Adult Day Care Client Options

Older persons with disabilities—physical, develop- mental and cognitive—are needing and using home and community-based services in greater numbers.

This is partly because advances in medical treat- ment have enabled individuals with developmental and intellectual disabilities to live much longer than ever before possible. Some ADS providers have responded to this unmet need by offering special- ized programming for older adults with mental retardation or developmental disabilities (MR/DD).
Recent federal and state initiatives have also increased the number of younger persons with dis- abilities receiving health and supportive services in their homes and communities. These include per- sons with physical, developmental, cognitive and psychiatric disabilities. Many of these individuals may be best served by a combination of adutl day and HCBS programs, while some may need very specialized services and supports. Attention should be given particularly to staffing and facility set-up when multiple target populations are mixed, such as older adults and younger adults with develop- mental or intellectual disabilities.

5 Reasons a Residential Care Home is Good for Your Parents

Residential Care homes are just that, residential homes. They are regular houses, in regular neighborhoods.  From the outside looking in you would never know that the home may be licensed by the state, exactly the same as a large assisted living facility seen in commercial areas.   Below are 5 reasons that residential care homes are a great alternative to a larger facility for your elderly loved one:

1. The homestyle environment gives seniors the opportunity to feel as they are still a part of a “family”.

2. The low resident to staff ratio allows caregivers to provide each senior with the one on one attention they deserve. Residents tend to have less incidents & falls because of the constant oversight by staff.

3. Most residential care homes offer “all inclusive” rates allowing the families & resident peace of mind & security when planning their financial future. The rate commonly includes meals, snacks, activities & assistance with activities of daily living such as bathing, dressing, toileting, urinary or bowel incontinence care.

4. For those suffering from Alzheimer's disease or other dementias, a small residential care facility can be an ideal setting.  Many licensed homes are Memory Care Certified!  Furthermore, memory care residents tend to feel more comfortable in a home-like environment versus a large facility.

5. Daily or weekly respite care is usually offered & is a great way to test out the scenario before committing to a move. Respite is also a great way for the current caregiver to take some much deserved personal time perhaps a night out or a weekend away. 

In a residential care setting, seniors still have the ability to carry on as normal a life as they wish or are able.  They can go shopping and have friends and family visit whenever they want.  If given the choice, most families will choose residential care over nursing home care for these reasons. When investigating permanent options for your aging loved one, remember, a nursing home is NOT the only option.

Editor’s Note: Article provided compliments of Kristy Wilson, licensed nurse & proud owner of Dignity Senior Care Homes, Senior Care in Texas and Senior Care Advisors, LLC. Kristy has over 20 years of experience with Alzheimer's and Dementia patients

Residential Care Homes

RESIDENTIAL CARE HOMES

Residential care homes are private homes that typically serve residents who live together and receive care from live-in caretakers. These homes offer assisted care services for seniors who want a more private, home-like community. Assistance with activities of daily living such as bathing and dressing are typically provided. Amenities and nursing services vary greatly between homes. Ask about their services when you tour.

Also Known As:

         Board and Care Homes

         Group Homes

         Adult Family Homes

Payment Sources:

         Private Pay

         Medicaid

Price Range:

                  $1500-$3000 per month depending on the services and level of care provided

More Grants

Construction and Renovation Grants

Federal grants are available for financing the construction and renovation of adult day care facilities in urban and rural areas. The U.S. Department of Housing and Urban Development funds the Community Development Block Grant program. These grants fund the construction and rehabilitation of adult day care and other health care and community facilities in cities and counties with more than 50,000 and 200,000 residents, respectively. The U.S. Department of Agriculture, sponsors the Community Facilities Grant Program. Grants are awarded to counties, towns and districts with less than 20,000 residents to build senior day care centers and equipment necessary to run the operations.

Food Services Grants

Senior day care operators can apply for grants to help with providing healthy meals. The Special Programs for the Aging, funded by the Department of Health and Human Services awards grants covering the expenses of purchasing and providing nutritious meals to the elderly in day care and other congregate settings. The USDA also sponsors a grant program called the Child and Adult Care Food Program, which provides healthy meals and snacks to adults while they’re in day care.

Nonprofit Grants

National and regional grants are also available from nonprofit organizations to start senior day care center businesses. The Kresge Foundation awards grants over $300,000 on for major capital projects such as facility construction and renovation and equipment purchases. These are challenge grants, which means applicants are required to raise capital from other sources to match the foundation. In North Carolina, the The Kate B. Reynolds Charitable Trust organization provides grants funding capital projects and equipment purchases for non-profit senior day care centers in rural areas throughout the state.

Health Equipment Grants

Grants from regional and national programs are available to owners of senior day care centers for the purchasing of medical equipment for their facilities. For example, the George S. and Dolores Doré Eccles Foundation awards grants to senior day care centers and other health care-related facilities in Utah to purchase equipment for their operations. The National Emergency Medical Association awards grants on a national scale for the purchase of health care equipment.

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National Study of Long-Term Care Providers

Lisa L. Dwyer, M.P.H.; Lauren D. Harris-Kojetin, Ph.D.; and Roberto H. Valverde, M.P.H.

Key findings

Data from the National Study of Long-Term Care Providers

• In 2012, more than one-third of participants in adult day services centers were younger than 65. A higher percentage of participants in nonprofit centers than in for-profit centers were younger than 65.
• About one-half of participants in adult day services centers were non-Hispanic white persons. A higher percentage of participants in for-profit centers than in nonprofit centers were Hispanic or were non-Hispanic and of a race other than black or white.
• Almost one-third of adult day services center participants had Alzheimer’s disease or other dementias, and about one-quarter had a developmental disability. A lower percentage of participants in for-profit than in nonprofit centers had Alzheimer’s disease or other dementias or a developmental disability.

The 4,800 adult day services centers nationwide provide a variety of services to their 273,200 participants, the majority of whom are older adults and women (1). The number of for-profit adult day services centers has grown in recent years (2). The 1,900 for-profit centers, representing 40% of centers nationally, served nearly one-half (47%) of center participants in 2012 (3). Using data from the National Study of Long-Term Care Providers, this report presents selected characteristics of adult day services center participants in 2012 and compares the characteristics of participants in for-profit centers with those in nonprofit centers. State-level estimates for characteristics presented in this data brief are available from: http://www.cdc.gov/nchs/nsltcp/nsltcp_products.htm.

Adult Day Care Acronyms

The following acronyms are mentioned in this report and/or state profiles.
AAA Area Agency on Aging
ADC Adult Day Care
ADH Adult Day Health
ADH-M Adult Day Health Services-Mobile
ADHC Adult Day Health Care
ADHS Adult Day Health Services
ADL Activity of Daily Living
ADP Adult Day Program
ADS Adult Day Services

Elopment Risk Form

[Adult Day Services Center/Program Name]

ELOPEMENT RISK ASSESSMENT

Client:   _____________________________________                                                    Date:     _________________

Check all that apply:

1.     Orientation:

 Alert                  Confused *    Disoriented *

 Oriented:       Time                  Place                 Person

2.     Behavior:

 Calm                  Combative    Agitated *

3.     Ambulation:

 Independent *             ( Walker   Cane)

 Wheel Chair                                     Self Propels in Wheel Chair *

4.     Exit Seeking Behaviors: *

 Attempts to leave Center alone and is not safe to do so

 Observed attempting to open doors

 Verbalizes, “I’m going home…”

 Observed attempting to leave Center

 Other __________________________________

5.     “At Risk” Status:

If participant scores on any starred (*) items in question 1, 2, or 3, AND any item in #4, they are to be considered at risk for elopement.

6.     Client is “At Risk” for Elopement

 Yes                      No

7.     If yes:

 Update Service Plan

 Designate Risk on Assignment Sheet

 Informed Family and Document

 Update Monitoring Plan

 Other ________________________

Social Worker / Nursing Signature: __________________________        Date: ________________

Nasco Senior Activities Book

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Adult Day Care Facts

• Nearly 78 percent of adult day centers are operated on a nonprofit or public basis and the remaining 22 percent are for profit.¹
• 70 percent of adult day centers are affiliated with larger organizations such as home care, skilled nursing facilities, medical centers, or multi-purpose senior organizations.
• The average age of the adult day center care recipient is 72¹, and two-thirds of all adult day center care recipients are women.
• Thirty-five percent of the adult day center care recipients live with an adult child, 20% with a spouse, 18% in an institutional setting, 13% with parents or other relatives, while 11% live alone.¹
• Fifty-two percent of the adult day center care recipients using adult day services centers nationwide have some cognitive impairment.¹
• Daily fees for adult day services vary depending upon the services provided. The national average rate for adult day centers is $61 per day (includes 8-10 hours on average) compared to an average rate for home health aides of $19 per hour.²

Expanded Adult Day Program as a Transition Option From Hospital to Home

Expanded Adult Day Program as  a Transition Option From Hospital to Home
Katherine R. Jones1, Susan Tullai-McGuinness1,
Mary Dolansky1, Amany Farag2, Mary Jo Krivanek3,
and Laura Matthews4

Abstract
This article describes a pilot program for provision of postacute care (PAC) in an established adult day program. Demographic,
clinical, utilization, and satisfaction data were abstracted retrospectively from program records; postdischarge readmission and
emergency department visit data were obtained from the electronic health record. Comparative data were obtained from the
health records of patients who were offered but declined the adult day program. Between 2005 and 2008, 78 patients requiring
PAC were approached by the RN coordinator; 33 selected the adult day program, and 45 selected alternative destinations.
The majority of patients had a neurological diagnosis, most commonly stroke. Participants and their family caregivers were
highly satisfied with the program. The 30-day readmission rate for adult day program participants was significantly lower than
that for nonparticipants. An expanded adult day program may represent a viable Transitional Care Model for selected patients
and a feasible alternative to skilled nursing facility and home health care for PAC