The seniors who live
at Autumn Glen apartments in Coon Rapids gather for Bible study each
morning and bring flowers and pastries to residents too frail to attend.
But this
placid scene turned angry last month, after the facility's owner
announced steep rent increases that are uprooting residents and rending
longtime friendships.
Dozens of
elderly residents, including many with disabilities and serious
ailments, received notice late last year that their rent would increase
by $300 to $500 a month, or 15 to 30 percent. Suddenly, apartments that
many had called home were beyond their reach. Some moved out
immediately. Others are busy packing for an exodus this spring.
When they
asked for an explanation, the residents encountered a complicated web of
private investors, limited-liability partnerships and a nonprofit
management entity, which, they say, have all ignored requests for a
meeting.
"People
set down roots here. And now this community is being destroyed," said
Joyce Beyer, 75, whose monthly rent jumped from $1,700 to $2,000. "It
makes us all so sad."
The turmoil at Autumn Glen points
to broader concerns in the assisted-living industry, which has grown
explosively in the last decade yet has largely escaped regulatory
scrutiny. Minnesota, like a handful of other states, does not license
assisted-living facilities, which means that elderly, often frail,
residents generally have no more rights and protections than young
renters in an ordinary apartment building.
With the
aging population and light regulation, the assisted-living industry has
also become a magnet for Wall Street and private equity investment
funds, which aim to maximize profits while, coincidentally, making it
difficult for seniors to identify exactly who is raising their rents. In
a sign of Wall Street's growing interest, the giant private equity firm
Blackstone Group last year formed a joint venture
with the nation's largest assisted-living operator, Brookdale Senior
Living, acquiring a portfolio of 64 senior communities (nearly 6,000
units) for $1.1 billion.
A report issued last week
by the U.S. Government Accountability Office found deep gaps in the
nation's regulation of assisted-living facilities. More than half of all
states could not provide basic information on the number of "critical
incidents," including abuse, neglect and exploitation, in these
facilities. Yet billions of dollars in state-federal Medicaid money flow
to these lightly regulated businesses and the many for-profit funds
that now own them.
Minnesota
reported spending $662 million in federal and state funds for
assisted-living services for 21,847 Medicaid beneficiaries in 2014, an
average of $30,300 per person, according to the GAO report.
"The
government should expect more in terms of quality of care and
transparency, given the huge amounts of money they're paying," said
Robyn Grant, public policy director for the National Consumer Voice for
Quality Long-Term Care in Washington, D.C.
Industry
officials said the double-digit rent increases at Autumn Glen are
unusual. In Minnesota, the median monthly rate for a one-bedroom
apartment in assisted living facilities has increased by just 3 to 4
percent annually for the past five years, topping $3,500 last year, according to a survey
by Genworth Financial, an insurance company. In some cases, facilities
may have "valid reasons" for larger increases, such as a new building
owner or the introduction of new service packages, said Patti Cullen,
president and chief executive of Care Providers of Minnesota, an
industry group.
"Having said that, it does seem unusual to have a 30 percent increase," Cullen said.
Bible study
Janet
Dahlquist, 85, expected to spend the rest of her life at Autumn Glen
when she moved into her cozy two-bedroom apartment four years ago.
She loved
the facility's brightly lit dining room, chapel, spacious balconies and
ample spaces for socializing with other residents. A book lover,
Dahlquist became the facility's self-appointed librarian and carefully
organized hundreds of books donated by newcomers. Like other residents,
Dahlquist was also drawn to the facility's embrace of Christian values. A
sign in the lobby announces a mission to serve seniors and their
families "in the spirit of Christ's love." Residents lead daily Bible
study meetings, and it's not unusual for them to gather for prayer
vigils when someone is sick or dying.
"This is more than just a place to live. This is a community," Dahlquist said "I was so comfortable here."
But her
sense of stability was shattered just before Christmas, when a new lease
contract was stuffed in her mailbox. At first, Dahlquist thought the
document was a mistake. It showed her monthly rent jumping from $2,600
to $3,000. Other residents, she learned, had seen rent increases of 20,
25 and even 30 percent.
"From the
moment I moved in, I was told that this place was Christian and loving
and would do the right thing," Dahlquist said as she packed some of her
belongings last week. "But it didn't seem very Christian-like to hit us
with a rent increase like this."
Dahlquist
and her neighbors formed a residents' committee, then collected 43
signatures on a petition demanding a meeting with the owners.
Instead, they were told to contact Guardian Angels Senior Services,
an Elk River-based nonprofit that manages the facility. An executive at
Guardian Angels told residents that the decision to raise rents was
made by about a dozen private investors, Beyer said, and that their
names were confidential.
Nearly two months have passed, and despite calls to legislators and City Council members, residents are still seeking a meeting.
Fist-shaking anger
State
records show that Autumn Glen is owned by a limited liability company
based in St. Cloud. The person listed as the contact, Andrew Auger, is
an executive at a construction and building company. He declined to
comment when contacted by the Star Tribune, referring questions to
Guardian Angels. Officials with Guardian Angels did not return repeated
calls last week.
"We just
want a simple explanation," said Barbara Blair, 73, whose rent went up
18 percent. "But no one can even tell us who owns this place.''
On a
recent afternoon, about two dozen residents — including some with
walkers and wheelchairs — gathered in Autumn Glen's spacious third-floor
community room to discuss the rent increases. Asked if they were
looking for a new place to live, nearly everyone raised their hands.
A few said
they wanted to move but that health problems and a shortage of
available housing had forced them to stay and pay the higher rents.
Assisted-living
facilities, which often resemble apartment buildings, were intended
originally for older people who needed help to live independently but
wanted greater freedom and social interaction than they would find in a
conventional nursing home. But over time, many have begun catering to
residents who are frail or have serious medical conditions. More than a
third of assisted-living residents, for example, have Alzheimer's
disease or other forms of dementia, which greatly increases the
difficulty of finding a new place to live.
"Is there a renter's association in this state?" one of the residents asked the assembled group last week.
"This is financial abuse," said a woman in a wheelchair, shaking her fist.
Tom Loso,
85, grew emotional as he reminisced about his 2½ years at Autumn Glen.
Last week his wife of 62 years, Jane, died, and her pale blue rosary
beads still lay in a neat pile on his living room table. Loso said he
plans to move in coming weeks but is still grieving for his wife.
"The
trouble is, you develop friendships in a place like this," Loso said.
"These people become part of your life and then, just like that, they're
gone because someone decides to gouge you
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