Understanding the Service Landscape of Naturally Occurring Retirement Community Supportive Service Programs (NORC-SSPs) in New York State

Background: As global ageing accelerates, countries worldwide are increasingly facing social and economic challenges posed by rising older populations. Many nations are responding by optimizing healthcare systems, strengthening community-based ageing models, and promoting healthy ageing policies. The Naturally Occurring Retirement Community (NORC) is gaining recognition as a promising approach due to its cost efficiency and ability to meet diverse ageing-related needs. However, systematic research on the service models of NORCs remains scarce. Objective: This study aims to systematically examine the service offerings of Naturally Occurring Retirement Community Supportive Service Programs (NORC-SSPs) and analyze how these programs contribute to supporting ageing in place. Methods: A qualitative content analysis was conducted on official website information from 60 NORC-SSPs in New York State. Service categories were identified, coded, and compared across different geographic and structural contexts. Results: The analysis shows that education, healthcare management, and recreational activities are the most frequently provided services, with health-related services playing a central role in supporting older adults to age in place. Differences in service priorities were also observed between rural and non-rural settings, as well as between vertical and horizontal built environments, reflecting the adaptability of NORC-SSPs to varying community conditions. Conclusions: By identifying key service characteristics, this study provides insights for policymakers and practitioners in Australia and other countries seeking to implement sustainable, community-based models of ageing support. Grounded in the concept of “ageing in place”, the findings contribute to the development of inclusive and flexible service systems for older adults.