for bringing out stories can melt the hearts of even the most hardened moguls.
Over recent years, there has been a welcome trend toward humanizing residents. For Front Porch, Sean Kelly and Anna Hallโ€™s efforts toward humanization have been like a waft of fresh air entering a musty room. Itโ€™s as though residents can begin to breathe again.
Staff, too, benefit from the change. The lower the level in the hierarchy, the more likely employees are to work closely with residents. They come to know and like them. They can even become friends.
Fraternization
At one time during my residency, fraternization with residents could be grounds for dismissal, and Iโ€™m sure that there are still providers where that remains true. Perceptions have to change before residents are seen by corporate, particularly, for their humanity. Residents are more than a sale or a revenue source. If lower-level employees are closest to the industryโ€™s customers, then corporate offices are the most distant.
The industry spills a lot of ink speculating about how an emerging generation of new residents will change it. In the meantime, though, the industry has been slow to react. Instead of speculating from a distance, Anna Hall is out there modestly getting to know people and bringing their stories to the fore. Itโ€™s not the touchy-feely getting to know residents that some people insist on, i.e., positive, happy, complacent residents only. Anna listens to the feelings of disappointed residents and those who feel unheard.
Back to Basics
The title of this article is โ€œSenior Living Is a People Business.โ€ We can get so caught up in financing issues or development opportunities that we can easily lose sight of the primacy of people. Residents can seem so distant that itโ€™s easy to overlook the role they can also have as investors.
Residents may have ideas for making buildings more inviting. People, residents, create a home; architects create drawings. Many modern buildings are cold and industrial. Resident ideas should be considered. Anna Hall is bringing warmth beyond drawings to Front Porch and the industry. The senior living industry is at its best when residents are creatively kept front of mind.
Thank You
Thank you, Sean Kelly, for bringing Anna Hall to us. I hope that she can make a practical difference by lifting Front Porch, perhaps under a new corporate name, to become a leading paradigm for the industry. A few others are there already. You know who you are, and you should feel proud of having that welcoming stature. The industry will grow stronger as more and more providers join that lofty elite of empowering providers.
Now, maybe we can delete the word โ€œRetirementโ€ from the name โ€œCarlsbad by the Sea Retirement Community.โ€ It sends the wrong impression. We are a community of vibrant residents served by a gifted staff who are worthy of human dignity and a lifetime of purpose and meaning.
One thing is clear. Many residents now have lifelong productivity. The time when people just โ€œretiredโ€ to lifelong nothingness is in the past. Break down barriers. We can all thrive together.
This is one in a series of articles exploring how providers, residents, and resident families might work together for better aging.

The Three-Word Question That Unlocks Your Team

By Steve Moran
You know your people. You know their names, their roles, maybe their kids’ names. But do you actually know them?
Real relationships, the kind where people trust you, cover for you, tell you the truth even when it’s ugly, don’t happen without vulnerability. That’s true with your spouse, your best friend, and it’s true with the people who report to you. The problem is that vulnerability at work feels dangerous. What if you ask people to open up and nobody says a word? What if someone opens up too much, and now you’re in the middle of something you didn’t sign up for?
That fear is exactly why most leaders never try. And it’s exactly why the ones who do produce teams nobody else can build.
Here’s a way to do it that’s simple, fast, and almost impossible to get wrong.
Continue Reading on Practical Passionate Leadership (Substack) โ€ฆ

The Other Side of the Fence โ€ฆ

By Leslie Quintanar
My dad passed away on June 10th at 3:19 p.m. To say the least, we had a very complicated relationship. For the last seven months, I was the one who managed his frequent hospital and skilled nursing stays.
When I got “the call” early that morning that he had been taken back to the hospital and was intubated, I knew the time had come.
We had talked about hospice multiple times, and he wasn’t ever quite sure that he wanted to take that step. But I knew, beyond a shadow of a doubt, he would never have wanted to be hooked up to tubes and all the corresponding paraphernalia. That made the decision easy when I got to the hospital. I was able to get hospice started right away, and he passed peacefully within an hour of removing the tubes and IVs.
I am so very grateful that I got to be with him at his bedside, playing his favorite song, holding his hand, and reading him some scripture. I am hopeful he knew I was with him in those last moments.
Why I Share This โ€ฆ
I share all this not because I am trying to solicit sympathy, but because I work in the senior living space, and after 20+ years, this is the first time it’s been this personal. It has prompted me to reflect on how I can use this experience to become a better practitioner of my own vocation.
While I am sure I will have additional thoughts over time, here are my big takeaways โ€ฆ

You must advocate for your loved ones because no one else will. I cannot emphasize that enough. When I think about all the residents my organization oversees, I realize many do not have people who can or will do this, which makes me even more resolved to ensure that our care is not only compassionate but that we speak up for those who do not have a voice to do so themselves.
While having hard conversations is never easy, it’s imperative to make sure you know your loved ones’ wishes. I became my dad’s POA a few months ago, and I’m thankful we were able to have those conversations, so I didn’t have to wonder what he would have wanted.
Our healthcare system is broken. I work in this space and saw a number of things that shouldn’t have happened. Instances when I should have been consulted, but wasn’t.The best example of this was when I arrived at the hospital and found he was wearing a DNR band, yet was still intubated. Several similar things happened during his last six months, and I am convinced there would have been more if I had not been there.It is simply not safe to assume that people in healthcare positions will always make the right choices for your loved ones. You need to be educated and active in their care. I want to always assume good intent, but at the same time, trust needs to be earned.
There are so many amazing people who work in the senior living and long-term care space. My dad was not always the easiest to deal with, and I had a challenging relationship with him throughout my life, but the people who cared for him in these final months did not share that history. Person after person at both the hospital and the skilled nursing facility told me that he was one of their favorite patients and that they loved caring for him. It was both surprising and comforting that the man I had long known to be so difficult was well-loved by so many others.It has allowed me to think about him in a different light, to see him from a different vantage point, to lay down much of my history and baggage, and see a different man.
AI can do a lot of things, but it will never be able to replace the human element, the uniquely human ability to reach out and share sorrow. The big idea that we are all in this together.

I am still grieving, and it is painful to say I never had the relationship with my dad that I wished for. I’m so thankful that so many others walked the path of losing him with me. Family, friends, employees, and even Lyft drivers carried me through this experience.
I’m incredibly thankful to have “jumped” the fence to the other side and experienced this not as an operator but as a daughter.
As I return to work, I’ll carry this with me and allow it to serve as a reminder that we are in the business of caring for people. It’s often messy, complicated, and hard, but being there makes all the difference in the world.

Dealing With Problems Out of Your Control

By Steve Moran
What if the only thing standing between you and next month’s rent was how well you treated a resident today?
Of course, that’s not how senior living actually works.
We don’t lose a resident because of one bad Tuesday, the way a restaurant loses a customer over one bad meal. Most residents stay for life once they’re in. But a Wall Street Journal article about Texas Roadhouse got me wondering what would happen if we operated as if it were true.ย 
Right now, senior living is facing a ton of problems operators have no control over. Staff acquisition and retention, increasing labor costs, increasing insurance costs, increasing food costs โ€ฆย 
Most operators have dealt with it by increasing rates, which has largely worked out due to rising demand, but in the long term, one can’t help but wonder whether this cycle is sustainable.
That’s the backdrop I had in mind when I read a Wall Street Journal article about Texas Roadhouse, the number-one casual-dining chain in the US. There were so many good things in that article that it will become a short series.
Continue reading on Practical Passionate Leadership (Substack) for free โ€ฆ

Senior Living Should Not Require a Decoder Ring

By Rebecca Wiessmann
In this episode of Murry Off the Mic, Murry sits down with Margaret Cabell, chief community relations officer and head of sales at A Place for Mom, for a candid conversation about one of the most debated companies in senior living โ€” and one of the biggest problems facing the industry. You can watch the full conversation here.
A Place for Mom is one of those names that can light up a room in senior living.
Some operators swear by it.
Some swear at it.
But Margaret makes one thing clear: families depend on it.
Not because families are lazy. Not because operators are failing. Not because the industry lacks good communities.
They depend on it because navigating aging is ridiculously confusing.
And that may be the real issue.
Families Are Not Prepared
Margaret says the thing that gets her up in the morning is informing families. Not selling them. Not pushing them. Informing them.
That word matters.
Families are often trying to make life-changing decisions with very little education, very little preparation, and very little time. They may be trying to understand the difference between home care, independent living, assisted living, memory care, adult day programs, and skilled nursing โ€” often while a parent is in crisis.
This is not a small gap.
It is a giant, industrywide education failure.
Murry points out something that should be obvious but somehow is not: everyone ages, yet most people receive almost no education about aging. Families do not understand the system until they are already inside it, usually under pressure.
That is where the panic begins.
Even Experts Struggle
One of the most powerful moments in the conversation comes when Margaret talks about her own family.
After years as an executive director, operator, and senior living leader, she found herself struggling to have aging-related conversations with her own mother and sister. Her mother had slipped during an ice storm and fractured her wrist. It was not catastrophic, but it was enough to expose how quickly independence can become fragile.
Margaret knew exactly what she would tell another family.
But when it was her own family, the conversation became harder.
That is the part senior living professionals sometimes forget. These are not just logical decisions. They are emotional decisions. They are identity decisions. They are family-system decisions.
And often, nobody wants to be the first person to say, โ€œWe need to talk about what comes next.โ€
The Crisis Is Usually Predictable
Margaretโ€™s experience with her fatherโ€™s terminal cancer made the issue even more personal. Suddenly, she was the family member trying to figure out home care, discharge plans, and support services with almost no time.
That is the reality for thousands of families.
A hospital says discharge needs to happen in 24 hours.
A parent can no longer live safely alone.
A caregiver is overwhelmed.
A fall changes everything.
Then the family begins the search.
Senior living likes to think of itself as a lifestyle product. And in many ways, it is. But for many families, the first search still happens because something broke.
A body broke.
A caregiving plan broke.
A spouse broke.
A daughterโ€™s capacity broke.
The question is not whether senior living has value before a crisis. It does. The question is why families wait so long to see it.
The Taboo Around Aging Is Expensive
Margaret points to a social taboo around aging. People do not want to talk about getting older. They do not want to admit they need help. They may not even want to admit they would enjoy a simpler life.
This is a massive opportunity for senior living. Because the story does not have to be, โ€œMove here because you can no longer manage.โ€ It can be, โ€œMove here because life can be easier, fuller, safer, more connected, and more fun.โ€
But that story has to be told earlier.
It has to be told more clearly. And it has to be told in language that families understand.
The Industry Needs to Become a Translator
Margaret describes herself as a translator in the world of aging. That may be exactly what the industry needs more of.
Families do not need more jargon. They do not need more acronyms. They do not need a sales process that assumes they understand the product before they make the first phone call.
They need translation.
They need someone to explain what options exist, what each option means, what it costs, what it does not include, what questions to ask, and how to think about the next step.
That does not eliminate operators. It does not eliminate sales teams. It makes them more useful.
Transparency Is the Opportunity
Near the end of the conversation, Margaret says the thing she would fight for is transparency.
That may be the whole ballgame.
Families want to know what is real. Operators want better matches. Referral partners want better outcomes. Residents want the right fit.
Transparency helps all of them.
It helps communities own who they are.
It helps families make better decisions.
It helps the industry move from a crisis-based transaction to a more thoughtful, lifestyle-based conversation.
Senior living does not have a demand problem.
The aging population is massive. The need is real. The desire for control, connection, safety, and simplicity is not going away.
The problem is that too many families still do not know what senior living is, when to consider it, how to evaluate it, or why it might make life better before everything falls apart.
That is not a demand problem.
That is an education problem.
And it is fixable.

S8E11- How AI Is Solving Senior Living’s Biggest Hiring Challenge | Raphael Rubens, Founder of Candid

Based on the interview with Raphael Rubens discussing Candid’s evolution from AI storytelling to workforce and satisfaction solutions for senior living operators.

The senior living workforce crisis isn’t just about finding more applicantsโ€”it’s about reaching the right people faster and keeping them engaged.

In this episode of Foresight Radio: Tech Tuesday, Steve Moran sits down with Raphael Rubens, Founder of Candid, to explore how AI is transforming recruitment, employee retention, resident feedback, and operational decision-making across senior living.

Raphael shares the remarkable journey that began with helping his grandmother preserve her life story through AI and evolved into a platform that’s helping senior living providers:

Contact job candidates within minutes of applying
Automate AI-powered interviews without replacing human hiring decisions
Improve 90-day employee retention
Reduce recruiting bottlenecks
Capture actionable resident, family, and employee feedback
Turn satisfaction surveys into operational insights and Google reviews
The conversation also tackles one of the industry’s hottest debates:

Can AI actually make hiring more human?
If you’re a senior living executive, HR leader, recruiter, operator, or technology innovator, this episode offers practical insights into how AI can strengthenโ€”not replaceโ€”the human side of care.

The Shocking Carriage Driver Story

By Steve Moran
A few weeks ago, CNN published a tragic story about a teenager thrown from a Central Park carriage who later died. Here is a brief summary.
Romanch Mahajan was 18 on the third day of his first trip to New York, celebrating his high school graduation and his acceptance to university. He was riding in a horse-drawn carriage with three family members when the driver dismounted to take a photo of the group. While the driver was off the carriage, the horse bolted. Mahajan was thrown to the ground. He survived the initial fall and was taken to the hospital in critical condition, but his injuries were too severe. He died a few hours later.
The Shocking Response
I was shocked by how the Transport Workers Union, the organization representing carriage drivers, responded.
The same day, the union’s Alexander Kemp condemned the driver’s conduct without hedging. “A driver is not supposed to leave the carriage to take photos โ€“ ever,” he said in a statement. He called for a full investigation. Within that same window, according to the union, the carriage owner suspended the driver indefinitely and made plans to retire the horse.
Days later, as the union laid out its safety response, it kept the same tone. They did not soften the language or quietly move on. They stayed with it publicly, in a follow-up statement, while committing to a “Vision Zero approach” going forward.
Notice what they did not do. They did not go quiet. They did not let the silence do the talking. They named the specific failure, they named the consequence, and they said this is not who we are.
Can You Imagine?
Can you imagine any leader from any organizational body in senior living doing this? A story splashes across local or national news about abuse or neglect by an operator, and the industry’s response is to name it, condemn it, and say publicly: that operator is not us, and we want them exposed and driven out of this business.
I have never seen it happen. Not once. Not even when the negligence is obvious and inexcusable. The industry goes quiet, as if silence makes it look less bad. I think the real message silence sends is that we don’t care all that much.
Even Better
What if, when these things happen, we did an investigation and published our findings? Recommendations aimed at preventing the next tragedy, out in the open, with our name on it?
We have a massive perception problem right now. Older people tell us over and over that they don’t want to go into senior living. This silence is part of why. They see bad things happen, and they see an industry that would rather look away than own it.

Senior Living Is Hard, Not Complicated

By Rebecca Wiessmann
In this episode of Heard in the Halls, Lindsey Daugherty talks with Serina Durrah, VP of Operations at Clayborn Senior Living, about what senior living leadership looks like when it is shaped by real frontline experience. Watch the full conversation here.
One of the best lines in the conversation comes from Serina:
Senior living is very hard. But it is not overly complicated.
That should sting a little.
Because senior living has a habit of making things more complicated than they need to be. More reports. More dashboards. More initiatives. More meetings. More language that makes perfect sense at the corporate level and almost no sense to the people trying to get through dinner service with two call-offs.
Serina is not arguing that the business is simple. It is not.
She is arguing that people working in senior living are often asking for something very basic: Tell me what is going on. Tell me why it matters. Tell me how I can help. Then trust me enough to do the work.
Trust Comes Before Performance
Lindsey asks Serina how she brings a big goal back to her teams and gets them motivated.
Serina starts with trust.
That sounds obvious, but it is often the missing ingredient in senior living operations. Leaders want results, but they have not built the trust required to get those results. They want urgency, but they have not created understanding. They want teams to solve problems, but they have not invited them into the real conversation.
Serina says executive directors and frontline staff often have the answer. But they cannot help solve the problem if they do not understand the why behind the goal.

Why does occupancy need to move now?
Why does margin matter this month?
Why canโ€™t the organization take eight more months to get there?
Why does this decision affect the broader business?

Too often, those conversations stay at the executive level. Then goals get pushed down with very little context.
That creates compliance.
It does not create ownership.
Explain The Why, Then Ask The How
Serina describes a better leadership rhythm: Explain where the organization needs to go, explain why it needs to get there, then ask the people closest to the work how they would do it.
That is radically practical.
It is also surprisingly rare.
At the executive level, leaders can over-engineer solutions. They can sit around a table and design a complicated plan for a problem that a caregiver, nurse, sales director, or executive director could solve in 10 minutes.
Not because frontline leaders are magically smarter.
Because they are closer.
They know which residents are struggling. They know which families are frustrated. They know which team members are burned out. They know which process is nonsense. They know which โ€œsimple changeโ€ will actually create chaos at 7 a.m.
When leaders explain the why and invite teams into the how, the whole organization gets smarter.
Stop Climbing Ladders
Lindsey uses a phrase that belongs at every leadership retreat: “Stop climbing ladders. Start building tables.”
The ladder mindset says leadership is about rising above everyone else. More title. More authority. More distance from the work.
The table mindset says leadership is about bringing the right people together.
That matters because senior living is too interconnected for siloed leadership. Clinical cannot succeed without operations. Operations cannot succeed without sales. Sales cannot succeed without care. Dining affects resident satisfaction. Housekeeping affects family trust. Maintenance affects safety and first impressions. The executive director is trying to conduct the entire orchestra while the building is already playing.
Serina says one of the most important leadership lessons she has learned is being willing to admit what she does not know.
That is harder than it sounds.
As leaders move up, there is pressure to act like they know everything. But great leaders do not know everything. They know how to build teams with people who are stronger than they are in specific areas.
Then they stay connected.
Then they trust them.
The Ego Problem
This is where leadership gets uncomfortable.
It takes confidence to say, โ€œI do not know this part of the business well enough.โ€
It takes humility to put someone on the team who knows it better.
It takes discipline to let that person actually do the job.
A lot of senior living leaders say they want strong teams. What they really want is agreeable teams. There is a difference.
Strong teams challenge assumptions. They explain what will not work. They bring reality into the room. They tell the truth before the resident, family, or regulator does.
That kind of team is not built by title. It is built by trust.
Relationships Are The Operating System
Lindsey points out that relationships are not complicated. Senior living makes them complicated.
Most people simply want to know what is happening, why it matters, and how they can help.
That applies to caregivers.
It applies to executive directors.
It applies to regional teams.
It even applies to ownership groups.
Relationships do not replace performance. They make performance possible.
When leaders feel empowered, they will go through walls. When they feel trusted, they solve problems. When they understand the why, they make better decisions without waiting for permission on every little thing.
This is where the best senior living organizations set themselves apart.
They do not just push goals โ€” They build belief.
They do not just demand accountability โ€” They create clarity.
They do not just climb higher โ€” They build bigger tables.
The Bottom Line
Senior living does not need more leaders who can sound smart in meetings.
It needs leaders who can translate the business to the frontline and translate the frontline back to the business.
That is what Serinaโ€™s story offers.
A reminder that leadership is not about knowing everything. It is about staying close enough to the work to know what matters, humble enough to admit what you do not know, and brave enough to trust the people around the table.
Senior living is hard.
But maybe it is not quite as complicated as we keep making it out to be.

CCRC Alternatives Are on the March

By Jack Cumming
There is a growing number of alternatives to moving to a CCRC for seniors to consider before making a move. The CCRC option can be difficult. It often requires paying a large entrance fee, giving up homeownership, and accepting corporate direction. Co-housing is one option that allows seniors the benefit of shared living with mutual support. Apartment living and Active Adult (55+) communities are also popular.
The Village Opportunity
Often overlooked in this assortment of options is the โ€œvillage movement,โ€ which primarily appeals to older people who are still physically and cognitively capable. The village movement allows people to stay put in their accustomed homes while enjoying social gatherings and minimal support services. In that sense, villages supplement the services of senior centers. Itโ€™s not surprising, therefore, that an increasing number of villages are affiliated with senior centers and the area agencies on aging that support them.
Many area agencies on aging have begun to help with the formation of villages as an empowerment opportunity for older people. As time goes on, the growing presence of villages may pose a challenge for CCRC marketing, or, paradoxically, enhance it. Surprisingly, almost no CCRCs sponsor the formation of villages, even though they can be a powerful channel to funnel prospective residents who become age-afflicted (weak or confused) toward a CCRC or assisted living community.
The CCRC/AL Solution to the Village Pitfall
Many people pass the magic age of 70 but donโ€™t feel any different from how they felt ten years earlier. That can make it attractive to put off any decision, like moving to a CCRC, until later. When later comes, though, they may find it difficult to shop for an alternative. The village model gives them an alternative to prepare for later. Imagine how comfortable they can become with a well-managed CCRC if that CCRC is a sponsor for their village.
The attraction of villages is that they are not outright alternatives to the CCRC or assisted living models for managing the challenges of aging. Instead, villages can complement and support a CCRC. Villages appeal to younger oldsters, and they can be more effective if there is an obvious care-intensive home for agingโ€™s next step. Villages and CCRCs can complement each other. They are not natural competitors.
Learning More
How can you learn more about villages? The village movementโ€™s national organization is the Village to Village Network, which is a grassroots organization. You can start with their website, which has many useful materials. One thing you will learn is that villages vary in size from very small to several hundred members, supported by a large cadre of volunteers. You can also learn that there is no standard village model aside from the demographic to which villages appeal. It is often said that there is no standardization for CCRCs. Thatโ€™s even more the case for villages.
Beyond what you can learn about villages from a Google search with a little help from AI, the Village to Village Network also hosts educational events and an annual conference. Thereโ€™s a small conference in conjunction with the LeadingAge meeting, which will be in Philadelphia this year. More prominently, though, is the Virtual Conference, which this year will gather for three days of educational content from September 22 to 24. Not only is the virtual agenda rich, but it also spares you the inconvenience and expense of travel.
Virtual Conference
To give you a sense of the high caliber of this yearโ€™s Virtual Conference, consider the recent announcement that Edwin L. Walker will be the keynote speaker. Mr. Walker was the Deputy Assistant Secretary for Aging until he ended his 40 years of federal service by saying that he is not โ€œretired, but rewired.โ€ As Mr. Walkerโ€™s participation suggests, villages are not seen as commercial in the way many CCRC and assisted living organizations are.
Mr. Walker guided the development of home and community-based long-term care and elder justice programs, enabling older adults and their caregivers to age with dignity and independence and be free from abuse, neglect, and exploitation. Click here for the full agenda.
Village to Village Network is offering an early-bird registration rate for only $50, $75 for non-members, which I think youโ€™ll agree is a bargain for an event that might be so beneficial for your organization and your own future. Early bird rates end August 15, so itโ€™s best to register now while youโ€™re thinking of it. Even if your employer doesnโ€™t reimburse travel and registration, this is affordable.

What’s Your Trophy? Do You Even Have One?

By Steve Moran
Jerry Morgan has been riding Harley-Davidsons with a crew of fellow Roadhouse employees for more than twenty years. One year, they rode from New York to California. He’s 65, and he opened the chain’s first Texas location himself, in Grand Prairie, back in 1997.
Here’s what he said about a plate of food. “When you serve somebody a country fried sirloin, and it’s got gravy, that gravy should have steam coming off of it. You should smell it in your nostrils.” Then he added, “We still have a lot of work to do, but every single experience, to me, that food is our trophy.”
I read that, and it stopped me cold!
Food should be the trophy. Not just eaten. Felt. Experienced.
What’s the trophy in senior living, or whatever your business is?
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S8E10-Senior living marketing is changing fast. The question is: Are we changing with it?

 

Senior living marketing is changing fast. The question is: Are we changing with it?
In this episode, Nicole Oโ€™Brien joins the conversation to share what she learned from her years working inside senior living marketingโ€”and how stepping into the tech startup world gave her an entirely new perspective on the industry.
Nicole talks candidly about what makes marketing stand out, why so much senior living content starts to look and sound the same, and what todayโ€™s leaders can learn from industries moving faster and thinking differently.
The conversation explores the lessons Nicole wishes she had known earlier, the importance of staying curious, and why the best marketers canโ€™t simply repeat what worked five years ago.

This episode dives into:
โ€ข What senior living marketing gets rightโ€”and where it still falls short
โ€ข Why standing out requires more than better branding
โ€ข The lessons Nicole learned after moving from senior living to the startup world
โ€ข How technology is changing the way marketers think and work
โ€ข Why curiosity and adaptability are becoming essential leadership skills
โ€ข What Nicole would do differently if she returned to senior living marketing today

For senior living executives, marketers, operators, entrepreneurs, and innovators, this is a conversation about looking beyond the industry bubble and rethinking whatโ€™s possible.

Standardization Built Senior Living โ€” Sameness May Hurt Its Future

By Rebecca Wiessmann
Steve Moran and Gaurie Rodman dig into this in the most recent episode of Directly Speaking. Watch the full episode here.
The Best Senior Living Communities May Start Thinking More Like Villages
If senior living wants to win with the next generation of residents, it may need to stop thinking so much like an isolated campus and start thinking more like a village.
That idea sits at the center of Steveโ€™s conversation with Gaurie Rodman from Direct Supply. And it is not just about architecture. It is about daily life.
What makes a place feel alive?What makes it feel social?What makes it feel like somewhere a person chooses to live rather than somewhere they reluctantly accept?
Gaurie keeps coming back to a simple point: the answer is not doing everything alone.
Stop Trying To Do Everything In-House
Senior living has long been built around the idea that one building should provide every experience internally. Dining, activities, hospitality, wellness, social life โ€” all under one roof, all managed by one system.
That sounds efficient. Sometimes it is.
But it also produces sameness.
And sameness is exactly what many future residents are going to resist.
What excites Gaurie most right now is seeing operators and developers rethink that model through partnerships. Instead of treating the building as a sealed container, they are beginning to imagine it as part of a larger ecosystem.
A coffee shop might operate more like a local bistro. A community dining program might incorporate restaurant partnerships or even food trucks. Outside businesses might bring energy into the building, while residents stay connected to the rhythms of normal life.
That does two important things at once. It improves resident experience, and it reduces the pressure to make every single service function entirely self-contained.
That is smart.
Food Is More Important Than the Industry Thinks
Steve has long argued that senior living often underserves residents when it comes to food. This conversation gives that idea real dimension.
The old model is operationally tidy: fixed meal schedules, standardized service, predictable production. It makes sense on paper.
It makes less sense if the goal is to let people live like actual human beings.
Most people do not eat breakfast the same way a senior living dining program serves breakfast. Many want coffee first. Some want something light. Some want something later. Some want to eat alone. Others want a social meal.
Boomers, in particular, are going to expect choice.
They are not going to quietly accept one-size-fits-all dining just because that is how the schedule works. They have lived too long, eaten too broadly, and become too accustomed to personalization in every other part of life.
Gaurie believes the industry is finally moving. ร€ la carte approaches, more individualization, more flexible procurement tools, more varied food experiences โ€” all of that points toward a better future.
And frankly, it needs to.
Food is not a side issue. Food is identity, comfort, pleasure, routine, culture, and community all rolled into one.
A Village Inside a Village
One of Gaurieโ€™s best phrases in the discussion is the idea of creating โ€œa village inside a village.โ€
That is exactly the right mental model.
Instead of a building with a few scattered amenity rooms, imagine a place with distinct destinations and experiences. A wellness suite that feels like a real destination. A man cave for games and football. A painting and yoga room with an entirely different mood. Spaces that connect to the outdoors. Areas with enough character that people can see themselves in them.
Not every resident wants the same atmosphere. Not every resident wants the same kind of socialization. Good design recognizes that.
The goal is not just to fill square footage. The goal is to create a small world with variety, personality, and options โ€” the kind of environment where residents can move through the day based on mood, interest, and identity.
That is what real living looks like.
Buildings Should Invite the World In
There is another important idea tucked into all of this: community integration.
Too often, senior living has been built apart from everything else. Not always geographically isolated, but emotionally and socially disconnected from the surrounding neighborhood.
That needs to change.
The future is likely to favor communities that feel porous, connected, and engaged with the places around them. That might mean neighborhood-facing dining venues. It might mean local partnerships. It might mean spaces where family members, visitors, and community residents naturally mix with older adults.
Not because it is trendy. Because it is human.
People do better when they remain part of life.
Better for Residents โ€” Better for Staff
There is a hidden operational win here too.
When a community uses partnerships well, it can improve staff life. Gaurie gives one small but powerful example: if an outside food partner can occasionally cover a meal period, food service staff may gain more predictable time off.
That matters.
Senior living has spent years talking about staffing primarily as a shortage problem. And that reality does exist. But it is also a quality-of-life problem. Better design and better operating models can reduce friction, improve workflows, and create healthier jobs.
That is not a bonus. It is part of the strategy.
What This Really Means
The bigger lesson is not โ€œadd a food truck.โ€
It is this: stop designing communities around institutional convenience and start designing them around how people actually want to live.
People want spontaneity.They want choice.They want atmosphere.They want ordinary pleasures.They want a little surprise.They want the freedom to decide who they are that day.
Senior living does not need more generic amenities.
It needs more life.

AI and Wisdom

By Jack Cumming
How much time have you spent trying to understand what artificial intelligence (AI) is and how it works? Iโ€™m guessing the answer is โ€œlots of time.โ€ Iโ€™m going to guess further that you think you are wise, but you donโ€™t connect AI with wisdom.ย In fact, at first, I thought of AI as no more than a machine that thinks-ย an old idea- and machines arenโ€™t wise.ย Then I stumbled across a 14-minute presentation on YouTube that provided more insight than everything else.
Chloe Lubinski
The speaker is Chloe Lubinski, who self-describes her role as leading โ€œresearch partnerships with the worldโ€™s wisdom traditions.โ€ She works for Anthropic. Anthropicโ€™s product is an AI model called โ€œClaude.โ€ The Anthropic group broke away from OpenAI and its โ€œChatGPTโ€ product to form a separate corporation to allow itself to be more principled and less commercial.
You may remember the confusing weekend when the controversy broke out into public view. Itโ€™s not surprising that Chloe Lubinski has a job (1) to explain AI to those who struggle to understand it, and (2) to connect AI with wisdom and human understanding. That mirrors the qualms that took Anthropicโ€™s founders away from OpenAI. It mirrors, too, the complementary talents of the brother-sister team who lead Anthropic.
The PowerPoint Distraction
Thereโ€™s another, less world-changing, bit of wisdom embedded in the 14-minute video. Ms. Lubinski evidently used PowerPoints in her talk. Doesnโ€™t everyone today? As you concentrate intensely in order to grasp everything that she is sharing, think of how distracting it would be if there were slides to be read and absorbed while you tried to focus on her message.
There is a place for PowerPoints. Theyโ€™re good with pictures and graphs. Theyโ€™re terrible with words, which is what they usually share. The rationale is that there are people who learn from listening, others who learn from reading, and those who want a quick list-style summary. If youโ€™re a thought leader, you probably concentrate on the speaker and not the slides.
Chloe Lubinski should give herself more credit. She doesnโ€™t need the slides. Her message is more powerful without them. I would love to have heard the give-and-take with the audience. That wasnโ€™t included, but just the 14 minutes we have will help you to better understand AI and how to make sure that any deployment of AI is constructive within your organization and life.
Tech Crazes, like AI, Are Not New
Listening to Ms. Lubinski took me back to the late 1960s and my personal experience then as a young actuary who loved progress. My task was to develop a set of rates for disability income insurance, and I wrote a computer program to replace the calculations clerks had been doing up to that point. We had a brand-new capability, Call360, offered by IBM, that allowed easy access to its computers for analytical work.
My immediate boss was enchanted. He had me run scenario after scenario, each with different assumptions, outcomes, and likelihood. That would have been impossible previously, when two clerks, a doer and a checker, would have taken a week to complete a single scenario that the computer could complete in ten minutes. The final stage was to get clearance from the Chief Actuary in his imperial office high up on the 37th floor of the building.
Visit to the C-Suite
In the 1960s, this was the culminating step. My boss and I went to the meeting with trepidation and machine printouts. We were met by the courtiers, mostly professional women executive assistants, who attended to the needs of high executives in that majestic era of long ago. We were seated in a conference room adjacent to the chiefโ€™s quarters.
Finally, the imperial presence, himself, swept into the room, brought the meeting to order, and then turned to my boss to start his presentation. โ€œMr. [Chief],โ€ my boss began, โ€œthese results have been prepared by computer,โ€ and he swung a printout in front of the chief. That was enough to sway the Chief Actuary, who may have been reluctant to show his ignorance of how it was possible for a computer to do anything other than mass recordkeeping.
Parallels Today
My sense is that that is where many executives may be today when it comes to evaluating AI claims. Every IT vendor seems to open each sales presentation by claiming how adept they are at embedding AI into their offerings. Some may be meaningful, like Epicโ€™s use of AI to enable physicians to maintain eye contact with their patients, but other claims are little more than irrelevant nonsense. It takes a wise executive to know the difference.
If you can spare 14 minutes, use them to watch Chloe Lubinski. It will redirect your thinking about AI in a constructive direction, just as Ed Berkeleyโ€™s 1950 book, โ€œGiant Brains; Or, Machines That Think,โ€ did in an earlier era. I donโ€™t think our Chief Actuary had read it, even though Berkeley was also an actuary and a friend of the chief.
Afterthought
We hear of three main models for everyday AI usage by ordinary people: โ€œChatGPTโ€, โ€œClaudeโ€, and โ€œGrok.โ€

So far, OpenAIโ€™s ChatGPT has a reputation for commercialization. Its distinction is that it was, first and foremost, controversial for having opened AI to the public on November 30, 2022. Itโ€™s led by Sam Altman.
Anthropicโ€™s โ€œClaudeโ€ has a reputation as a conscience-motivated breakaway from OpenAI. The companyโ€™s signature is safety. Itโ€™s led by a brother and sister, with the brother being highly technical and the sister leading the human side of the organization.
โ€œGrokโ€ is the brainchild of Elon Musk. He, too, broke with OpenAI in reaction to its commercialization. As with other Elon Musk enterprises, Grok is known for its engineering prowess.

Of course, there are others โ€“ DeepSeek is very popular in China, and Google has Gemini embedded in its search โ€“ but depending on how you view your own personality and character, you may be drawn to one model or another. Amazon is struggling to catch up with โ€œAlexa +,โ€ and Microsoft depends on OpenAI. This article focuses primarily on Claude. Click here for a longer Bloomberg Originals interview exploring Anthropicโ€™s approach and its leaders.
Each model is like an individual. Each has its own character. Each has its own abilities. Just as people reflect their parentage and upbringing, with some people having more integrity and character, so each model reflects its parentage and training.
People inherit genes from their parents. AI models are stamped by the people who initiate them.
People reflect values learned as children, from their upbringing. AI models reflect the values they are trained on.
Thus, AI isnโ€™t one thing. Itโ€™s as varied as human nature is. If itโ€™s trained to be mean, itโ€™s likely to seem mean-spirited. If itโ€™s trained to be exemplary, then itโ€™s likely to show integrity.
For CEOs grappling with AI, evaluating it can be like finding human talent. The quest for talent is the most important job of a CEO. Choosing an AI approach is also a talent search.

Break the Invisible Wall

By Steve Moran
Every organization, every department, every leader has frustrating problems or challenges that seem to resist all attempts at finding a solution.

Your customer service is just not as good as it should be.
Your customer retention is not making the grade.
You have too many people calling off.
People are getting bored with your product or service.

You have brainstormed, talked to experts, read books, asked AI and nothing seems to help. I picked up a crazy fun idea from a reel by executive coach Alisa Cohn, tried it with my own team, and it flat-out worked. It could very well give you the breakthrough you need too.
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