Rental Apartments For Seniors-Low Income Housing – Income-based Housing for seniors One of the most similar issues which senior citizens face today is the difficulty to get an apartment. It’s a very obvious thing that the apartments these days have high rent, plus, the senior citizens aged between 55 to 65 have less income and cannot afford to stay in an apartment. But there are several programs which can help them to get an apartment based on their income.
Senior citizens who are disabled can get help with the rent. But also, the senior citizens can get qualified based on their income for various housing programs which comprises of the following such as –
- Reverse Mortgages for Seniors
- Housing Vouchers for Seniors
- Federal Senior Housing Programs
- Section 202 Supportive Program
- Affordable Rentals For Seniors
- Affordable Rural Housing Rentals
- USDA Rural Apartment for seniors
- Non-Profit Organizations Programs
Through these programs, the helpers will check out the senior citizens’ eligibility based on their age, fixed income, credit status, and background check. One of the benefits of staying in the apartments provided by this program is that you have to pay less and can live forever. This will also help you to balance your budget, plus you can also spend for medicines and traveling.
Highlights of this Post
What is Low Income Senior Housing?
Older people can take advantage of several housing and urban development programs that are subsidized. Throughout the United States, affordable and low-income senior housing is available through rental assistance programs, home ownership, and support services for the elderly and disabled.
Additionally, there are non-governmental organizations that can provide similar assistance, which is helpful to know. In the following section, we will discuss the facts, benefits, and questions to ask when searching for senior housing.
What is HUD Public Housing for Seniors?
Housing and Urban Development (HUD) promotes the availability of decent rental housing for low-income families, the elderly, and people with disabilities. There is a national scope to this governmental entity and it operates in all states of the country. The public housing in the United States includes a wide variety of housing types and in many different locations. Those benefits are administered by the public housing authorities (PHA). If you wish to apply for HUD benefits, please contact the PHA closest to you.
How Do I Find Affordable Senior Living and Housing Near Me?
Contact your local HUD public housing authority if you are in need of low-income housing. You will be directed by the office to the next step in the application process. To speak with someone about your housing requirements, you can also call 211 or go to the website of your local 211. Housing, food, health care, and transportation are just a few of the basic necessities that 211 agencies help Americans meet.
A quick search on the internet can also be very helpful. Simply search for the sort of housing you’re interested in alongside your city. “Low-income senior housing in Philadelphia,” for example.
Apartments Based On Income Consideration
As per the HUD i.e. Housing and Urban Development, it has created a limit on income which assures that the senior citizens will be eligible for a supported rental help disabled senior citizens. And this program by HUD comprise of the following such as –
- Section 8 housing choice voucher
- Section 202 housing for the elderly.
The Housing and Urban Development department will firstly identify the level of income of the senior citizen which will be solely based on the average family after which it will be finally decided by them how much rent the senior citizen will have to pay for the apartment. But if the senior citizen’s social security benefits for housing then it may happen that they may not have to pay the rent for the apartment.
In government-sponsored apartments, the senior citizen will have to qualify with regards his/her income for getting to stay in the apartment and get its facilities. The government department people have to follow certain rules where they are supposed to calculate the income and submit the record to the local head. And the income level should be somewhat like this it should not exceed 50% of the average income plus of the location where they (senior citizens) are currently residing. In some exceptional cases, there can be a rise in the actual income compared to the net income as there can be some subtractions like medicines and disability stuffs, etc.
How Do Senior Pay for Affordable Senior Housing?
Regardless of whether you’re ready to find an affordable place to live, you might in any case worry about how you’ll pay for it. Housing and care costs are paid for by seniors using a variety of methods, including:
Social Security and retirement income
In 2022, retired workers received an average Social Security benefit of $1,669 each month. To cover the costs of senior living or senior housing, many seniors rely on their Social Security benefits as well as other retirement income like pension or investment account withdrawals.
Selling or renting your home
You have the option of renting or selling your existing home if you intend to move in with family, into an apartment, or into a senior living community. Spend that money to help cover the costs of care in a senior living community or aging in your new place.
Seniors and disabled households account for nearly half of all housing vouchers recipients. You can only spend 30% of your adjusted income on rent if you qualify for a voucher. Rest is paid for by the government.
Long-term care insurance
Long-term care insurance can help cover a move into a memory care, assisted living, or a nursing home, though policies vary.
Other private funds
The ways families take care of aging loved ones vary. Seniors who are living on a fixed income can still remain in their own homes thanks to the assistance of younger members of the family.
How Much Seniors Pay For the Apartment
Now as per the senior citizens’ location, their annual income should be less than 50% of the average income. In the housing program, the senior citizens will have to pay the 30% which will be known as the adjusted income and the remaining will be paid by the HUD or the Federal government. There is also a HUD rental help program which allows the senior citizens to pay less for the housing.
How to Proceed With Application Senior Affordable Apartment
If you want to give your application, then you will have to go to the local public housing agency. In the process of application, you will have to give detailed information and submit the following information such as –
- Valid birth certificate
- Credit Status
- Bank information
- Tax status along with reference
- Papers if you are a legal immigrant
Plus, you will also have to give details about your health conditions and concealing any information from the authorities may disqualify you.
USDA Rural Apartment for Seniors Based On Income
Now; again seniors can be helped based on their income with the help of the USDA program. The rural areas have for senior citizens more than 15,000 apartments. Under section 515 of the multi-family housing program, the senior citizens can live there peacefully will all the facilities.
In 50 states of the USA, these apartments are available in the rural areas. For getting admission into this, the senior citizens will have to connect with the USDA local office authority.
Government Apartments Program for Seniors Based On Income
Some older adults may find adequate housing acceptable, while others may consider it insufficient. The issue of senior housing becomes a bit more complicated when older people need assistance in finding housing rather than can live independently. Based on the income of the senior citizens, the government body also supports for rental assistance for them. It includes the following bodies that help the senior citizens –
- Government body
- Non-profit organization
- State and City agencies etc.
They provide help to the senior citizens regarding the money and helping them to pay the rent. Senior citizens having a minimum income can get qualified for this where they will have to pay less rent for the apartment. A number of federal government programs can help low-income older adults purchase houses that meet their needs and are worthy. Some other programs which can help the senior citizens to stay at an apartment with fewer prices are as follows –
Housing Choice Voucher Program
The HUD has also been running this program named the housing choice voucher program which helps the senior citizens to pay less rent. This is especially for senior citizens with lower incomes.
This program is specially meant for senior citizens based on their income, then families having low income housing desire and disabled seniors. You can get these apartments through many channels. All that the senior citizens will have to do is give 30% of their income on a monthly basis for the rent and the remaining amount will be paid by the housing choice voucher program. If the senior citizen wishes to purchase the apartment they can do at a subsidized price with the help of the program.
How does the Housing Choice Voucher Program work?
- First step: The older person applies for a rental voucher. If approved, the voucher is issued.
- Second step: From the private rental market, the individual selects an apartment that meets their needs.
- Step Three: Before leasing a unit, the local housing office inspects it to ensure it meets the Department of Housing’s quality standards.
- Step Four: Once the apartment passes inspection, the housing office signs an agreement with the community owner, who rents the apartment to the older individual.
- Fifth step: The housing office pays part of the beneficiary’s rent, while the beneficiary is responsible for the rest.
A person seeking Section 8 assistance is not allowed to earn more than fifty percent of the median income in the area. The Department of Housing website provides more information on income limits for specific areas.
Federal low income housing tax credit (lihtc) program
A number of LITC properties are designated for low-income seniors. In addition to being owned and administered by both for profit and non-profit organizations, this tax credit program is supervised by the Internal Revenue Service (IRS).
As reported by the Department of Housing, which created the LIHTC, more than 107,000 units were put into service each year between 1995 and 2017 Read here
Are you eligible for the Low Income Housing Tax Credit (LIHTC) Program?
What about my assets?
Although you may own your home or own your apartment, you may be able to qualify for a LIHTC. In order to qualify, you must have income from assets, as well as income from your job. The house you keep as an investment in an LIHTC community cannot be used for living.
What is a LIHTC community like?
Usually, LIHTC communities feature apartments of one to two bedrooms. The apartments tend not to be furnished. Many communities offer common areas and events for residents, and some are especially designed for seniors.
Section 202 Supportive Housing for Senior & Elderly
Senior citizens will now have to contact their HUD office which is a local one and fulfill the conditions of lay down by the HUD for this section 202 supportive housing for senior program. This program helps the senior citizens in getting apartments on rent and they help in paying the half rent.
It is open to adults 62 and older who have a very low household income, typically less than 50 percent of the area median income. There may be a variety of amenities and services available in different communities, but often this includes transportation, counseling, meals, housework, and apartments with special features like ramps and bars.
There are many community services offered by these communities, including housekeeping, transportation, counseling, and information. Each community offers its own amenities and services.
The purpose of this program is to provide private non-profit organizations with loans to build supportive housing for very low-income seniors and often to provide rental subsidies.
Who is Eligible For Housing for Seniors and Elderly Section 202 ?
Section 202 supportive housing is only available to people 62 years of age and older with very low household incomes (50 percent of the area median). This type of housing is primarily occupied by older adults (on average aged 79 years old). The median household income is $10,018 annually.
How to apply for section 202 Housing for Elderly?
You can find more information and apply for Section 202 assistance by visiting the HUD website . There is usually at least a year-long waiting list for Section 202 assistance. Priority is given to those who currently pay 50 percent of their income in rent, to those who have been displaced involuntarily, and to those who live in substandard housing.
What Are Some Affordable Senior Housing Options?
There is a shortage of affordable housing, particularly for seniors. However, that does not rule out your options. You can find affordable senior housing solutions that best suit your budget with a little research, some waiting, and an open mind.
Low-Income Senior Apartments and Condos
Some apartment and condo complexes are exclusively open to low-income seniors. You can enjoy your own private living space at a price you can afford with this option; Typically, this does not exceed 30% of your adjusted gross income (AGI). Thus, if your AGI is $1,000 per month, you’d owe something like $300 for rent. The cost is covered by a variety of government programs, nonprofits, and other organizations.
There are additional advantages to low-cost senior apartments. Many of them provide accessibility features like shower bars and elevators. In addition, the age eligibility requirements, such as 55 or older or 62 or older, guarantee that you will live amongst peers that can assist you in avoiding feelings of loneliness and depression.
A great way to locate options nearby is to conduct a search on the internet for “low-income senior housing near me.” You can likewise go to non-profits. The following are non-profit housing organizations that provide seniors with low-income housing:
- Volunteers of America: In 40 states and Puerto Rico, this non-profit housing organization operates a network of 484 properties. Low-income senior housing units, assisted living, and skilled nursing care are all options for senior housing. On their website, you can search for housing in your area by ZIP code.
- Good Samaritan Society: Older adults on a tight budget can find religious housing through this evangelical Lutheran organization. The Good Samaritan Society branch in your area might be able to help you apply for a budget-friendly senior apartment. As young as 50 is the minimum age. You do not need to be a member from a Lutheran church to utilize these services, however you will have to show proof of your income.
- HumanGood: This non-profit manages 100 communities of affordable senior housing in five states with approximately 8,880 residents. 55 years of age is the minimum required age. In California, Delaware, Oregon, Pennsylvania, and Washington, they cater to seniors.
- Mercy Housing: Mercy Housing, a national nonprofit organization, provides low- and moderate-income individuals with affordable housing communities. Seniors are included here! The majority of properties offer services and resources to residents, such as assistance with health and wellness, involvement in the community, and financial stability.
Cooperative Housing for Seniors
Although Cooperative housing for seniors isn’t the most cost-effective option on our list when it comes to affordability, it can be less expensive than moving into a retirement community or staying in your own home. The land and the buildings are owned by a company in a co-op. Shares in the company are available to seniors. You can use the fitness rooms, community kitchens, laundry facilities, and outdoor spaces in exchange for leasing a housing unit. Alongside purchasing shares, you’ll have to pay a monthly fee for the “master mortgage”, taxes, utilities, maintenance, repairs, and so on.
Co-ops, as opposed to moving into an apartment, are an investment option for some older adults. However, a co-op does not seek financial gain; Shares only increase by 1% to 2% each year. Instead, the goal is to raise the standard of living for all members. The management of the building is decided by member votes. You can sell your shares back to the company or to another member if you need to move out of the co-op. The cost of your shares and any equity that has accrued are paid to you.
Find senior co-ops by visiting the Senior Cooperative Foundation‘s website. There are more than 125 senior co-ops across the United States.
Section 8 Housing Choice Vouchers
Low-income seniors may be eligible for housing choice payment vouchers to help them pay rent. The vouchers are distributed out by local Public Housing Agencies (PHA), but you have to find your own housing. This could be a townhouse, apartment suite, single-family home, or condo. Under the program, the landlord must, however, agree to rent. Your landlord will be paid by the PHA directly. The difference will then be paid to your landlord by you. In order to apply, contact your local PHA.
There is much of the time a long waiting list for HUD housing, yet immediate housing is frequently available for older adults who are homeless or without a safe and sanitary place to live.
Virtual Retirement Communities
Staying in one’s own home and joining a local virtual retirement community is a modern way for seniors to save money on housing. The grassroots, non-profit organizations known as virtual retirement communities offer a wide range of accessibility services to seniors. Consider how neighbors help one another out. For example, a virtual retirement community could provide transportation, grocery shopping, tree removal, or group outings for members. To put it another way, you don’t have to move into a retirement community in order to enjoy some of its benefits.
Members within a virtual community typically pay an average of $450 per year, but there are villages that can be found with fees as low as $125. The expense of activities and support services, in addition to employee wages, is covered by the fee. This is one of the lowest costs for senior care services available in the United States.
You can find virtual retirement communities in your area by visiting the Village to Village Network website. You can also search “virtual retirement communities near me” on the internet.
Adult Family Homes or Adult Foster Care
A group of up to six seniors living together in a home environment is the type of foster care known as an adult family home. Although everyone shares common areas like the kitchen and living room, each resident has their own room.
The local Department of Family Services must approve, license, and monitor these residential homes. As well as a team of counselors, nurses, dietitians, and social workers, paid supervisors manage the home itself. Inside the home, older adults are provided with assistance with day to day needs, as well as housing, meals, and social activities.
Keep in mind that this kind of affordable senior housing is for people who don’t need specialized medical care but have a low level of care. It is a less expensive alternative to assisted living facilities than a low-income senior apartment, despite the fact that it will cost more. To find adult foster care homes in your area, get in touch with the local Department of Family Services in your community.
Move in With Family
Only 6% of adults aged over 60 in the United States live in extended-family households, compared to 38% worldwide. However, just because it’s rare doesn’t mean you shouldn’t consider it as an option. Moving in with one of your children, a niece or nephew, an adult grandkid, or other adult relative is free or low-cost. Additionally, if you ever require assistance, you will have loved ones nearby.
Sit down with your family to openly discuss your and their expectations prior to entering into this kind of living arrangement. Discuss any necessary steps, if any, need to be taken in order to make the house safer and more accessible. The arrangement is beneficial to both parties for many families. Families can relax knowing that their aging loved one is being cared for, and grandparents can help out with the grandkids.
Find A Roommate
Roommates are not just limited to college students! In fact, living with roommates (also known as housemates) is becoming increasingly common among adults over 50. If you want to stay in your home that you already own, adding a roommate (or two) can help you pay your mortgage, property taxes, and maintenance expenses. When compared to living alone, seniors who are interested in moving in as a roommate with others also save money. Also, don’t overlook the social benefits! Loneliness and social isolation are associated with higher rates of depression, and it can be combated by maintaining regular social connections.
A number of companies and nonprofits exist to assist seniors find other older adults to live with:
- New York Foundation for Senior Citizens: Seniors who have a spare room in their home are paired with potential roommates by this organization. Social workers look over “match meetings” between potential roommates and screen all program applicants. The goal is to provide both parties with a living situation they feel comfortable with and find it affordable. At least one person needs to be 60 or older.
- Senior Homeshares: You can list your home with this free housemate service in order to attract potential roommates or find a home to live in. The best part is that it exclusively serves older adults. To match with potential roommates. Simply complete a personal profile. You can add a “helper” to your account (like your adult child) if you don’t know how to use technology. Then, they can complete your profile on your behalf and assist you in finding the right match.
- Silvernest: This website makes it easier for renters and hosts to find and enter into homeshare arrangements. Complete a profile with personal information about yourself and what you want in a roommate or home environment. After that, browse matches in your area. There is a free and a paid version of Silvernest. A background check is included in the paid version, and it is recommended for everyone’s safety. According to Silvernest, hosts earn an average of $850 each month and renters save an average of $750 per month compared to renting their own one-bedroom apartment.
Local Non-Profit Organization Housing for Elderly assistance
This program also helps the senior citizens based on their income. Plus, they will have to qualify for this program by having a level of income which is minimum. This program is supported by the government.
Several such local organizations are there to help the senior citizens with paying off their rent. They can qualify on the following basis, which are as follows –
- Bank account
- Background ( plus criminal offenses if any)
Once they pass the qualification, they will surely get an apartment.
State Grants for housing for seniors & Elderly
In this program also the state dept. housing agency program helps the senior citizens based on their income. The state dept. has many apartments which they let out to the senior citizens. Plus, there is a housing business which is private in nature; it also provides apartments to senior citizens at a low cost.
Services which are included in these apartments are as follows –
- Facility to hospital in a nearby area
- Wheelchair facility
- Open space for the senior citizens to walk etc.
What is more helpful to seniors Buying a House or Renting a House?
You should know that there are several types of homes that are available to you as an older adult: single-family homes (houses or apartments), condominiums, cooperatives, and manufactured or mobile homes. People who buy houses, whether new or used, usually do so because they live independently or require little assistance. When you buy a home, some challenges may arise, such as unexpected home repairs or transportation needs (unless you want to move close to your loved ones).
Condominiums and communities for older adults (active adult communities) or group homes that provide recreational activities and foster relationships between neighbors are also available. This Washington Post article indicates that shopping is less common in the city than renting.
Rent a housing to elderly Several factors may make this an attractive option for older adults, including the wide range of sizes, prices, locations, and amenities available on the market today. In addition, if a person sells their old house, they will have some money available to cover other expenses.
Moving into a rented home is another great way to get some peace of mind by not being responsible for the property, which is not less important as responsibilities increase as we age.
However, other disadvantages include a lack of independence in house decisions, the possibility of a pet not being accepted, and the uncertainty of the homeowner deciding to terminate the lease sooner than expected.
Will Medicaid or Medicare Pay for Low-Income Senior Housing?
It’s hard to know what Medicare and Medicaid will cover. Unfortunately, your mortgage, low-income senior housing, or room and board at an assisted living facility cannot be paid for with Medicaid or Medicare.
However, moving to an assisted living facility may be more affordable if you qualify for Medicaid. You might be able to pay for assisted living services like nursing and personal care services in an assisted living facility with Medicaid. It simply cannot be used for room and board. Since coverage offered my Medicaid varies by state, check with your state’s Medicaid program to see if it offers any.
Budgeting Ideas for Seniors on a Fixed Income
It is helpful to define precisely what “affordable housing” means to you because “affordable” is a relative term. Making a budget is a good place to start. Making a budget is simple in case you know how much money you will have each month if you live on a fixed income. However, it’s possible that your necessary expenses won’t be covered by your fixed income.
To begin, determine how well your fixed income can — or will — handle your essential expenses by writing them down.
- Medical insurance
Naturally, your budget can – and should – include more than just mandatory costs. For instance, you ought to include a miscellaneous category for emergency expenses. Simply put, it’s a good place to start: focus on reducing your necessary expenses.
Take each category and find a less expensive way to meet this need in order to accomplish this. For housing, If you already own a house, for instance, renting a senior apartment or living independently in senior housing might be less expensive. Owning a home includes paying for maintenance, property taxes, and repairs, and that might be costly in the event that the home is older. Take a look at affordable housing options in your area, consider sharing having a roommate, or talk about moving in with your family. All of these things can help you save money on housing.
On the off chance that you currently own a vehicle, consider the amount you spend on car insurance, gas, maintenance, and repairs. Would it be more cost-effective to sell the vehicle, put the proceeds into savings, and make use of virtual retirement community services or public transportation instead? You can create a budget that helps you spend within your means by evaluating each of your necessary expenses and brainstorming ways to cut costs by category.
Firstly, the senior citizens should be treated well and are not a burden to society. They deserve a better life and the government is doing its best to provide them with a place to stay where they can live peacefully. There may be some eligibility criteria, but it’s not so tough. Also, you can visit the website and get a lot of information about these government-backed programs like HUD of housing for senior citizens.
Frequently Asked Questions
What is the current Housing Situations of housing for seniors and elderly ?
Currently, 23% of Americans over 55 spend more than half of their income on paying for a house. Rent or mortgage payments, utilities, maintenance, and repairs are included in this category.
You might want to find a home that provides assistance if you are an elderly person or have chronic health problems. However, living in this type of home can be extremely expensive. Let’s check Above what low-income housing is available near you so you don’t fall into the group of those who don’t receive assistance.
What are the type of housing is expected to seniors?
An apartment for seniors will generally have a kitchen and bathroom, as well as features like grab bars and ramps. The service also provides housekeeping, transportation to medical care, and meals delivered to the resident’s home. Low-income housing is rarely situated in the most desirable neighborhoods.
What is considered low income for senior housing ?
An analysis of your current and future financial situation would be a great way to start before you begin to seek help. When looking for a new place to live, it is important to consider your general health condition as one of those specific needs. Living in, or It is different living in the country than in a city where you can find pharmacies and doctors’ offices nearby. It is also different living alone versus living with someone. We suggest that you first make a list of everything that you need from your new home, followed by a list of everything you would like but is not essential.
Having clarified what you are looking for and what you want, it is time to get down to business It is important to include all expenses, so don’t forget to include medical, transportation, and food costs.es. You should also estimate your current spending patterns and what you expect to spend in the future on your ideal home. As well as this, it establishes the maximum and minimum amounts that you are willing to pay for the change of residence.
How to get housing assistance for moving older?
Despite the special affection many older adults have for their home, it is normal that situations or opportunities could arise during old age that cause people to consider moving. In our study, we found that a majority of older adults move to a smaller place when their children leave home. It means less housework and less maintenance costs. You could also use the money left over from selling a larger house for more necessary things.
There is also a possibility that you will need a larger space or one where you will be accompanied. You will need a little more money for that, but don’t worry because you can choose from any of the options we’ve described. You can then begin looking through all the low-income housing options for seniors after completing this analysis.
What is Group housing for seniors & Elders?
Group housing is a great alternative for older adults who need assistance with their daily activities. Moreover, these settlements are ideal for widowers or widows who live far from their friends or family, since recreational activities are generally organized within these settlements, where socialization is emphasized.
Even though medical assistance is provided here, it does not have the complexity of a nursing home. Many establishments, however, offer assistance when it comes to eating, dressing, and using the bathroom.
When compared to nursing homes, group housing for the elderly is cheaper and the attendants are closer to the residents. Florida, for instance, restricts the number of people allowed in each family home to five. Personalized food and the feeling of being at home are the two benefits that result from this.
Listed below are three disadvantages of group housing: it’s harder to find compatible friends, there is less privacy, and there are fewer nurses. However, doctors are generally available to visit the residence as needed. Following that, we will examine in detail the types of group housing that are most common for older adults.
Housing Co-Op for seniors
In Minnesota, the first senior cooperative opened in 1978, but more are emerging that offer low, midmarket rental rates. According to Dennis Wilson, chairman of the board of the Senior Cooperative Foundation, there are 125 senior cooperatives in the United States serving more than 10,500 residents today. Independent seniors who do not require additional assistance are best suited to live in these communities. Furthermore, to keep costs low and offer affordable options for seniors, these communities require seniors to perform operational tasks, such as answering phones, cleaning community spaces, or carrying out other essential tasks.
Board and care homes for seniors near me
A nursing home is usually converted from a single-family home. Other services include a basic room (sometimes shared with another person), meals, assistance with activities of daily living, transportation to medical appointments, and reminders to take medications.
Foster care for adults
The previous one provided fewer support services than this one. People with degenerative mental illness may benefit from these homes when they require ongoing assistance to regulate activities of daily living. Nurses are generally visitors at some foster homes for adults, but they may provide more complex assistance.
Adult Care facilities
Six or more adults are provided shelter, food, and home support services in these centers. The services provided here can be similar to those described above, but there are usually more residents, so the place ceases to be a home or a family environment. Residents here enjoy some independence, but assistance is available for all daily activities, such as shopping and cooking.
Residential Care facilities
At this facility, residents receive assistance with dressing, bathing, and taking medications 24 hours a day. Almost every day, gerontology nurses or doctors will be at the facility.
Nursing homes for seniors and elderly
If an adult needs assistance with basic tasks, such as dressing, eating, and cleaning, this is their last option. Since highly trained personnel must be available 24/7, this is the least cost-effective option. Nursing homes are also widely spread throughout the United States. You can find out more by visiting The National Citizens’ Coalition for Nursing Home Reform ( NCCNHR ).