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

Adult Day Care Saves States Money

Adult Day Health:	$53.93/day 68.68/day	(Basic Level 6–8hrs.) (Complex Level 6–8hrs.)
Visiting Nurse RN	$86.99/visit	(1 hr. avg.)
Home Health Aide	$24.60/hr.
Nursing Home	$196/day

Residential Care Facilities

Community or Residential Care Facility

A residential care facility is an option for some individuals that require assistance or supervision, but do not care to be part of a larger community, such as most assisted living facilities offer. A residential care home usually is a home in a neighbor or community that provides service to as few as two seniors to ten individuals at one time. The limit for the number of individuals in each home is governed by each state.

Once called boarding homes, residential care facilities provide non medical care services. The services offered may vary from assistance with bathing, dressing, toileting, cooking, and money and medication management.All this is provided in a small and intimate home like setting. 

Adult Care Homes for 4-6 residents

Personal Care Homes are given a variety of names across the country however they all help people who cannot afford assisted living. These  residences  provide shelter, meals, supervision and assistance with personal care tasks, typically for older people, or people with physical, behavioral health, or cognitive disabilities who are unable to care for themselves but do not need nursing home or medical care. While available services vary and are based on the individual needs of each resident, services provided at a typical PCH include assistance with:

Eating/drinking Walking/getting in and out of bed or chair Toileting/bowel and bladder management Bathing Personal hygiene Arranging for and managing health care Making/keeping doctor's appointments Assisting with or administering medications Positioning in bed or chair

Doing laundry Arranging for transportation Shopping/managing finances Using the telephone/writing letters Caring for possessions Participating in social/recreational activities Using prosthetics Getting Seasonal Clothes

What States Pay per day for Adult Day Care in the USA

  State-by-State Adult Day Care Costs

States in Alphabetical Order

Average Daily Rate

States from Least to Most Expensive

Average Daily Rate
United States
$65
  Alabama
$25
 

Alabama
$25
       Alaska
$103         
Texas
$35
   Arizona
$78
         Utah
$47
     Arkansas
$72
      Delaware
$50
         California
$76
      Nebraska
$50
      Colorado
$64
               South Carolina
$50
      Connecticut
$80
  West Virginia
$50                  
Delaware
$50      
         North Carolina
$51       
District of Columbia
$110
       Ohio
$52
         Florida
$60
 Iowa
$55
    Georgia
$60        
Louisiana
$55      
Hawaii
$74
          Tennessee
$55
    Idaho
$96            
North Dakota
$57                  
Illinois
$69  
Pennsylvania
$58
         Indiana
$70
         Florida
$60 
Iowa
$55
         Georgia
$60
        Kansas
$70         
Oklahoma
$60
     Kentucky
$63       
Wisconsin
$60     
Louisiana
$55
         Virginia
$61
         Maine
$100
 Kentucky
$63       
Maryland
$76       
Mississippi
$63    
Massachusetts
$65         
Colorado
$64
      Michigan
$70
       Massachusetts
$65       
Minnesota
$72
                       Rhode Island
$66                  
Mississippi
$63    
Illinois
$67  
Missouri
$75
        Washington
$67
  Montana
$82
       New Hampshire
$69
         Nebraska
$50      
Indiana
$70
                  Nevada
$71                  
Kansas
$70         
New Hampshire
$69              
Michigan
$70
                                  New Jersey
$86                    
Nevada
$71
New Mexico
$95
 Arkansas
$72
         New York
$75
     Minnesota
$72
                       North Carolina
$51       
Oregon
$72
                  North Dakota
$57
                  South Dakota
$72                 
Ohio
$52
    Hawaii
$74 
Oklahoma
$60
     Missouri
$75        
Oregon
$72                           
New York
$75
              Pennsylvania
$58                  
California
$76
                                 Rhode Island
$66                  
Maryland
$76                
South Carolina
$50
               Arizona
$78
                  South Dakota
$72
                          Connecticut
$80
  Tennessee
$55
                               Montana
$82
       Texas
$35   
Wyoming
$84      
Utah
$47
              New Jersey
$86           
Vermont
$135               
New Mexico
$95
  Virginia
$61
                  Idaho
$96            
Washington
$67
                                      Maine
$100          
West Virginia
$50                   
Alaska
$103         
Wisconsin
$60
     District of Columbia (DC)
$110
                                  Wyoming
$84
               

WHAT IS “ADULT DAY CARE”?

Adult day service (day care) meets the needs of frail and functionally impaired adults of all ages by providing a supervised and secure setting. Services include a wide range of options such as stimulating recreational group activities to increase or maintain independent living skills and overall self-sufficiency in a Social Model Adult Day Care Program to extensive assistance with activities of daily living and/or medical, therapeutic, or rehabilitation day treatment in a Medical Model Adult Day Care  Program. The goal of both models is to assist individuals, whether older adults or those with chronic conditions, to remain as independent as possible, for as long as possible. Nationally, almost half of all adult day service (day care) participants have some form of dementia. The balance of participants has chronic diseases such as hypertension, physical disability, cardiovascular disease, diabetes, a behavioral health challenge or a developmental disability.

The National Adult Day Services Association’s Institute on Adult Day Care defines adult day services (day care) as: “Adult day services provide a coordinated program of professional and compassionate services for adults in a community-based group setting. Services are designed to provide social and some health services to adults who need supervised care in a safe place outside the home during the day. They also afford caregivers respite from the demanding responsibilities of caregiving.”

An interdisciplinary team of both professionals and paraprofessionals deliver health, social and supportive services to meet the physical, cognitive or psychosocial needs of the participant in a secure cost effective group setting in the community allowing families to maintain relationships and lifestyles. The caregivers also benefit from these programs as participation of a loved one will allow them to continue working and/or provide a needed break or “respite” from the many caregiving responsibilities as well as offering emotional support or counseling in the form of caregiver support groups.

Despite the lack of stable public funding, the number of centers continues to increase, reflecting the demand and public awareness of adult day services (day care) as an essential community based service to prolong independence and delay institutional placement.

Adult day care centers can include many of the services listed below:

•  Social activities

•  Therapeutic activities

•  Nutrition (meals and snacks)

•  Transportation

•  Education

Adult day service (day care) programs can vary widely from provider to provider. Most centers feature several common elements:

•  They are offered at a central program location.

•  They are open several hours per day.

•  They provide a midday meal and snacks.

•  They have no overnight stays.

•  They offer a set of core services, always including socialization, watchful oversight, supervision/monitoring and nutrition.

•  They provide, or arrange for, other services, depending on the needs of the persons served.

While most adult day service (day care) centers operate programs five days a week during normal business hours, some programs may offer evening and weekend services. Adult day service (day care) centers operate under a variety of auspices, and with varying levels of professional services.