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