Adult day care services can be a great option for caregivers who work, or for those who just need a break during the day. Here’s what you should know, along with some tips to help you find and choose one.
Adult Day Care
The business of adult day care services has grown rapidly in recent years. According to the National Adult Day Services Association, there are upwards of 4,600 adult day centers across the U.S., the result of a 35 percent increase since 2002. Those centers provide services to more than 260,000 participants and family caregivers, which is a whopping 63 percent increase over the last two decades.
As the name implies, adult day care provides care for elderly seniors who cannot care for themselves at home. While services will vary from center to center, they typically provide personal care, meals and snacks, various activities, and social interaction in a safe supportive environment. Additionally, many centers also provide health services such as medication management, various therapies, exercise, and transportation to and from the facility.
Adult day care centers generally operate programs during normal business hours five days a week. However, some centers may offer services in the evenings and on weekends, too.
Costs for care will vary as well, usually between $25 to more than $100 per day (the national average is $75/day), depending on where you live.
Unfortunately, in most cases, original Medicare does not pay for adult day care, but some Medicare Advantage plans and many long-term care insurance policies do. But most seniors or their families pay for care out-of-pocket.
If your senior loved one is lower income and can’t afford this, state Medicaid programs provide financial assistance if he meets eligibility requirements, and some states have PACE programs that provide financial aid. Contact your state Medicaid office (see Medicaid.gov) for more information. The VA even provides adult day care to eligible veterans enrolled in their Medical Benefits Package. See VA.gov/geriatrics to learn more.
How to Choose
Your first step in shopping for an adult day center is to determine the kinds of services needed. After you do that, here are some tips to help you locate and choose a good provider.
Start by contacting your Area Agency on Aging (call 800-677-1116 to get your local number) to get referrals to adult day service programs in your area. You can also search the National Adult Day Services Association (NADSA) database at NADSA.org/locator.
Once you have a list of a few centers, call them to find out their eligibility criteria, if they offer the types of services you need, if they are accepting new clients, their hours of operation, if they’re licensed and/or registered with a state agency (this is not required in all states) and what they charge.
After you identify a few good centers, go in for a visit. Find out about the staffing ratio (at least one staff member for every six participants is recommended) and what kind of training they have. While you’re there, notice the cleanness and smell of the facility. Is it homey and inviting? Does the staff seem friendly and knowledgeable? Also, be sure to taste the food and consider making an unannounced visit.
To help you rate your visit, the NADSA offers a helpful checklist of questions to ask at NADSA.org – click on “Site Visit Checklist” under the “For Caregivers” tab.
Then, after your visit, be sure to check their references. Get names and phone numbers of at least two or three families who have used the center you are considering and call them.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org.
Jim Miller
Contributing WriterJim Miller is the creator of Savvy Senior, a syndicated information column for older Americans and their families that is published in more than 300 U.S. newspapers and magazines. Jim is also a contributor to NBC’s “Today” show and KFOR-TV in Oklahoma City, and is the author of The Savvy Senior, The Ultimate Guide to Health, Family and Finances for Senior Citizens.
Jim is frequently quoted in articles about issues affecting senior citizens and has been featured in numerous national publications, including Time magazine, USA Today and The New York Times. In addition, he has made multiple appearances on CNBC, CNN, Retirement Living Television and national public television. Read more from Jim Miller.
