What Is Adult Day Care?
Adult day care provides support, supervision and enrichment outside the home, typically during business hours on weekdays. Seniors live at home, usually with family caregivers, but attend day programs at community centers. These services enable family members to work, study, care for children or take a break while maintaining peace of mind about their relative’s safety and quality of life.
Group day care programs differ from in-home care because they take place in a community setting. Plus, they don’t offer one-on-one services or include domestic chores that home caregivers provide. This guide gives an overview of adult day care, including common services, benefits and costs.
Key Takeaways
- Adult Day Care Services: Information about typical recreational activities offered by most adult day care and examples of limited medical care provided by some centers.
- Benefits of Adult Day Care: Insight into key benefits for adult day care attendees, including those with dementia.
- Paying for Adult Day Care: Details of adult day care monthly fees and ways to pay for services, including public benefits, VA benefits and private resources.
- Comparison of Care Options: Overview of alternative care choices, such as home care, assisted living facilities and nursing homes.
Candidates for Adult Day Care
Adult day care serves seniors with varying needs and preferences and keeps your loved one busy and engaged. Candidates who benefit greatly include elderly individuals who:
- Experience daytime isolation or loneliness
- Need social or emotional support
- Can’t structure hobbies or daily activities
- Struggle to initiate pastimes such as reading or watching television
- Have dementia or other medical conditions
Services and Amenities Provided by Adult Day Care
Although the contents of each adult day program vary, most provide a range of engaging activities, such as:
- Ability-appropriate fitness classes
- Chair exercises
- Dance classes
- Group conversations
- Educational workshops
- Arts and crafts
- Trivia and card games
- Fashion shows
- Birthday celebrations
- Excursions
Some adult day centers also offer limited health services, such as:
- Music or art therapy
- Support groups
- Counseling
- Physical, occupational and speech therapies
- Vision and hearing care
- Cognitive stimulation
- Routine health checks
Many providers offer accessible transportation between home and the center.
General Benefits of Adult Day Care Programs
Adult day care programs offer diverse benefits for seniors and their loved ones.
- Caregiver respite: Adult day services relieve some of the stress, anxiety or exhaustion associated with caregiving. Additionally, they provide predictable hours for working, attending to personal needs or running errands.
- Boredom remedy: Seniors gain stimulation and enrichment from diverse activities.
- Loneliness reduction: Individuals interact with peers and may build meaningful connections. Seniors who seldom see anyone outside of their family often feel lonely, which can negatively affect their mental and physical well-being.
- Sense of purpose: Day care offers routine and structure, which often benefits retirees.
- Additional access to health services: Centers may provide basic health care and preventative screenings that older adults might find difficult to access otherwise.
Benefits of Adult Day Care for Seniors with Dementia
An adult day care program, especially one tailored to people with dementia, has many benefits for someone experiencing cognitive decline. Centers typically customize services for people with dementia who:
- Live in their own homes or with a caregiver
- Don’t require constant one-on-one assistance
- Have some mobility (most programs allow a self-propelled wheelchair)
- Are continent
- Don’t engage in physical or verbal abuse
- Don’t wander excessively
Consider registering your loved one for a few starter sessions rather than diving into full-time day care. If they find the transition difficult, discuss concerns with your relative and center staff. However, if problems persist, in-home care or companion services might better fulfill your needs.
Note: Staff in dementia day care programs often have specialized education or training. However, unlike residential memory care, dementia day care does not require special licensing. |
For more insights, see our full article called How Can Adult Day Care Benefit Those with Dementia?
How Much Does Adult Day Care Cost and How Can I Pay?
Adult day care costs less than other senior care options in most locales. Per Genworth’s 2023 Cost of Care Survey, the national median rate stands at $2,058 per month. However, fees vary significantly depending on the area, services and operator. Many programs have a sliding fee scale for lower-income families and sometimes accept hourly payments.
In some communities, churches run free adult drop-in programs that don’t qualify as certified adult day care centers but can serve a similar purpose, albeit with limited services. Additionally, low-income seniors have access to financial assistance programs.
Veterans Benefits
Veterans qualifying for the Department of Veterans Affairs (VA) medical benefits and needing long-term care may receive free services at VA-run adult day care centers. This benefit is designed to support the health and well-being of veterans by providing them with access to daily comprehensive care in a supportive community setting.
Explore our comprehensively researched guide to veterans benefits.
Medicaid and PACE
State Medicaid programs might pay for some adult day services for eligible seniors. In some areas, the Program of All-Inclusive Care for the Elderly (PACE) may fund adult day care.
Tip: For help with questions about Medicaid or a PACE program’s coverage of adult day care, contact your local Area Agency on Aging. You can also get free expert counseling from the State Health Insurance Assistance Program (SHIP). |
Medicare
Neither Medicare Part A or Medicare Part B covers adult day care services. However, some Part C plans offer limited adult day care coverage.
Additionally, Part B covers physician-prescribed mental health treatment at an outpatient mental health clinic. If the clinic also runs an adult day care program, patients can use services while receiving treatment, though they may have a copayment.
Other Funding Options
Other ways to pay for adult day care include:
Payment Method
How it Works
Income
Individuals use retirement income, such as Social Security, pensions, bonds and annuities, to privately pay for adult day services.
Savings
Seniors fund adult day care using retirement plans and bank savings, including 401(k)s, IRAs and 403(b)s.
Some long-term care insurance plans pay for adult day care for policyholders who meet functional care requirements.
Senior homeowners may secure a loan against their property, receiving a lump sum or monthly payments that they can use however they choose. Loans become repayable if individuals sell their homes, permanently move or pass away.
How Does Adult Day Care Compare to Other Senior Care Options?
Before enrolling your loved one in adult day care, compare alternative care options to find which best suits their needs.
Adult Day Care
In-Home Care
Home Health Care
Assisted Living
Skilled Nursing Care
Location
Community center
Senior’s residence
Senior’s residence
Residential facility
Residential facility
Environment
Group
Home
Home
Communal
Clinical
Accommodation
Home
Home
Home
Private studios, companion suites, apartments, cottages
Private or semi-private rooms
Cost
Lowest
Variable, depending on hours of care needed
Variable, depending on hours of care needed
High
Highest
Duration
Weekdays during business hours
Flexible
Flexible
24/7
24/7
Meal Plans
Usually includes meals on attendance days
May include assistance with meal preparation and grocery shopping
May include home-delivered meals
Three meals daily
Three meals daily
Typical Services
Programmed group activities, socialization, limited health and personal care
Help with activities of daily living and personal care, companionship, light housework and chores
Personal care and medication management, intermittent skilled nursing and therapies
Help with activities of daily living and personal care, maintenance, housekeeping, recreational programming
Skilled medical and rehabilitative care, nutritional oversight, medical social services
Organized Social Activities?
Yes
No
No
Yes
Limited
Medical Care?
Limited
No
Yes
Limited
Yes
Comparing Adult Day Care Costs and Other Types of Senior Care
Adult day care prices are significantly lower than other senior care options. According to Genworth’s 2023 Cost of Care Survey, nationwide monthly median costs for care options vary:
Type of Senior Care
Median Monthly Cost
Skilled Nursing Facility (private room)
$9,733
Skilled Nursing Facility (semi-private room)
$8,669
Assisted Living
$5,350
Home Health Care
$6,292
In-Home Care
$5,720
Adult Day Care
$2,058
How Do I Find an Adult Day Care Program?
Begin your search for adult day services by entering your city or ZIP code into our Senior Living Directory above. Then, compare the ratings and reviews of each facility to pinpoint the best match for your loved one.
Finally, contact and visit local providers with a copy of the National Adult Day Services Association site checklist in hand, allowing you to thoroughly examine the offerings and verify that the facility adheres to your standards and expectations.
Top Cities for Adult Day Care
- Akron, OH
- Albuquerque, NM
- Alexandria, LA
- Alexandria, VA
- Allendale, SC
- Allentown, PA
- Anchorage, AK
- Asheville, NC
- Atlanta, GA
- Augusta, GA
- Aurora, CO
- Baltimore, MD
- Barnwell, SC
- Baton Rouge, LA
- Bayonne, NJ
- Belleville, IL
- Birmingham, AL
- Boise, ID
- Boston, MA
- Bottineau, ND
- Boynton Beach, FL
- Brattleboro, VT
- Bremerton, WA
- Bridgeport, CT
- Bronx, NY
- Brooklyn, NY
- Brownsville, TX
- Cape Girardeau, MO
- Cary, NC
- Charleston, SC
- Charlotte, NC
- Chattanooga, TN
- Cheyenne, WY
- Chicago, IL
- Chickasha, OK
- Cincinnati, OH
- Cleveland, OH
- Colorado Springs, CO
- Columbia, MO
- Columbus, GA
- Columbus, OH
- Cumberland, MD
- Dayton, OH
- Denver, CO
- Derry, NH
- Detroit, MI
- Durant, OK
- East Orange, NJ
- Edinburg, TX
- Elizabethtown, KY
- Enfield, CT
- Evansville, IN
- Fairfax, VA
- Farmington Hills, MI
- Flint, MI
- Florence, SC
- Flushing, NY
- Fort Wayne, IN
- Frederick, MD
- Grand Rapids, MI
- Greensboro, NC
- Greer, SC
- Hamden, CT
- Harlingen, TX
- Hartford, CT
- Honolulu, HI
- Hopkins, MN
- Hopkinsville, KY
- Houston, TX
- Huntsville, AL
- Indianapolis, IN
- Jackson, MS
- Jacksonville, FL
- Jamaica, NY
- Jamestown, ND
- Jonesboro, GA
- Kailua, HI
- Kansas City, KS
- Kansas City, MO
- Knoxville, TN
- Lafayette, LA
- Langdon, ND
- Lansing, MI
- Las Vegas, NV
- Lawrence, MA
- Lawton, OK
- Lexington, KY
- Little Rock, AR
- Londonderry, NH
- Los Angeles, CA
- Louisville, KY
- Lynn, MA
- Madison, WI
- Malvern, PA
- Marlton, NJ
- Mechanicsville, VA
- Memphis, TN
- Mesa, AZ
- Miami, FL
- Milwaukee, WI
- Minneapolis, MN
- Mobile, AL
- Montgomery, AL
- Moscow, ID
- Murfreesboro, TN
- Naperville, IL
- Nashville, TN
- New Bedford, MA
- New Castle, DE
- New Orleans, LA
- New York, NY
- Newark, NJ
- Newport, VT
- Norfolk, VA
- North Little Rock, AR
- Oak Park, IL
- Oklahoma City, OK
- Omaha, NE
- Oneonta, AL
- Orangeburg, SC
- Owensboro, KY
- Pearl City, HI
- Pembroke Pines, FL
- Peoria, AZ
- Petersburg, VA
- Pharr, TX
- Philadelphia, PA
- Phoenix, AZ
- Pittsburgh, PA
- Prescott, AZ
- Provo, UT
- Raleigh, NC
- Reno, NV
- Richmond, VA
- Riverside, CA
- Rochester, NY
- Rockville, MD
- Rugby, ND
- Sacramento, CA
- Saint Louis, MO
- Saint Paul, MN
- Saint Petersburg, FL
- Salt Lake City, UT
- San Antonio, TX
- San Diego, CA
- San Francisco, CA
- San Jose, CA
- Scranton, PA
- Searcy, AR
- Seattle, WA
- Sewell, NJ
- Shawnee, KS
- Shreveport, LA
- Silver Spring, MD
- Sioux Falls, SD
- Snellville, GA
- Somerset, KY
- Springfield, MA
- St. Louis, MO
- Stone Mountain, GA
- Stow, OH
- Sun City, AZ
- Tacoma, WA
- Tampa, FL
- Timonium, MD
- Troy, AL
- Tucson, AZ
- Tulsa, OK
- Washington, DC
- Waterbury, CT
- Waukesha, WI
- Webster Groves, MO
- West Hartford, CT
- West New York, NJ
- Westland, MI
- Wichita, KS
- Wilmington, DE
- Winston-Salem, NC
- Worcester, MA
- York, PA
Adult Day Care by State
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
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