CCRCs, ALFs, and Private Equity: John Burton, Bill Applegate, & Melissa Aldridge

CCRCs, ALFs, and Private Equity: John Burton, Bill Applegate, & Melissa Aldridge

May 28, 2026 · 47 min · Episode 406

About this episode

The episode features discussions with geriatrics experts about personal experiences in retirement communities and the impact of private equity on assisted living facilities.

Two retired luminaries in geriatrics join us today to share their personal experiences. First, John Burton, a geriatrician and Director of the Division of Geriatric Medicine at Johns Hopkins for some 35 years, shares his journey moving into a Continuing Care Retirement Community (CCRC) during Covid. You can read about John's early experiences in his JAGS commentary titled, "Waiting for the Other Shoe to Drop." The tone is bleak. John's experience since Covid, as you'll hear, is very positive. Many of the concerns he raised about isolation have been addressed. Second, we hear from Bill Applegate, Geriatrician, retired faculty at Wake Forest, and former Editor in Chief of JAGS (Bill recruited Eric and me to join JAGS as editors about 10 years ago). Bill had a distinctly negative experience in two assisted living facilities (ALFs), which you can read about in his JAGS essay, titled, " My Journey Through Assisted Living Facilities ." Bill is seriously concerned about the lack of national oversight, poor staffing, and financial motivations behind for-profit and private-equity owned ALFs. Finally, we hear from Melissa Aldridge, a former banker turned health services researcher, about…

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