With years-long waiting lists, these places must be able to command quite a premium for their services. So far, at least, we have decided to just wait until we need long-term care services - and hope we don't ever need them.
Having looked at some really "nice" CCRCs, we see the appeal to some folks but we just couldn't ever pull the trigger and commit to being "institutionalized." Only time will tell if we have made the right decision. YMMV
Ko'olau's Law -
Anything which can be used can be misused. Anything which can be misused will be.