NAICS 6233 - Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly

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What is NAICS 6233

NAICS code 6233 covers establishments primarily engaged in providing residential care combined with either nursing, supervisory, or other types of assistance required to meet the needs of the elderly or disabled. This sector includes continuing care retirement communities (CCRCs) and assisted living facilities that offer a range of services from independent living to skilled nursing care. Businesses operating in this sector often provide a continuum of care, enabling residents to age in place while maintaining access to necessary health and personal care services. Government agencies contract for these services to support aging veterans, low-income elderly populations, and individuals requiring assisted living or nursing care in a structured community environment, ensuring quality long-term care and supportive housing options.

Breakdown for NAICS 6233

  • Includes facilities providing a range of residential and nursing care for elderly and disabled individuals.
  • Encompasses both continuing care retirement communities and assisted living facilities.
  • Facilities may offer skilled nursing, personal care, and supervisory assistance services.
  • Subject to federal and state healthcare regulations and licensure requirements.
  • Serves populations including low-income elderly, veterans, and persons with disabilities.
  • Facilities vary in size from small assisted living homes to large retirement campuses.

Included Activities for NAICS 6233

  • Providing assisted living services including medication management and personal care.
  • Operating continuing care retirement communities with multiple care levels.
  • Delivering skilled nursing and rehabilitative care within residential settings.
  • Managing resident health assessments and individualized care plans.
  • Ensuring compliance with federal and state healthcare regulations.
  • Coordinating social activities and wellness programs for elderly residents.
  • Collaborating with government agencies for funding and compliance reporting.
  • Maintaining facility safety standards and emergency preparedness protocols.

Business Types for NAICS 6233

  • Continuing care retirement community operators
  • Assisted living facility providers
  • Nonprofit elderly care organizations
  • Veterans’ residential care providers
  • Healthcare service management companies
  • Senior housing developers and operators

Government Buyers for NAICS 6233

Federal and state government agencies such as the Department of Veterans Affairs (VA), Department of Health and Human Services (HHS), state Medicaid programs, and public housing authorities commonly procure services under this NAICS code. These agencies seek partnerships with qualified providers to fulfill mandates for elderly care, veterans' long-term care, and community-based services. By contracting these services, government entities ensure access to specialized care facilities that meet regulatory standards, support population health management, and reduce hospital readmissions among seniors and disabled individuals.

Contract Types & Procurement for NAICS 6233

Contracts in this sector typically include firm-fixed-price and cost-reimbursement agreements, often structured as service contracts or cooperative agreements. Procurement methods range from competitive bidding to sole-source awards, especially when specialized care or geographic coverage is required. Contract values vary widely depending on facility size, scope of care, and duration, with multimillion-dollar contracts common for comprehensive continuing care retirement communities. Government contracts may also include grants or vouchers for residential care services, emphasizing compliance with federal and state health regulations and quality assurance standards.

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