Coming Home: Affordable Assisted Living

Coming Home®: Affordable Assisted Living (Coming Home) was a 13-year, $13-million national program created in 1992 by the Robert Wood Johnson Foundation (RWJF) and NCB Capital Impact (formerly NCB Development Corporation) to develop affordable assisted living models, with a focus on smaller and rural communities and low-income seniors.

Affordable assisted living typically refers to licensed residential projects that provide apartment-style housing together with supportive services (e.g., help with personal care, meals, housekeeping and medication management) to older residents, at least 25 percent of whom are financially eligible for state Medicaid programs.

Coming Home demonstrated that assisted living can be created as a viable alternative to institutional long-term care for people with incomes as low as the federal SSI payment. Although there are regulatory and financial obstacles, these can be overcome through partnerships and joint programs among relevant state agencies and project sponsors.

As of September 2008, Coming Home, managed by NCB Capital Impact's NCB Development Services (NCBDS), had resulted in a total of 50 completed projects comprised of 1909 units of affordable assisted living located in 13 states.

The 50 completed affordable assisted-living facilities have ranged from 5 to 110 units and are located in 13 states ranging from Alaska to Florida. In October 2008, staff at NCB Capital Impact indicated that five of 40 additional demonstration projects underway were likely to be built, adding 235 additional units of affordable assisted living.