
#113 - Building Senior Living the Middle Market Can Actually Afford with Melissa Brown
Summary In this episode, Jerry Vinci sits down with Melissa Brown, Chief Operating Officer of Gravity Consulting, a firm that works across assisted living, senior living, and home health, from community turnarounds to the financial side of getting new projects off the ground. An occupational therapist by training with more than two decades across the care continuum, Melissa now spends much of her time on a problem most of the industry has been avoiding: how to build and run communities that middle income families can actually afford. She does this work as a hands on operator and on many projects as a minority owner helping bring these models to market. The conversation explores the decline of the traditional entry fee model, which Melissa describes as on life support. Melissa defines the middle market as the bottom 50% of baby boomers who have a million dollars or less heading into retirement, many relying on government subsidies that don't actually help with most senior living. She explains how Gravity has been involved with innovative project approaches including converting owned office space, manufactured home communities, and repurposing historical buildings, all designed to serve families who cannot afford $8,000 to $15,000 per month. The discussion shifts to adaptive reuse and how starting with an owned office building makes price points under $4,000 per month possible when new construction cannot. Melissa emphasizes the importance of building an ecosystem around the resident, including home care, home health, physical therapy, adult daycare, and other services that build brand loyalty both on and off campus. The conversation also addresses the importance of therapy and care quality, how contract therapy models have failed under PDPM, and why Gravity recommends hybrid models that double therapy margins while improving outcomes. Key Topics The decline of the traditional entry fee model and why baby boomers are shifting away Defining the middle market and understanding the unmet need for affordable senior living Why CCRCs still have high occupancy despite changing preferences Innovative approaches including manufactured homes and adaptive reuse of office buildings How front of the line assisted living access solves waiting list problems Learn More Connect with Melissa Brown on LinkedIn: https://www.linkedin.com/in/melissa-brown-21778b166/ Learn more about Gravity Consulting: https://gravityconsulting.com/
















