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 Adult Day Centers

A Guide to Adult Day Care

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Adult day care is a planned program of activities designed to promote well-being though social and health-related services. Adult day care centers operate during daytime hours, Monday through Friday, in a safe, supportive, cheerful environment.

Texas Adult Day Care

The State of Texas requires a staff to participant ratio of 1:8. For Medicaid waiver clients Texas requires a minimum of one registered nurse or licensed vocational nurse on site 8 hours per day and states further that sufficient licensed nursing staff must be on site to meet the nursing needs of the clients.

The facility must provide all staff with training in fire, disaster, and evacuation procedures within 3 work days of employment and provide direct care staff a minimum of 18 hours of training during the first 3 months of employment.

It is also required by the state of Texas that individuals who self-administer their medications to be counseled at least once a month by licensed nursing staff to ascertain if they continue to be capable of self-administering their medications.

Cost of Adult Day Care in Texas

The average cost of Adult Day Care in Texas is $33 per day. Respite care provided by adult day care centers is ideal for caregivers needing respite (a break) for themselves when caring for a loved ones with Alzheimer's. Adult day services is a professional care setting in which older adults, adults living with dementia, or adults living with disabilities receive individualized therapeutic, social, and health services for some part of the day.

Adult day service centers 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.

Adult day centers generally operate during normal business hours five days a week. Some programs offer services in the evenings and on weekends.

Although each facility may differ in terms of features, the following are generally offered by most adult day centers:

  • Social activities—interaction with other participants in planned activities appropriate for their conditions

  • Transportation—door-to-door service

  • Meals and snacks—participants are provided with meals and snacks, those with special dietary needs are offered special meals

  • Personal care—help with toileting, grooming, eating and other personal activities of daily living

  • Therapeutic activities—exercise and mental interaction for all participants.

In general, there are three (3) types of adult day centers:

  • Social (which provides meals, recreation and some health-related services)

  • Medical/health (which provides social activities as well as more intensive health and therapeutic services) and

  • Specialized (which provide services only to specific care recipients, such as those with diagnosed dementias or developmental disabilities.

Cargivers typically select the type of center a care recipient attends based on the type of care needed. 

Source: www.nadsa.org

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