A CCRC is a community that offers all levels of care including independent, assisted, skilled nursing, and even hospice care, allowing residents to remain in place until the end of life. Most will require that residents are able to live at the independent level initially. (For couples care needs can be different, as long as one can live mostly independently.) An assessment is required to determine the resident’s care needs and as their needs increase, additional services are provided. Fees are adjusted as the needs increase. CCRC’s often have on-site health clinics and rehab services as well. Because many of the residents are independent, CCRC’s will often have other amenities such as on-site restaurants, pubs, and even theaters. Residents can often buy or rent and they will often offer a variety of housing types such as apartments, free-standing cottages, or town-homes. Fees vary widely between communities.