Assisted Living, Assisted Living Mexico, Death in Mexico, Dying in Mexico, Mexico Senior Living, Senior Care Mexico

Corona Virus Changes Plans for Jalisco, Mexico Older Adults, Travelers, and the World

Corona Virus is changing where we might be, what we are choosing to do, or what we are restricted from following through with in order to protect the health of others.

This is not a complaint. But it has come to signify postponing meaningful work or gatherings in person, especially with the vulnerable who depend on the presence of family and others who support them.

Circumstances have already created loss and a sense of abandonment for our elders worldwide. You may recall the sad circumstances of elders alone in ICU’s in Italy, as well as in assisted living homes in Georgia and Washington State in recent days where family members may not enter to hold their loved ones as they make their transitions.

Note: This post is being written from Jalisco, Mexico where I have been attending to older adults.

The state of Jalisco  (second largest state with Guadalajara as its capital), lead by Governor Alfaro and public health officials, is doing its best to tame the rise of Corona virus. There are several cases throughout the state, reportedly brought in by a group of wealthy Mexicans who traveled to Colorado to ski in mid-March or by travelers (foreign and Mexican) returning from Germany, Italy, and Spain. All persons except those in necessary services have been asked to stay inside through March 29 except for buying provisions or medicine. No travel unless necessary is another request. It is likely the date will be extended. Borders are still open but flights to other nations have diminished.  So far, not a single assisted living home in Jalisco has reported a case of the Corona virus.

I had plans to see colleagues in the Mexican highlands and then return home to California.  Plans have changed.

I wish to thank several colleagues whom I was going to meet with or revisit in March and early April – folks dedicated to the well-being of older adults.  May we meet again soon.

1001 thanks to Lydia Jane Failing, Francoise Yohalem, and Rev. Tom Roseillo of the Unitarian Universalist Fellowship outreach in San Miguel de Allende, Mexico. Warmest greetings and blessings to each of you, your fellowship, and your community-at-large.

I so appreciated your kind invitation to participate in the seminar “Thoughtful Dying in Mexico” with other colleagues March 20, even though it was necessary to postpone as a form of protection for all. My topic was to have been spiritual aspects of dying in Mexico based on psycho-social-spiritual support of older adults at Lake Chapala, plus my involvement with a palliative care mission in Guadalajara.

My thanks also to the owners of assisted living homes in San Miguel de Allende and Cuernavaca who were waiting for me, as well as to hospice nurse Elena Lopez of Hola Hospice and Luz Serena, an assisted living home in central Morelia with two rooms offering American standard hospice.  I look forward to visiting all of you and writing about your dedication to quality of life for older adults on other dates.

Many thanks to Café Mortality colleagues Debi Buckland, Jane Castleman, Loretta Downs, and Darryl Painter for their dedication at Lake Chapala. We cancelled gatherings for March and April for public health reasons.

Discussions of our wishes and mortality, especially at this time of crisis, may have been meaningful for attendees, not to mention this co-host. We will find other ways to reach out through Facebook posts and more.

And, last but not least, a big shout out to my care liaison colleague in San Miguel de Allende, Deborah Bickel of www.BeWellSanMiguel.com who is deluged with requests for assistance at this time. Deborah’s colleague, nurse practitioner Sue Leonard, was to have been on the UU Fellowship morning panel on March 20.

Where ever you are and whomever you are I pray you are safe, comfortable, and remembering to breathe.  As we reflect on the health of those around us, our own health, and new ways to reach out, let us remember the greater dangers for those less fortunate – the elderly, the homeless, and immigrants on the road, in camps, or in cages.

Please remember our healthcare workers, first responders, drivers, and food purveyors.

Please consider volunteering by sending money to a cause dear to your heart and/or healing thoughts for everyone on your path and on the planet.

And, remember to keep reading inspiring stories if you choose about nail salons converting to sewing centers to make masks, the Chinese manufacturer who sent medical masks in crates to healthcare workers in Italy with a poem by Seneca, the Italians who sing on their balconies to each other, the Spaniards who stand on their balconies applauding healthcare workers as they go off shift at a nearby hospital, the small businesses and their drivers offering take-out throughout the world, and thousands of other folks who make sacrifices as they continue to show up for others.

 

 

Assisted Living Mexico, CCRC's in Mexico, Life Plan Communities Mexico, Mexico Senior Living, Nursing Homes Mexico

Wendy Jane Carrel Speaks to American Retirees About Senior Care and Senior Housing in Mexico

Wendy Jane Carrel will address a group of American retirees about senior care and senior living options in Mexico at Focus on Mexico, Thursday, February 27 in Ajijic, Mexico. (Ajijic is a village with a population of around 10,000 at Lake Chapala, one hour south of Guadalajara, the country’s second largest city).

Her talk will cover Mexican senior care models (including those owned by Americans, Canadians, and other foreigners), and senior care options in expat retirement havens around a country often better known for its tequila, tamales, and mariachi.

See https://focusonmexico.com/focus-6-day-program/ for more details.

Carrel recently wrote an article about corporate senior living developments in Mexico that was posted on Senior Living Foresight, a popular senior housing news site in the U.S. The link to the article is below.

https://www.seniorlivingforesight.net/mexican-assisted-living-and-life-plan-communities-of-80-residents-set-to-attract-american-canadian-and-other-retirees/

 

 

Wendy Jane Carrel, MA, is a Spanish-speaking senior care specialist and consultant from California. She has travelled Mexico for several years researching health systems, senior care, and end-of-life care in order to connect Americans, Canadians, and Europeans with options for loved ones. She has investigated hundreds of senior housing choices in 16 Mexican states. Her web site is http://www.WellnessShepherd.com.

 

Aging, Assisted Living Mexico, Ex-pats in Mexico, Mexico Senior Living, Retirement in Mexico, Senior Care Mexico

Successful Aging Expo San Diego, November 2019

On November 2 the newspaper San Diego Union-Tribune hosted a free event that attracted a 50+ crowd interested in subjects related to aging. Main speakers were Patricia Schultz (author of 1000 Places to See Before You Die) and Captain Dale Dye, USMC retired (author, filmmaker) focused on veterans and others.

November 2, 2019

Most of the activity at the San Diego Convention Center was at booths. Among the participants offering information were AARP, Leading Age, healthcare service providers, a cancer awareness initiative group, estate planners, Medicare Advantage Plan insurers such as Humana and SCAN, retirement counselors, senior movers, senior living placement consultants, a sleep therapy advisor, and others.

The highlight for me, related to some of my work as a senior placement consultant for Mexico, was to meet up with Miguel Angel Torres and Marisa Molina of Serena Senior Care in Baja California. I toured their Rosarito assisted living home last year and am eager to return to see their latest developments.  I appreciate their dedication, enthusiasm, and focus on quality care. See www.serenacare.net plus links to videos found on their web site.

As an aside, Serena offers residents and visitors to Baja a Full Assistance Card for $99/year ($198 per couple).  The Full Assistance Card offers ambulance services, roadside assistance, a 24-hour bi-lingual call center, discounts, and access to online medical records. Have not seen this service in action so am not in a position to comment on it. Information on this is at the web site listed above.

Miguel Angel Torres, one of his supporters, and Wendy Jane Carrel Assisted Living Consultant for Mexico at Serena Care booth

Corey Avala of www.RetireBaja55.com was also present to encourage folks to retire early and “affordably” to one of three developments he is involved with. Have not seen them.

Jane Garcia, a realtor from Dream Home Mexico was also there to espouse the benefits of retiring to Mexico.

One of the advantages of Baja California for assisted living and retirement, aside from the lower cost of living, is its close proximity to San Diego for health care through the Veteran’s Administration, and U.S. healthcare for American ex-pats who wish to return in case of need.

Many thanks for the warm reception by the San Diego Union-Tribune sponsor team!  Many thanks to the San Diego Union-Tribune for producing the San Diego Eldercare Directory 2020 available in print at the expo, and also available on-line at http://www.sandiegoeldercare.com. The directory includes listings of independent living and long-term care throughout San Diego County.

https://www.youtube.com/watch?v=pjO4FIeS-7g

Assisted Living Mexico, CCRC's in Mexico, Ex-pats in Mexico, Life Plan Communities Mexico, Mexico Senior Living, Senior Care Mexico

Wendy Jane Carrel to Talk About Senior Care/Senior Housing at Focus on Mexico, August 2019

I always look forward to addressing folks from Canada, Europe and the U.S. at Focus on Mexico one-week seminars, currently held every two to three months at the Real de Chapala Hotel, Lake Chapala, Mexico. 

Most attendees are considering a move to Mexico for a variety of reasons – adventure, climate, housing costs, more affordable healthcare, retirement, and more!

Placard in front of modest assisted living home, Jocotopec, Lake Chapala

The newbies will see my Power Point presentation Thursday morning, August 8, outlining various models of senior living and senior care in Mexico – government, non-profit, and for profit independent living, assisted living, memory care, and Life Plan Communities/CCRC’s. My photos of senior living options are from various states in Mexico from Baja California to Merida in the Yucatan, all ex-pat havens. 

To date, Lake Chapala attracts the fastest growing and largest community of ex-pats in Mexico. 

See http://www.FocusonMexico.com for more info.

Ex-pats in Mexico, Life Plan Communities Mexico, Mexico Senior Living, Retirement in Mexico, Senior Living Mexico

Envisioning a Retirement Boom, Mexico Creates More Independent Living for Americans and Canadians – Especially at Lake Chapala

I am a Spanish-speaking senior care specialist for Mexico, serving Americans, Canadians, and Europeans who are discovering they may not be in a position to retire, or, may outlive their savings. They are looking for more affordable aging options at home or abroad.

Where are these retirees choosing to move if going abroad?

Mexico … for the most part, because of its proximity to Canada and the U.S., milder weather, opportunities for new life adventures, and most of all, access to medical and senior care at one-third to one-half less than at home – a major concern, just in case, even for those who are super fit and who follow a healthy lifestyle.

This boom is no surprise to developers from Canada, Mexico, Spain, and the U.S. who have anticipated the rise in the number of retirees from Canada and the U.S for over 10 years – to Baja California, Mazatlan, Oaxaca, Puerto Vallarta, San Miguel Allende, and the Quintana Roo/Yucatan states where Merida and Cancun reign. Large numbers of ex-pats continue to arrive.

Many new retirees – boomers, boomers bringing parents, and some Gen-Xers – love technology, travel, and learning. They like to drive, to explore. Some will continue to work on-line. More than anything they enjoy their independence. They seek ways to live more economically, and, use Mexico as a home base for more travel.

They have unique interpretations of what independent living means. Generally, the vision is of a person 50 or older, usually but not always retired. The overriding lifestyle goal is AGING IN PLACE either within a community where one is self-sufficient, or in a community providing services such as meals, laundry, cleaning, and transportation.

Mexico is preparing to offer a variety of such choices in beach environments or the colonial highlands.

However, unlike the U.S., retirees must not expect choices as diverse as an all Hindu, laughing yoga, retired postal worker, artist, Japanese, or Presbyterian senior community, nor any development as large as a Sun City.

The most aggressive housing expansion has been at Lake Chapala, one hour south of Guadalajara, Mexico’s second largest city, which also boasts an international airport.

Ajijic malecon, Lake Chapala, Mexico

What kind of housing are retirees finding at the lake?

If not stand-alone private homes, most retirees are on the look-out for living akin to 55+ communities near golf courses, shopping, gyms, spas, and the company of other ex-pats.

What’s in the offing at Lake Chapala?

Three large construction projects – two Life Plan Communities with independent living (with moves to assisted living or nursing care as part of a long-term plan), and one “luxury” development of condos and casitas not unlike already existing communities known as El Dorado, El Parque, or The Raquet Club replete with tennis courts, pools, a club house, gym equipment, and gardens. The new projects may open by 2021.

Video of El Dorado Private Residence Club:  https://www.youtube.com/watch?v=72qzBeIuJio

El Parque website:    https://elparque.weebly.com/

Video of The Raquet Club:    https://www.accesslakechapala.com/location/san-juan-cosala/

The two newest additions for independent living at Lake Chapala are:

Namaste Lake Chapala Community tiny houses, a co-housing enclave in the village of Ajijic. Its founder is American James F. Twyman, a body/mind/spirit author and musician who travels the globe as a “peace troubadour.”  The Namaste community opens its doors to the public for morning meetings to discuss or review A Course in Miracles.

Namaste Community Patio, Lake Chapala

Namaste offers 12 brightly painted homes providing 300 SF to 600 SF of living space, each with kitchen, bath, and living areas. The Namaste concept is to age in place affordably, bringing healthcare in should it be needed. Meals are communal, or taken to your residence if you wish silence.

Namaste Co-Housing Community, Lake Chapala, Mexico

 

Namaste Co-Housing Communty, Lake Chapala, Mexico

 

First Completed Namaste Tiny House Kitchen

As of this writing, all but one of the homes have been purchased and/or rented. For more information see www.NamasteLakeChapala.com or call Kerri Moon, Head of Sales, at (510)250-3002, a U.S. phone number.

Ohana Independent Living in San Juan Cosala, 20 minutes west of Ajijic, is the other newbie. The owners are bi-lingual geriatric nurses. Even though there is no assisted living or nursing care at their two story independent living home on the lake, folks with walkers who can take care of themselves are welcome. An elevator is currently being installed.

Ohana Independent Living main gate entrance, Lake Chapala

Ohana Independent Living is located on a large lakefront estate with sprawling lawns, close to nature. There are 12 rooms. Each residence has mountain or lake views. There is a balcony on the second floor facing the lake. Rooms are partially furnished or decorated to one’s preferences. Dogs are welcome. Meals are included, as well as laundry, maid service, and parking. There is no web site. For more information call Alonzo Garcia at 52 331 495-6167.

Alonzo, Ana, and Adam bi-lingual owners of Ohana

 

Patio at Ohana Independent Living, Lake Chapala

 

Cloudy day view of Lake Chapala from Ohana Independent Living

 

Dining room, newly opened Ohana Independent Living, Lake Chapala, Mexico

Summation:

There are currently three independent living residences with meals, laundry, maid service, and parking for your car at Lake Chapala. There is a fourth residence, owned by a physician, with no parking. If you became seriously infirm at any of these places, you would be required to move somewhere else. Monthly fees range from $1200 to $1800/month USD, the average cost of Mexican assisted living with no frills.

There are another four communities designed as individual apartments for older adults. Stretching the interpretation, there are about seven more that have a community feel but are exclusively rentals; the renters happen to be older adults. There are also four hotel apartments, some with kitchens, rented long-term by older adult ex-pats.

There are two intentional co-housing communities. Other than Namaste there is Rancho La Salud Village in West Ajijic. It consists of a group of larger homes created for aging in place and green, sustainable living. There are no communal meals, each resident is on his or her own. RLSV was founded in 2010 by Jaime Navarro and his wife Sara Villalobos, together with “green” architect Rick Cowlishaw.  See www.ranchollasaludvillage.com

As of this writing, other “independent living” and/or senior living projects for ex-pat retirees are in the works throughout Mexico awaiting, for the most part, American and Canadian boomers.

Wendy Jane Carrel, MA, is a Spanish-speaking senior care specialist and consultant from California. Over a period of several years she has traveled state to state in Mexico researching health systems, senior care options, end-of-life care, and disposition of remains. She volunteers at the only 24/7 palliative care hospital/hospice in Jalisco that also has a community outreach service. http://www.WellnessShepherd.com or contact her at wellnessshepherd@aol.com.

You have permission to re-post the entire article when you include author’s name, biography, and contact information as above.

© Wendy Jane Carrel, 2019

Resources

https://en.wikipedia.org/wiki/Independent_senior_living  definition of independent living for older adults

https://en.wikipedia.org/wiki/Cohousing   definition of co-housing

https://www.ic.org   listing of Intentional Communities worldwide

http://www.dailycommercial.com/opinion/20170616/letter-many-boomers-opt-for-cohousing

https://www.ezilon.com/maps/images/northamerica/political-map-of-Mexico.gif  map of Mexican states and major cities

https://www.nytimes.com/2019/05/10/health/assisted-living-costs-elderly.html My favorite senior care journalist Paula Span writes about Americans outliving their funds, or not having enough funds, for assisted living or care at home.

https://internationalliving.com/countries/mexico/cost-of-living-in-mexico/  This article is intended to “sell” Mexico. The table with cost-of-living for 2019 is more or less accurate.

https://www.aarp.org/home-family/livable-communities/info-04-2012/great-quirky-places-to-retire.html  An AARP review of unusual U.S. retirement communities

https://www.marketwatch.com/story/8-quirky-retirement-communities-2013-01-22

https://www.nytimes.com/2016/03/29/health/retirement-communities-indian-chinese.html

https://www.floridaforboomers.com/nalcrest/  a Florida retirement community for letter carriers

http://theguadalajarareporter.net/index.php/news/news/lake-chapala/31253-seniors-fair-foreshadows-boom-in-mexicos-retirement-living-industry  prescient article from 2012

Assisted Living Mexico, Health & Wellness, Living Abroad, Mexico, Mexico Senior Living, Nursing Homes Mexico, Senior Care Mexico

Wendy Jane Carrel Speaks on Mexican Assisted Living, Nursing Care at Focus on Mexico

Throughout 2018, I have been invited to address Focus on Mexico participants, a lively and engaged group of mostly retirees from Canada and the U.S. curious about Mexico, curious enough to perhaps make a move.

I talk about senior living options, including possibilities at Lake Chapala.

I share a power point presentation with a few statistics and show photographs based on several years of due diligence and relationship building in 16 states of the country. I review independent living, assisted living, and nursing care – what’s here, what the differences are from home, what’s missing, and what is being created for the next generation that may be in need – boomers.

My VOLUNTEER talk shares an insider’s view for those who wish to consider living south-of-the-border. Other speakers focus on real estate, banking, buying cars, health insurance, medical care, bringing pets, etc.

My next talk is the week of October 29, 2018.

Wendy Jane Carrel with Michael Nuschke, Director of Focus on Mexico, addressing participants

If you are interested to learn about Focus seminars and activities, please see their web site at http://www.FocusonMexico.com. The popular education group is celebrating its 20th year.

Note: My articles are posted on http://www.WellnessShepherd.com. Sometimes they are re-posted on other web sites. If an article does not have my by-line, it is not by me. And, I do not post lists.

Some folks with good intentions, but without senior care experience and/or education, write articles and create lists with recommendations. Unless they are health care professionals, they may not be conversant with possible challenges of moving older adults from one nation to another, where the staff turnover is high, how the staff is trained, how med management is handled, what the activities are, and other subjects related to quality of life.

Aging, Alzheimer's, Assisted Living, Assisted Living Mexico, CCRC's in Mexico, Health & Wellness, Life Planning Communities Mexico, Living Abroad, Mexico, Mexico Senior Living, Senior Care Mexico

Guidelines for Choosing Assisted Living/Nursing Care in Mexico

Gardens at Casa de las Lunas in Puerto Vallarta with independent living, assisted living and respite care, private pay

According to realtors at Lake Chapala, Mexico, and the information desk at the Lake Chapala Society in Ajijic, the popular ex-pat retirement destination has received more than double the no. of potential renters, buyers, and information hungry folks from Canada and the U.S. than in years before. (Other popular retirement destinations are also seeing an increase in activity – see no. 3 below).

Among visitors intent on moving are travel aficionados looking for a unique cultural experience, the prospect of meeting stimulating people from all parts of the world, but more importantly, an opportunity to stretch their dollars.

And then there is senior living and healthcare, a subject of interest for most. For “sandwich-generation” boomers who lost savings and/or homes during the American recession of 2007-8, or spent savings for the education of millennial children or grandchildren, many are finding there may be little left for themselves or parents if assisted living or nursing care are ever required.

An added concern is that funding for Medicare and Medicaid in the U.S. are currently being challenged.

Alma, a non-profit home for 40 residents in San Miguel Allende

If the cost of assisted and continuing care in Canada (Canada takes care of its disabled, ill, and older adults through universal care programs but there is also private pay care) or the U.S. is not an option, there are more affordable options in other countries. The closest place to look is Mexico.

Here are guidelines for looking at assisted living and continuing care in Mexico, costing between $600 USD to $3500 USD/month, depending on the value of the American dollar and the Canadian dollar vs. the peso, the location, and the residence you choose:

  1. Take note – in Mexico the terms assisted living and “nursing home” are often one and the same, with exceptions. Care facilities are not known as they are north of the border – assisted living, rehabilitation, nursing home, and hospice. It is often an all-in-one approach. Also, with some exceptions, homes mix physically disabled residents with memory care residents.
  2. Select cities or areas you wish to be in for climate – coastal, desert, mountains. (Coastal tropical places cost a little more because A/C is expensive).
  3. If the future resident does not speak Spanish, seek places with ex-pat communities and English-speaking locals who are often a source of volunteers – Baja California Norte (Ensenada, Rosarito Beach, Tijuana), Cancun, Lake Chapala, Mazatlan, Mexico City, Puerto Vallarta. Or, choose smaller places such as Merida, and San Miguel Allende. Some care homes have all foreigners as residents, others locals and foreigners together. Usually one person on staff speaks English, sometimes more than one.
  4. Do the due diligence. Research places and determine costs. Most assisted living and “nursing homes” catering to foreigners have web sites in English easily found on Google Search.
  5. Consider private pay homes and non-profits, as well as residences run by nuns whether you are Catholic or not. Nuns often (but not always) provide quality care as most are nurses with a mission to serve, plus costs tend to be what Mexicans would pay if price is a consideration. Another level of care is found in government homes, some pleasant others not; some accept foreigners with residency cards. There are differences in every region of the country, and there are no rules.
  6. Note: no two places will be alike – financially, environmentally, socially, and in terms of care. Homes are not regulated with the strict standards one is accustomed to in Canada and the U.S.  However, there are places with quality care and high standards.
  7. Conduct site visits. Assess for yourself what might be an acceptable match in terms of environment and people. Would you or your loved one feel comfortable and safe? Do you like the space, the staff?  How are you welcomed? Do residents seem cared for or are they alone in “God’s waiting room” without attention and activities? Ask residents what they like best and what they don’t like. How clean is the home? Standards differ from place to place. Arrive at meal time… is there enough assistance for each resident? Is food fresh, nutritious, and nicely presented? Is it food you would or could eat? Does the home prepare meals compatible with health challenges? What about care plans and medication management? What about emergencies? How are these matters handled?
Patio at a private pay “nursing” home, Casa Nostra, at Lake Chapala

 

Casa de los Abuelos DIF (government) home for seniors, Morelia – these homes are intended for Mexican nationals but on occasion persons with residency visas who pay are accepted, depends on the place and availability

There are no simple answers for selection.

Ideally, we would all have perfect health to our last days and an abundance of funds which would allow us to receive the best possible care wherever we choose to live.

Note: CCRC’s (Continuing Care Retirement Communities, from independent living to demise), now referred to as Life Plan Communities, have not arrived in Mexico, with one exception. There are plans in the works for Life Plan Communities in Baja California, Cancun, and at Lake Chapala from American, Canadian, Mexican, and Spanish developers.

References:

https://www.youtube.com/watch?time_continue=2&v=6lYA7c1Pnuo   Ajijic, Mexico video 2017

http://www.pbs.org/newshour/bb/foreign-retirees-flocking-mexico/

https://www.seniorhousingforum.net/blog/2016/8/3/will-mexico-solve-senior-living-affordability-problem