it also encourages opportunities of new innovation and technologies new business models and investment strategies remodelling of the existing housing stock this demographic change is occurring in both the rural and urban united states providing appropriate health and social care services to low and middleincome seniors in rural areas is particularly difficult most senior households in rural areas are in scattered singlefamily homes rather than communal settings transport to and from health and social care services such as hospitals senior centres or meal programmes is a key challenge given the lower housing density and service coverage