Manorcare Health Services (Citrus Heights)

Save

  • Interior

    A hospital room with two patient beds and chairs, designed for medical care.

  • Outdoors

    A modern brick building basking in sunlight, surrounded by green grass and a clear blue sky.

  • Decor

    A modern waiting room with comfortable seating and vibrant decor.

  • Building

    A well-maintained residential area featuring a building surrounded by greenery and a pathway.

  • Trees

    A picturesque autumn scene featuring a charming house surrounded by colorful trees and a white fence.

  • Windows

    A well-lit and clean hospital patient room featuring two beds and seating.

  • Landscaping

    A view of a parking lot surrounded by greenery and a building in the background.

  • Lighting

    A well-lit hospital hallway featuring colorful informational posters on the wall.

  • Artwork

    A modern and inviting healthcare waiting area designed for patient comfort.

  • Hallway

    A hospital hallway with informational signs on the wall.

  • Healthcare

    A sign for ManorCare Health Services, indicating the location of a healthcare facility.

  • Rehabilitation

    A specialized therapy vehicle designed for rehabilitation purposes in a medical setting.

Manorcare Health Services (Citrus Heights)

7807 Uplands Way, Citrus Heights, CA 95610

For more information about senior living options: (844) 490-3973

2.9 from 19 reviews
5 stars
2
4 stars
6
3 stars
3
2 stars
4
1 stars
4

Skilled Nursing Facility

Overall Review

Pros

  • pro The staff at ManorCare Health Services-Citrus Heights provided exemplary care, demonstrating knowledge and extensive support for patients.
  • pro Residents experienced a clean and pleasant environment, with no unpleasant odors reported.
  • pro The physical and occupational therapy teams were highly praised for their effectiveness and dedication to helping residents recover.
  • pro Many reviewers expressed gratitude for the nursing staff, highlighting their efforts to make patients feel safe and comfortable despite the challenges they face.
  • pro ManorCare offers good security measures, ensuring a safe environment for residents.
  • pro Activities such as singing sessions and games like Bingo were noted as positive aspects of resident engagement within the facility.

Cons

  • pro The care at the facility is awful, with staff showing neglect towards residents.
  • pro Employees reportedly run the halls and have no control over the treatment of patients by CNAs.
  • pro Residents are isolated and not allowed out of their rooms, causing additional emotional distress.
  • pro There are complaints about inadequate response times when patients ring their bells for help.
  • pro Communication between staff and families is lacking, leading to unresolved issues and dissatisfaction with care.
  • pro There were reports of residents being left unattended inappropriately, resulting in incidents of discomfort and neglect.
  • pro Access to doctors and timely medical attention appears to be a concern, with some patients experiencing delays in necessary care.
  • pro The dining options were described as bland and unappetizing, contributing to an overall negative experience during the stay.

Review

The quality of care at nursing and rehabilitation facilities can profoundly affect the lives of residents and their families. Reviews for ManorCare Health Services in Citrus Heights illustrate a wide spectrum of experiences, reflecting both commendations and serious concerns about the level of care provided. While some families express deep gratitude for the services rendered, others raise alarming issues that highlight neglect and inefficiencies within the system.

On one side of the spectrum, several former residents and their families speak positively about their time at ManorCare. One individual shared an emotional farewell to staff members after a successful two-week stay following knee replacement surgery, praising the physical and occupational therapists for their dedication and competence. They noted significant improvements in movement and range of motion post-treatment, highlighting that even physicians were surprised by the progress made during their stay. This sentiment is echoed by other reviewers who appreciated the cleanliness of the facility, competent nursing staff, and structured therapy programs that helped them or their loved ones achieve specific health goals.

However, contrasting these positive reviews are accounts detailing severe deficiencies in patient care at ManorCare. Multiple reviewers expressed deep concern regarding neglectful practices that led to dire health consequences for residents. One family recounted their distress over inadequate attention given to a loved one who subsequently suffered from repeated urinary tract infections due to what they described as neglectful practices including withheld call buttons designed to summon help. Such allegations reflect not only a lack of responsiveness but also a troubling disregard for resident dignity—another reviewer vividly described desperate cries from residents going unheard as employees hurried past them without acknowledgment.

Communication breakdowns within the facility emerged as another theme among dissatisfied clients. A reviewer lamented how their loved one was left unattended near nursing stations without adequate supervision or care while they visited. Furthermore, there was frustration directed toward management’s apparent inability to maintain control over staff behavior, leading to dissatisfaction with how nurses interacted with patients and family members alike. For some families returning after previous positive experiences found notable declines in service quality—indicating potential fluctuations over time within staffing dynamics or overall management strategies.

In light of such grievances regarding attentiveness to resident needs and communication failures, some individuals have opted to relocate their loved ones elsewhere. For instance, one harrowing review recounted an incident where a resident required emergency medical assistance due to insufficient monitoring which resulted in dangerously low oxygen levels before being transported out via 911 call—a critical failure that ultimately prompted them to seek alternate accommodations altogether.

Despite these troubling reports surrounding quality of care at ManorCare Health Services-Citrus Heights, it is essential to acknowledge those whose experiences tell a different story. Many praised staff efforts amid clear systemic challenges like staffing shortages—often noting that nursing teams worked diligently despite overwhelming conditions faced on a day-to-day basis.

Overall, prospective residents or families seeking placement for loved ones should carefully weigh both sides represented here when considering ManorCare Health Services-Citrus Heights as an option. The mixed feedback highlights how subjective experiences can vary significantly depending on individual circumstances within any healthcare setting—and underscores the necessity for ongoing transparency regarding care standards across skilled nursing facilities.

Features

Housing

  • 162 resident community capacity 162 resident community capacity

Types of Care

  • Skilled Nursing Facility Skilled Nursing FacilitySkilled Nursing Facilities are crucial for seniors as they provide round-the-clock medical care, rehabilitation services, and assistance with daily activities. These facilities ensure that seniors receive the specialized care they need to maintain their health and well-being as they age.

Amenities

  • Air-conditioning Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
  • Beauty salon Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
  • Cable or satellite TV Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
  • Computer center Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
  • Dining room Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
  • Fitness room Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
  • Fully furnished Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
  • Gaming room Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
  • Garden GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
  • Housekeeping services Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
  • Kitchenette KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
  • Move-in coordination Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
  • Outdoor space Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
  • Private bathrooms Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
  • Restaurant-style dining Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
  • Small library Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
  • Telephone TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
  • Wellness center Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
  • Wi-Fi/high-speed internet available Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.

Transportation

  • Sacramento International (17 miles away) Sacramento International (17 miles away)
  • Community operated transportation Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance.
  • Transportation arrangement Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life.
  • Transportation arrangement (non-medical) Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options.
  • Transportation to doctors appointments Transportation to doctors appointmentsTransportation to doctors appointments is crucial for seniors as it ensures they have access to necessary medical care and support, promoting their health and well-being. It allows them to receive timely treatment, monitor existing conditions, and address any new health concerns efficiently. Additionally, transportation services can help seniors maintain their independence and quality of life by enabling them to stay connected with their healthcare providers.

Care Services

  • 12-16 hour nursing 12-16 hour nursing12-16 hour nursing care is crucial for seniors in order to ensure around-the-clock monitoring, timely medication administration, and prompt response to any health concerns or emergencies. This level of care helps to promote the overall well-being and safety of seniors living in senior living communities.
  • 24-hour call system 24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities.
  • 24-hour supervision 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security.
  • Activities of daily living assistance Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
  • Assistance with bathing Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
  • Assistance with dressing Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
  • Assistance with transfers Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Meal preparation and service Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
  • Medication management Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
  • Mental wellness program Mental wellness programMental wellness programs are essential for seniors as they promote cognitive stimulation, emotional support, and social engagement. These programs help prevent isolation, depression, and cognitive decline, ultimately enhancing the overall quality of life for older adults.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Dining

  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Activities

  • Community-sponsored activities Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
  • Concierge services Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security.
  • Fitness programs Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
  • Planned day trips Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life.
  • Resident-run activities Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers.
  • Scheduled daily activities Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.

Description

Manorcare Health Services in Citrus Heights, CA is a charming assisted living community that offers a wide range of amenities and care services to ensure the comfort and well-being of its residents. The community features a beauty salon where residents can indulge in pampering treatments, as well as cable or satellite TV in each room for entertainment. Community operated transportation is available to help residents get around town, and there is also a computer center for those who want to stay connected.

Meals are served in a spacious dining room with restaurant-style dining, offering delicious and nutritious options prepared by the community's skilled culinary team. Residents can also enjoy their meals in the outdoor space or have access to a kitchenette if they prefer to prepare their own meals.

There are plenty of opportunities for socializing and staying active within the community. A fitness room is available for exercise enthusiasts, as well as gaming and small library rooms for leisure activities. Planned day trips and resident-run activities are organized regularly, ensuring that there is always something fun happening.

Residents can rest easy knowing that 24-hour call system and supervision are provided, along with assistance with daily activities such as bathing, dressing, and transfers. Medication management is also available to ensure that residents receive the proper medications at the right times. Special dietary restrictions and diabetes diets are accommodated, promoting overall wellness.

The location of Manorcare Health Services offers convenience with several nearby amenities. There are numerous cafes, parks, pharmacies, physicians' offices, restaurants, places of worship, theaters, and hospitals all within close proximity.

Overall, Manorcare Health Services in Citrus Heights provides a warm and inviting environment where seniors can receive personalized care while enjoying an active lifestyle surrounded by beautiful gardens and excellent amenities.

Nearby Places of Interest

Restaurants

  • El Tapatio (0.2 miles)
  • Raising Cane's Chicken Fingers (0.7 miles)
  • Wendy's (0.9 miles)
  • McDonald's (0.9 miles)
  • Chick-Fil-A (3.5 miles)
  • McDonald's (3.6 miles)
  • In-N-Out Burger (3.7 miles)

Pharmacies

  • Rite Aid (0.2 miles)
  • Sunrise Village (0.2 miles)
  • Walgreens (0.7 miles)
  • CVS Pharmacy (1.1 miles)
  • CVS Pharmacy (1.7 miles)
  • Walgreens (2 miles)
  • Rite Aid (2.3 miles)

Physicians

  • UC Davis Medical Group (0.7 miles)
  • Mercy San Juan Hospital (2.1 miles)
  • EYEcenter Optometric (3.1 miles)
  • Dr. Randolph Brown (3.1 miles)
  • Debruin Medical Center (3.8 miles)
  • Linder Psychiatric Group (5.2 miles)
  • Mary Jammal MD (5.5 miles)

Cafes

  • Dutch Bros Coffee (0.9 miles)
  • Starbucks (1 miles)
  • Starbucks (1.8 miles)
  • Starbucks (2 miles)
  • Starbucks (2.9 miles)
  • Starbucks (4 miles)
  • Starbucks (4.4 miles)

Places of Worship

  • St Mel's Catholic Church (1.1 miles)
  • Crossroads Christian Fellowship Wesleyan Church (1.8 miles)
  • SDA Ukrainian Church (1.8 miles)
  • Slavic SDA Church (5.3 miles)

Hospitals

  • San Juan Surgery Center (1.8 miles)
  • Walnut Whitney (4.7 miles)
  • Kaiser Permanente Hospital (5.6 miles)
  • Yuan Franklin E MD - Kaiser Permanente Medical Group (5.6 miles)
  • Kaiser Permanente Labor and Delivery (5.7 miles)

Parks

  • Sacramento Bar (2.2 miles)
  • Sunrise Area American River Parkway (2.5 miles)
  • Nimbus Flat (3.9 miles)
  • Carmichael Park (4 miles)
  • Effie Yeaw Nature Center (4 miles)
  • Ancil Hoffman Park (4.5 miles)
  • Negro Bar State Park (4.6 miles)

Theaters

  • Century Theatre (3.4 miles)
  • Folsom Century Theaters (4.9 miles)

Transportation

  • Roseville Amtrak (5.7 miles)

Frequently Asked Questions

Where is Manorcare Health Services (Citrus Heights)?
What photos are available for Manorcare Health Services (Citrus Heights) in Citrus Heights, California?

Nearby Communities

  • Heritage Care Home

    Heritage Care Home

    Citrus Heights, CA

     
     

    pro Convenient location with abundant nearby amenities and personalized care.

  • Popo's Place

    Popo's Place

    Citrus Heights, CA

     
     

    pro Small, intimate 6-bed setting with personalized care and comprehensive daily support.

    con Limited capacity may affect availability.

  • President John Adams Manor

    President John Adams Manor

    Citrus Heights, CA

     
     

    pro Strong nearby amenities including cafes, parks, pharmacies, restaurants, places of worship, theaters, and a hospital.

  • Senior Helpers of Fair Oaks

    Senior Helpers of Fair Oaks

    Fair Oaks, CA

    3.8 from 9 reviews
     

    pro Compassionate, attentive caregivers with responsive communication and flexible OT/PT options.

    con Occasional communication gaps and a need for regular caregiver-hour updates.

  • Wavertree Ranch

    Wavertree Ranch

    Citrus Heights, CA

     
     

    pro Comprehensive assisted living with 24/7 supervision, ADL support, meal service, diabetes-friendly dining, and move-in coordination.

    con Small community capacity (6 residents) may limit availability.

  • Wavertree Ranch, LLC

    Wavertree Ranch, LLC

    Citrus Heights, CA

    5 from 1 review
     

    pro Small, home-like setting with attentive staff and engaging activities.

    con Limited space and resources may restrict activities and overall care capacity.

  • Oakmont of Fair Oaks

    Oakmont of Fair Oaks

    Fair Oaks, CA

    4.4 from 40 reviews
    $4,195 to $8,495 / month

    pro Caring staff in a well-maintained, amenity-rich setting with engaging activities.

    con Inconsistent housekeeping and some staff issues; concerns about hidden charges and traffic noise.

  • Citrus Crest Care Home

    Citrus Crest Care Home

    Citrus Heights, CA

     
    $2,500 to $4,200 / month

    pro Small, intimate setting with personalized care and affordable rates.

    con Limited capacity (6 residents) may limit availability.

  • Pine Creek Care Center

    Pine Creek Care Center

    Roseville, CA

    3 from 7 reviews
     

    pro Caring staff and effective rehab services.

    con Occasional understaffing and communication issues; some reports of neglect and safety concerns.

Skilled Nursing Facility in Nearby Cities

Related Resources

  • caring for elderly parentsNurturing Our Elders: Linda's Journey of Supporting Her Mother

    Linda's caregiving journey for her elderly mother, Joan, is marked by deep love and challenges as she navigates health changes, emotional support, and practical arrangements while learning to prioritize self-care and utilize community resources. Their evolving relationship highlights resilience and the universal themes of empathy and preparedness in caregiver experiences.

  • obtaining power of attorney without consentA Comprehensive Exploration of Common Misunderstandings about Powers of Attorney

    The article clarifies common misconceptions about Powers of Attorney (POA), highlighting the necessity of the principal's consent, the limitations on an agent's authority, and the importance of mental capacity when signing. It also distinguishes between various types of POAs, addresses concerns about potential abuse, and emphasizes the need for legal consultation to ensure valid and up-to-date documents.

  • senior move managementSenior Move Management: Understanding the Role, Value, and Associated Costs

    Senior move management provides specialized support for older adults relocating by assisting with logistics, emotional challenges, and downsizing decisions to ensure a smooth transition to new living environments. These services address the unique needs of seniors and have become increasingly important as baby boomers retire and seek to downsize.