Assisted Living Mexico, Mexico Retirement, Mexico Senior Living, Senior Care Mexico, Senior Living Mexico

Mexico’s Future as a Senior Living and Senior Care Destination for North Americans: Opportunities and Realities from CIAMAR 2025

We live in an aging universe, a universe where older adults live longer than ever before. 

The need for housing and care, especially affordable housing and care, is growing in all three North American nations – Canada, Mexico, and the U.S. (See the Statistics section for expected growth by 2030 and 2050 at the base of this review).

In 2003, when working at a luxury senior residence in Rancho Mirage, CA, it was evident that healthcare affordability for U.S. older adults would become a challenge or become completely cost prohibitive, especially if dementia was part of the equation.

This revelation ignited my desire to explore international options.

I started investigating Ecuador, Mexico, and other destinations for medical care, long-term care, and end-of-life care, subjects that remain dear to me and those I serve.

My hands-on experience as a Mexico senior living consultant conducting due diligence over a period of 11 years in 18 Mexican states (there are 31. The Federal District of Mexico City makes 32) has kept me engaged and open to what’s happening on the senior living front. An excellent place for me to learn more was as a speaker and guest at this year’s CIAMAR Wellness and Senior Living Investment Summit 50+ to 80, a conference produced by Javier Govi.

Govi is a “nearetiring” proselytizer and real estate entrepreneur who has believed in the growth of senior living in Mexico for American, Canadian, and Mexican retirees for more than a decade. His platform is focused on growth with corporate players from Canada, Mexico, Spain, the U.S., and other countries in Latin America.

My interest is in all sectors including smaller residences and intimate communities with sustainable futures.

Who attended CIAMAR 2025?   

Between 150 to 200 persons attended the summit, gently modelled after NIC (National Investment Center) conferences in the U.S. with 1500 to 3,000 participants. The event was held at the Hotel Marquis Reforma in Mexico City.

Architects, bankers, real estate developers, senior living operators, tourism industry execs, one real estate appraiser, and entrepreneurs from around Mexico – Baja California Norte y Sur (Tijuana, Cabo San Lucas), Cancun, Cuernavaca, Leon, Merida, Mexico City, Puebla, Queretaro – and from other countries – Argentina, Colombia, Costa Rica, (Germany via Zoom), Panama, Spain, were present.

Below is a photo from the first day of the summit, almost an hour before we began.

What was on the agenda and who were the speakers addressing the opportunities?

https://ciamar.odoo.com/en/programa

https://ciamar.odoo.com/en/ponentes

Speakers from Latin America, mostly from Mexico, brought unique projects and perspectives, some are outlined further below.  

These Latin American entrepreneurs see opportunity in attracting Americans, Canadians, and Europeans. One of the speakers referred to the current wave of this cohort as “el tsunami blanco”, the “white tsunami”. (An interesting comment as some expats in Mexico have Afro, Asian, and Latino heritage).

Latin American entrepreneurs are also focused on culturally compatible senior living for their own populations. Is there a way to meld the different cultures? This is a subject that remains open for discussion.

Some Mexican senior living homes thrive on hosting expats as their primary residents.

Despite the perception outside Mexico that Mexican elders are taken care of at home, many still are, there are senior living enclaves for Mexicans around the country, though far fewer than with Mexico’s neighbors north of the border. 31% of 11 million Mexican homes have at least one older adult (INEGI 2020).

According to INEGI (Mexico’s National Institute of Statistics and Geography, 2020) there are approximately 1200 senior living residences including assisted living/nursing care/memory care (often combined into one residence unlike American and Canadian systems). In 2017 there were an estimated 800.

The numbers for Mexico do not include independent living/active adult enclaves but do include corporate senior living, smaller private pay residences, non-profits often run by nurse nuns, and government homes. These numbers fluctuate as numerous small start-ups often close.

In Canada there are approximately 2,076 assisted living/supportive living/retirement residences according to Science Direct. Another source says Canada has 571 assisted living residences. (See Reference section below). In the U.S. there are approximately 32,000 assisted living communities with a total of over one million beds.

The “Bucket List” panel below with Javier Govi CIAMAR founder/producer, Wendy Jane Carrel, Kerri Moon, and Oliver Sahlmann

Three of us were invited to address the following question:

Who are the Americans, Canadians, and other foreigners considering Mexico for retirement and senior care?

We began our team presentation with a quick slide show of photos showing foreign residents in Mexico ages 60 to 100, couples and solo agers of diverse backgrounds (a growing number of Mexican Americans included), and those with diverse interests and preferences from no frills to resort-like settings.

Kerri Moon, an American entrepreneur who built one community at Lake Chapala and collaborated on the growth of the Namaste Community (another Lake Chapala expat community), pointed out, and we all agree, “the availability of caring workers who come from intergenerational households and are accustomed to respecting their elders could ensure superior staff-to-resident ratios giving Mexican senior housing a tremendous opportunity to succeed.”

Moon is currently spearheading a group seeking investors for a Memory Care Village at Lake Chapala. Find her at https://www.facebook.com/RetireInternationally/

Oliver Sahlmann, a business coach, former Volkswagen Mexico executive, and Mexico resident for 20+ years, shared about German retirees in Mexico.  “They come mostly for the sun, and, in winter months.” He presented some charming cultural stories to give the audience a feeling for the German mindset.

The main points of my contribution were the diversity of ages, backgrounds, and interests, that no one plan fits all, and that most retirees from Canada and the U.S. prefer to Age in Place in communities with other expats. Fewer prefer living among locals but those who do often thrive.

The migration of Americans and Canadians to Mexico for retirement and senior care is not new, it has existed for decades. Numbers increased noticeably since 2008 (U.S. economic challenges), COVID, and as mentioned above – the realization that we are living longer and there may not be enough funds for retirement and healthcare. The U.S. does not have universal healthcare, Canada and Mexico do to varying degrees.

For older adults who have long-term care insurance and are independently wealthy healthcare is not an issue. But the reality is, even with U.S. Medicare, and continued rumors of cuts for Medicare and Medicare Advantage programs, some older adults are seeking alternatives and solutions in other U.S. states or other countries.

Here are some highlights from CIAMAR 2025 sharing pride of Mexico, sustainable projects, unique visions, plus mention of notable vendor/summit supporters:

Javier Govi invited attendees to invest in the future of senior living in Mexico and LatAm, invest in the concept of Near Retiring (bringing Americans and Canadians to Mexico), consider Pueblo Magicos for aging (see Reference section below for explanation of this government initiative for magical villages), and most of all offer dignity, quality of life, and exceptional healthcare. Govi is the author of Nearetiring: Baby Boomers, Snowbirds, and Summerbirds, a Great Opportunity for Mexico and Latin America in Spanish.

Mac Kroupensky – Mac is a thought leader who teaches corporations, companies, and government how to create innovative change and motivate people and teams. For 10 years he taught at IPADE, Mexico’s equivalent of the Harvard Business School or France’s INSEAD. “To be a great leader you must be a great human being,” is his motto.

Kroupensky has a super enthusiastic presence. He regaled the audience by asking them to imagine an ideal retirement place – a city of 150,000 with medical infrastructure, security, and new technology. He pointed to Sofia, Bulgaria’s thriving tech and arts scene, a city of old and new. Most of all, that perfect retirement place would offer the best of humanity, people who care. He then added, the Mexico/LatAm Senior Living Investment Summit would offer invaluable expertise and talent. He is right, it did.

https://kroupensky.com/quien-es-mac/

In the photo below: Rafael Garcia Turban international developer, Oliver Sahlmann, Mac Kroupensky, Wendy Jane Carrel at CIAMAR Mexico and LatAm Senior LIving Investment Summit 2025

Antonio Gonzalez-Quiros F. , Director of Ballesol Mexico, was the keynote speaker. Ballesol is a Spanish corporation that for 40 years has developed 55+ resorts, residential apartments, and assisted living. Ballesol has assisted living facilities in Queretaro and Mexico City. Note: Spaniards and Latin Americans investing in senior living have much in common – culture, language, law, and a familiar way of doing business.

Ernesto Oechlar former banker, former CEO of a family-owned senior living residence, advocate for holistic senior living, organic food, and positive mind set. He is currently a consultant for Neuro Change Solutions (NCS), a global network of corporate consultants trained by Dr. Joe Dispenza teaching how to apply the neuroscience of change to increase employee engagement, collaboration, and productivity for business results. Delightful to converse with him and with Mac Kroupensky about differences of perception within cultures.

Marta Parra, Co-Founder and Co-Director of Virai Arquitectura, Spain.  She was one of the last speakers and I wish more attendees could have listened to her enlightened presentation about creating accessible spaces and person-centered memory care with the energy of light, located in nature, and more. She is a pioneer in neuroarchitecture and sustainability for hospitals and senior living residences in Spain, Africa, and Latin America. Her slides and presentation were excellent. For more information see https://www.virai.eu/

Architect Carlos Sanchez of www.gomezplatero.com was a pleasure to listen to and learn from. He studied architecture in Torino, Italy and has worked on senior living projects in Medellín, Colombia and in Uruguay. 

Mario López is the founderof Taxáre. He is a real estate appraiser, consultant and enthusiastic investment project manager for real estate businesses. You can find him as “Mario El Valuador” on Instagram, Tik Tok and his podcast Un Express de Real Estate on You Tube @soymariolopez. He showed us drawings of an eye-catching urban city design for Tijuana intended for retirees and others – modern towers, gated, secure, flat and walkable, alongside the Pacific Ocean, with sustainable architecture, lots of gardens and amenities. If and when such a project is manifested, I can see folks with this concept as their aging in place vision filling it up fast. Based on my several due diligence visits to Tijuana, the city would benefit from a project such as this.

Juan Pablo Payró an Architect/Masterplanner/Designer/Developer shared about Agrihoods and Wellness Community projects in Queretaro, San Miguel de Allende, Holbox, Bacalar, and Los Cabos. He is a co-developer with Javier Govi’s Grupo AMAR. I contacted him to share photos or a website but have yet to receive a reply.

Salvador Rivas, an articulate, cultivated British-Mexican architect, has worked on prestigious international projects. His web site is www.srivasarchitects.com . I contacted him for information related to senior living projects but have yet to receive a reply.

There were many worthy presenters. Apologies to those not mentioned.

A special shout out to Jose Manuel Diez for his elegant, gracious energy as Master of Ceremonies and to the amazing AMAR and CIAMAR support team who produced this event.

Attendees I also appreciated meeting:

Juan Jose Perez Rifel shared with me an appealing project for Queretaro, one of my favorite Mexican cities. He is with www.st-austin.mx (see concept photos at the website). As I understand St. Austin owns the land. The first project is an eco-sustainable hospital which will serve as the property anchor with plans to expand to a medical district with doctor’s offices, a senior living residence (no precise details), a commercial center, gardens, and more. I am eager to see it when it is built.

Visiting from Lake Chapala was Jorge Garcia de Leon who is head of operations at Rancho Salud Village, see www.rancholasaludvillage.com or their Facebook page.  His father-in-law owns the land in this eco-friendly, holistic, sustainable, multicultural, co-housing community of homes for Aging in Place. I have witnessed the growth over 11 years from two homes to a plan for 21 and eventually 30+ with pool, vegetable and herb gardens, and more. I am a fan of Jaime Navarro, his lady Sara, and their passion for healthy, independent living.

Roberto Madruga Avensa of Mexico City has “four legally clear parcels for development” for an Aging in Place/Wellness project in the Pueblo Magico (magical village) of Ixtapan de la Sal. The project is known as Reserva Reforma and there is no website yet. Sr Madruga envisions a completely flat, walkable community with local healthcare within five minutes, a hospital you would be flown to by air ambulance if needed, living spaces with doors, floors, and more following the 150 Residencial Universal Living Design standards. Sr. Madruga’s wife is a geriatrician. They have travelled to Italy, Spain, and Switzerland to look at senior care. The Reserva Reforma concept would appeal to American and Canadian couples and solo agers if and when such a project is built may be a few years from now.  In any event, the vision is a match with many folks who wish to move to Mexico, Baby Boomers especially.

Alejandro del Rio of Leon, Mexico.  Family property on many acres in nature with a villa, a large home, lots of green trees, brick walls. It has been or is being converted into a senior living residence. See https://www.plenityland.com/ for photos and contact information.

Nelly Vasquez Sanchez of Gravasa Immobiliaria in Puebla and Oaxaca is a real estate agent and a newbie to the senior living world.  She shared with me she attended the conference because she wishes to learn how to provide for expat residents. She paid attention to each presentation. She was a joy to get to know as she represents a younger generation that has an interest in aging. https://www.facebook.com/igruvasa/?locale=en_GB

Mauricio de la Cerda, VP Growth for www.angela.care was at a vendor table sharing how to receive pills in a pill pack organized by day and time (breakfast, lunch, dinner), delivered to you at home. Angela Care works in collaboration with Amazon Pharmacy.

Vendor Roberto Sanchez of Gerflor.com, a French flooring company, shared my kind of waterproof, antimicrobial, soft to fall on, quiet, no glue, fast installation flooring. I wish this flooring was mandatory in Mexican residences as injuries from falls could be less severe. Most residences have slippery tile flooring. I also had a secret desire that the Marquis Reforma Hotel where the summit was held would remove its marble floors. We were there in rainy season!! Here is the GerflorUSA website: https://www.gerflorusa.com/

Where is the money?

With the talent I witnessed and all the possibilities shown on multimedia around the conference center (some visually inviting, stunning in fact), I was mystified. I wondered why so many worthy older adult projects presented at the summit have not been built.

What has prevented architects, developers and others from manifesting their visions?

If I had not been breathless and a bit under the weather, nor missed the presentation that may have explained more “Where is the Money?” I may have learned more. Kudos to CIAMAR for the discussion.

So, I canvassed Mexican speakers and attendees and asked if they would please share what they see as obstacles.

The answers included government bureaucracy (heard this several times, heard this the most), challenging local laws requiring 2-3 years for permission to build, issues with land permits, financing, construction, and “voluntad” or will power and motivation for investment in this sector.

There is a growing venture capital market in Mexico of local and international investors. Most of the capital is being invested in technology, especially fintech.

Many architects and developers in senior living are essentially like movie producers. They create an idea, develop it, and shop it from place to place for financing.

It requires remarkable resilience and will power to be a Mexican entrepreneur in the senior living sector.

CIAMAR 2026 will focus on technology in senior living.

Summary

The need for senior living – housing and care, especially affordable housing and care, is growing in all three North American nations – Canada, Mexico, and the U.S.

For several decades Mexico has been a destination for Americans and Canadians. Now, with dwindling retirement funds, healthcare plans that are not flexible, and overall rising costs for housing and healthcare, the opportunity for more development is evident.

Senior living south of the U.S. border may be a continuing retirement trend.

Growth is slow as developments are often stalled by government bureaucracy, land permit issues, the ability to raise capital, and more.

Some Mexican developers are focusing on generations age 50+, especially those who are active and fit, seeking affordable luxury and a wellness environment.

© All rights reserved. Wendy Jane Carrel 2025   

Wendy Jane Carrel is a trusted older adult advocate and consultant who has hands-on experience with healthcare systems, retirement options, senior living residences, and wellness programs in Mexico, Ecuador, and other countries. She provides informed, culturally sensitive transition guidance and curated options for families and elders moving to Latin America. Her website is http://www.WellnessShepherd.com

Resources:

https://www.sciencedirect.com/science/article/abs/pii/S152586102200559X# Canadian long-term care statistics

https://bytescraper.com/b2b-database/list-of-assisted-living-facilities-in-canada

https://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-312-x/98-312-x2011003_4-eng.cfm Canadian housing, dwelling statistics

https://www.technavio.com/report/senior-living-market-analysis an overview of U.S. market analysis growth for future senior living

https://dspace.mit.edu/handle/1721.1/108882# MIT study on real estate development opportunities for senior living in Mexico.  2017 2017 study on opportunities for senior living in Mexico

https://www.definitivehc.com/resources/healthcare-insights/assisted-living-facilities-us U.S. statistics for assisted living residences

https://en.wikipedia.org/wiki/Pueblos_M%C3%A1gicos Pueblos Magicos are part of a Mexican government initiative to create interest in its small towns with historical or magical charm.

I wrote the article below in 2016, it is dated in part.

Statistics

Statistics for burgeoning population growth in North America:

Canada – 7.6 million older adults representing 18.9% of the population according to Statistics Canada 2024. Statistics project seniors could make up 23% of the population by 2030 and nearly 26% by 2068

Mexico – 10.6 million adults over age 65 according to INEGI the Mexican Statistics Bureau, and Statistica.com. AARP International suggests older Mexican adults will represent 30% of the population by 2050 an increase of 277%.

USA – The number of Americans 65 and older is projected to increase from 58 million in 2022 to 82 million by 2050 (a 42% increase) according to a 2024 study by the Population Resources Bureau.

Moving to Mexico, Pueblos Magicos Mexico, Retirement in Mexico, Senior Living Mexico

Mexican Initiative Pueblos Magicos and AMAR Encourage Tourism and Moving to Mexico at Southern California Event

Feeling excited to be included on two panels at a Mexican government Pueblos Magicos/AMAR event in Los Angeles, Friday September 22, 2023, at the Shrine Auditorium to talk about Moving to Mexico. My focus will be senior housing and healthcare options, among other subjects.

Pueblos Magicos are “magical pueblos”, 177 small towns in 31 Mexican states. For the most part they are charming Mexican villages that represent Mexico’s cultural heritage and traditions, some with historical relevance.

As a lovely synchronicity, I have enjoyed one pueblo magico on and off for several years, Ajijic at Lake Chapala, one hour south of Guadalajara in Jalisco state.

Javier Govi, Founder and CEO of AMAR (Asociacion Mexicana de Asistencia en el Retiro), the Mexican Association of Retirement Communities, is producing and moderating the panels.

Here is the AMAR marketing for two of the invitees, do not know who else will be present. Looking forward to participating!

AMAR, founded in 2007, is a national Mexican non-profit organization committed to educate and collaborate with Mexican government regulatory agencies and business executives in Mexico and North America on the potential of the senior housing industry in Mexico.

For more information on AMAR go to http://www.amar.org.mx, write info@amar.org.mx, or call San Diego, CA number (619)564-4007.

The Shrine Auditorium is at Figueroa and Jefferson Blvd in downtown Los Angeles near the campus of USC. https://www.shrineauditorium.com/ The event is free.

Wendy Jane Carrel, MA, is a Spanish-speaking senior care advocate from California. She has travelled Mexico for 20+ years researching health systems, senior care, and end-of-life care to connect Americans, Canadians, and Europeans with healing options for loved ones. She is a speaker and published author on subjects related to senior well-being. Wendy’s web site is https://www.WellnessShepherd.com

Resource:

https://en.wikipedia.org/wiki/Pueblos_M%C3%A1gicos

Jewish Senior Care Mexico, Life Plan Communities Mexico, Mexico Senior Living, Nursing Homes Mexico, Senior Care Mexico, Senior Living Mexico

A Mexican Surprise – Cuernavaca Senior Care for the Jewish Community

Hanukkah 2022

Aside from dedication to senior care in Riverside County, California (Coachella, Palm Springs, Rancho Mirage), I have made a point of visiting small and large older adult residences in places I travel to. During the last 25 years I have gratefully been received at innumerable homes in California, Chile, Ecuador, Italy, and Mexico.

I must say, after spending time in Mexican government (DIF homes – department of social services), non-profits (mostly run by nuns), and for-profit homes in 16 states of Mexico, Eishel Nuestro Hogar (Eishel Our Home) in Cuernavaca, is a standout.

Possible reasons why…

This residence functions well because those in charge are serving older adults as their mission. And with compassion. In this way, residents and personnel feel at home despite any minor shortcomings.

At Eishel the director, the physician in charge, and the Board of Directors are transparent. They welcome all who wish to learn about their residence. You may eat a meal, spend the night, or stay longer if you wish to acquaint yourself with the environment. This is unusual.

Few homes in Mexico choose to be as open. Few homes have web pages with authentic photos. For financial and social reasons, many Mexican homes, if they have an Internet presence, choose Facebook.

Culturally, Jewish people are super organized. They care and support each other well. Yes, this is a biased statement, yet it is based on years of observation. (I was NOT brought up in the Jewish faith).

Let’s do a walk through of Eishel Nuestro Hogar/Eishel Our Home :

First, I was expected. Nice !!

For obvious reasons, there is serious security. The modern compound is walled. Within double-locked doors the guards reviewed my ID, then called the administrator.

I was shown to the courtyard where I waited on a comfortable bench with a view through glass front doors to the synagogue. The air was crisp, dry, and warm. (Cuernavaca is known for its spring climate throughout the year).

Synagogue at Eishel Nuestro Hogar, Cuernavaca, Mexico

Within minutes the administrator (who came on her day off) greeted me with the physician in charge. They generously gave their time for a detailed and meaningful tour of the entire compound.

From an American point of view Eishel is a CCRC – a Continuing Care Retirement Community with independent living, assisted living, rehabilitation, nursing care, and end-of-life accomodation. The difference from most CCRC’s in the U.S. is that you offer a monthly donation, and do not own.

Eishel is an A.C., Asociación Civil, a non-profit that has existed in various forms since 1947, 75 years ago. (The first recognized assisted living with 24/7 care in the U.S. opened in Portland, Oregon in 1981).

The Eishel campus has lovely manicured grounds, two modern two-story residences, an outdoor theater, a sculpture garden, an herb garden, two gazebos, and a wall of plaques recognizing the donors.

A gazebo at Eishel Nuestro Hogar facing the independent living indoor/outdoor dining room

Eishel Nuestro Hogar Donor Garden

The fresh herb garden is maintained by residents, the chef, and kitchen staff. In addition to herbs there are tomatoes, lettuce, peppers, and more. Pineapples, blackberries and strawberries also grow on the grounds.

We visited residents in their comfortable airy rooms, the nursing floor, and stopped by the currently empty end-of-life suite with one large light-filled room for the resident patient and another room for his or her family.

Note : Even though some senior living administrators in Mexico have thought to create hospice within senior living, Eishel is the only residence I have visited that has sustained such a space. HOLA (Hospice of the Angels) tried this concept in their Morelia assisted living residence for two years during the pandemic. Unfortunately HOLA closed for a variety of reasons.

The nursing floor …

Eishel Nuestro Hogar Infirmary

Dr. Golub attending to patients in nursing floor day room at Eishel

Nursing floor dining room with views to nature and tables to accommodate reclining wheelchairs. Visitors from other countries have come to see the unusual curved tables so they might replicate similar practical tables in their nursing areas.

There are two sparkling, immaculate kitchens honoring kosher tradition.

Eishel’s current population of 72, with room for 140, is mostly Mexican. There are residents from Europe and the U.S. The languages most heard are Spanish, Yiddish, and English, in that order. Entrance is for anyone of Jewish faith either Ashkenazi or Sephardic. One must be 65 years of age, wish to live there, and agree to the rules. Persons with aggressive behavior or on dialysis are not admitted. Please see the web site which outlines requirements. Your monthly payment is a donation to the non-profit.

Photo of rehabilitation patio with Dr. Golub greeting residents, and Director Gonzalez in black and beige blouse dancing in front of a resident

Activities include movies (there is a theater), tai chi, trips, art classes, occupational therapy, and more. There is a library. A 70-year-old retired coffee table book author from Mexico City shared with me that he teaches writing. He lives at Eishel for « the fabulous year-round weather, intellectual conversation, the food, and the sense of community. »

According to the director, there is little staff turnover. Some employees stay 25 years.

Every two months Eishel publishes a full-color mini-magazine, a gazeta. There are articles by board members, residents, and staff on a variety of subjects.

Meaning of the name Eishel :

The Hebrew letters Eishel or Aishel (aleph, shin, lamed) are an acronym for Achila (feeding), Shtiya (drinking), and Linah (lodging). Since ancient times, Eishel denoted an inn.

In case you are wondering about population of Jews in Mexico and the rest of the world :

According to the Pew Research Center there are about 14 million Jews around the world representing 0.2% of the global population:

“While Jews historically have been found all around the globe, Judaism is highly geographically concentrated today. More than four-fifths of all Jews live in just two countries, the United States (41%) and Israel (41%).”

According to American Jewish Aging Services there are over 95 Jewish organizations or homes serving older adults in the U.S.

According to Wikipedia approximately 70,000 Jews (both Ashkenazi and Sephardic) live in Mexico (primarily Cuernavaca, Lake Chapala, Mexico City, Puerto Vallarta, and San Miguel de Allende). Another 230,000 live in Argentina.

The first Jews, known as Crypto or Converso Jews because they converted to Catholicism during the Inquisition in Portugal and Spain, came to the Americas with Christopher Columbus on his first expedition (according to Wikipedia and information from the University of Florida George A. Smathers Libraries). They were called cryptos because they secretly practiced their faith but were publicly Catholics.

Summation

My visit was satisfying. Eishel is an unusual Mexican senior home. Its administrators show they are vested in well-being. At this time the residents are mostly Jewish Mexicans and the help is mostly Mexican. The atmosphere is comfortable and convivial, likely the result of residents having much in common. The true reveal would be living there or visiting Eishel over a period of time.

You may read more about the Eishel home and staff at https://www.eishel.org/ or write to mr.gonzalez@eishel.org

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 to connect Americans, Canadians, and Europeans with options for loved ones. She has assessed hundreds of senior housing choices in 16 Mexican states. Her web site is https://www.WellnessShepherd.com

Resources:

https://es.wikipedia.org/wiki/Jud%C3%ADos_en_Am%C3%A9rica_Latina_y_el_Caribe   Most Latin American Jews live in Argentina – 230,000; 70,000 live in MX.   In Argentina there are all-Jewish senior care homes, I easily located three on the Internet.  https://beitsion.org.ar/ , https://hogarledorvador.org/quienes-somos/ (modern), https://auno.org.ar/el-hogar-israelita-refugio-para-los-abuelos 4

https://ajas.org/senior-living-resources/find-a-jewish-senior-community/map-of-all-jewish-senior-communities/ map of Jewish senior living communities in the U.S., about 70 total, most in New York, New Jersey, and Florida.

https://www.tabletmag.com/sections/community/articles/the-jews-of-san-miguel-de-allende

Aging, Falls and Injuries in Mexico, Retirees in Mexico, Retirement in Mexico, Senior Living Mexico

A Note to Expat Retirees: Avoid Falling in Mexico (or anywhere)

Oh, did someone say FALL or FALLING?!!!

One hour south of Guadalajara, Mexico’s second largest city, is the quaint village of Ajijic, a Pueblo Magico. For those of you who have visited or lived there, you have may have heard or read that the village is also known as the “City of Fallen Women.”

The Fallen Women are foreigners. Foreigners who have tripped on river rock, rough cobblestone, or lone pieces of steel rebar. They have broken hips, femur bones, wrists, or sadly lost their lives with complications from falls. Fewer men fall. As I write it is reported that one older adult male was walking in Chapala Centro, three miles from Ajijic, at 8:19 a.m. Sunday, September 26. According to a witness, he fell, hit his head, and died.

A few years ago, I felt just as sorrowful when I learned a similar story. I think of it often. A 60-year-old male fell in Ajijic, impaled his head on river rock, and died. Someone reported he was fit and had no health conditions. That may be true or not. No matter what, surviving a fall or dying from a fall is sad and painful, an event to be avoided no matter where you live. But if you are in Mexico it’s good to have a plan if you do fall and to walk with awareness even though it is easy to get distracted.

The worst-case scenario is falling and dying alone. In Mexico your body will be transported to the closest SEMEFO (Servicio Medico Forense or Medical Forensic Service) for an autopsy and your family and friends will have quite a challenge retrieving your corpse. Even if your government makes a call to assist, your government does not interfere or have influence with the Mexican government SEMEFO unless you get lucky.

Several ladies I’ve met at Lake Chapala have fallen on the street or at home. Fortunately, they were in company or had cell phones to call for help. They also had immediate access to doctors. They or companions had pre-organized for such an event, just in case. Recovery was rarely easy but thankfulness for rescue is the continued message.

A reminder for why I do not wish to fall anywhere, I wish to keep dancing. This lovely mural may be found at the base of Colon Street in the Pueblo Magico of Ajijic.

Fall Awareness Week was commemorated September 18-24 in the U.S.

Throughout the coming fall/autumn weeks fall prevention workshops are being held at senior centers in the U.S. Fortunately, in Mexico, most expat communities offer balance and exercise classes as well as services with local physical therapists.

Current statistics related to older adults falling in the U.S. (and Mexico):

The U.S. Center for Disease Control (CDC) and innumerable other studies report the following:

1 in 4 older adults fall each year

1 in 4 falls result in an increased level of care

Every 19 minutes an older adult dies from a fall (in the U.S.)

Persons with Alzheimer’s and other forms of dementia fall more, and person-centered care is critical for them

Falls are the leading cause of both fatal and non-fatal injuries for older adults

The cost of falls is $50 billion per year across the U.S. health system – emergency rooms, hospitals, rehab, and more.

Mexico’s INEGI (National Institute of Statistics and Geography) has population stats, aging stats, and mortality figures (but not by cause). On the Instituto Nacional de Geriatria Mexico City website I was unable to discover statistics related to falls. Studies of the last three years have focused on poverty, nutrition, care of chronic illness, and COVID. Nonetheless, falls happen in Mexico, and not just to expats.

With care and attention most falls can be prevented. When they are prevented, they save you and healthcare systems high costs financially, physically, and emotionally.

What should anyone of any age, especially an older adult, pay attention to now? Preventive measures?

1. Assess your fall risk. Protect your bones. Many older adults are not aware they may be walking around with osteoporosis, also known as the “silent disease”. The cost of a bone density test in Mexico is reasonable (for most). Discuss the results with your physician, chiropractor, or naturopath. Read about diet, exercise, supplements and more.

2. Join an exercise program focused on building balance and strength. Expat communities throughout Mexico offer pilates, yoga, training at gyms, and specialized classes for older adults at senior centers known as “centros geriatricos.”  As mentioned, physical therapy may also be helpful.

3.  Dress sensibly. Wear clothing you will not trip on. Wear sensible shoes that support and cushion your feet. Flip flops, for example, are not the best choice of sandal at a certain age, easy to twist an ankle.

3. Check your vision, hearing, and medications. Some medications may cause weakness, fogginess, forgetfulness. Be aware.

4.  If you do fall, yes, there could be an emotional toll. You may feel shame or anxiety. Even if the fall is unwitnessed, best to share the information with chosen healthcare professionals and friends. It is fine to self-recover but letting someone know what happened will create a history to refer to and will assist healthcare professionals should you fall again (hopefully not).

5. Consider using a cane or walking stick. No need to stay inside. Movement is more important than no movement. Walk in safe places without skateboards, bicycles, and other moving forces that could harm you.

6.  Consider making where you live safe and barrier free by following universal living design standards. Wood floors and linoleum are preferred as the materials cushion falls to some degree. No slippery or wet floors. Well-lit rooms and corridors. Grab bars. See links below in Resources for ways to create an environment friendly to falls and most disabilities.

7. Companions or buddies to keep an eye on you. Whether you are a solo ager, married, or with a significant other, it is wise to have at least two persons you can call for rescue. Make that three, with your doctor. As the National Council on Aging suggests, “make fall prevention a team effort.”

Wishes for your wellness and no falls! Please be careful.

Resources:

National Council on Aging.  https://ncoa.org/older-adults/health/prevention/falls-prevention

Safely You is a San Francisco-based company focused on preventing falls in senior living and skilled nursing. Their well-documented report “The 2022 State of Falls” is available for download on their website.  https://www.safely-you.com/

Universal Design Standards for aging and disabilities  https://aginginplace.com/universal-design/  https://www.buffalo.edu/access/help-and-support/topic3.html#  https://www.forbes.com/sites/amandalauren/2019/07/28/building-and-designing-homes-for-people-with-disabilities/

Dr. Leslie Kernisan’s blog about medications that may cause falls https://betterhealthwhileaging.net/preventing-falls-10-types-of-medications-to-review/

https://www.homecaremag.com/february-2023/5-key-steps-protect-seniors-dangerous-falls

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 to connect Americans, Canadians, and Europeans with healing options for loved ones. She has assessed hundreds of senior housing choices in 16 Mexican states. Her web site is https://www.WellnessShepherd.com.

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