A National Resource to Support Excellence in Community Action

Adult Day/Health Service Center

Last Revised: Mar 14, 2011 - Initial Posting: Oct 25, 2004

Blue Ridge Community Action (BRCA) developed the Adult Day/Health Services Center to help older adults maintain individual dignity, self-worth and a productive life.


Blue Ridge Community Action (BRCA) established the Adult Day/Health Services Center to:

  • Serve as a safe and stimulating environment
  • Improve or at least maintain current levels of functioning
  • Delay or prevent costly nursing home placement
  • Provide respite for the primary caregiver

Information on the program is provided through the Caregiver’s Guide to Adult Day Program. The program is viewed as an ideal option for elderly and/or disabled adults who are:

  • Victims of Alzheimer’s Disease (early stage)
  • Stroke patients
  • In need of social stimulation to combat depression
  • Patients with dementia
  • In need of supervision

The Adult Day/Health Services Center is open five days a week from 7:00 AM – 5:00 PM.  Services are designed under a combination social/health model.  Staffing is required at a 1:6 ratio involving the Center Director, an Activity Coordinator, Day Care Aides and a part-time Registered Nurse.  Each staff member is required to participate in First Aid and CPR training.

NADSAThe Center is certified by the North Carolina Department of Health & Human Services, Division of Aging and is a member of the North Carolina Adult Day Services Association.  Information on Adult Day Services is available through the National Adult Day Services Association (NADSA), including State-by-State Information.  Adult Day Care from the Eldercare Locator serves as a good overview of Adult Care.

The Center is licensed for 32 participants based on the amount of available space.  The number of days per week that a participant will attend is determined by individual needs and provisions based on the source of funding for that individual.  Medical and day care needs are identified through completion of the intake form.  Individual care plans are developed to focus on needs such as socialization, gross motor skills, memory, etc.

Flyers are used to publicize the Adult Day Care Center and referrals are provided by a variety of sources, including Department of Social Services, physicians, case managers (in-home aides) and the general public.  Financial support is derived from the following resources:

  • State Adult Day Care (Department of Social Services)
  • Home and Community Care Block Grant (State Division of Aging)
  • Medicaid
  • CAPS (Department of Social Services Community Alternatives Program)
  • Private insurance (long-term care)
  • Veterans Administration
  • Fees are based on level of care and range from $41/day to $53/day

Reimbursement is received from the USDA Child and Adult Food Program for meals provided at the center using a vendor with a licensed dietician.

A Resident Council is involved with activity and menu planning.  Monthly activity schedules are established and menus are planned on a quarterly basis.  Caregiver meetings are also held, along with an Alzheimer’s Support Group that meets monthly.  Special events are held involving caregivers, such as holiday and birthday celebrations.


Outcomes for FY ’08 were:

To delay or prevent placement for older or disabled adults in residential group institution.

Outcome: 30 clients were delayed/prevented from placement in residential institutions.

Data Source: Interview with Family Assessment; Care Plan updates; Medical Assessment

To provide respite for family members who are responsible for an adult who should not be left alone during the day.

Outcome: 40 clients were provided with respite to prevent being left alone during the day.

Data Source: Interview with Family Assessment; Care Plan updates

To help elderly or disabled adults who live alone and need supportive services to maintain the level of independence.

Outcome: 1 client was provided with supportive services to maintain their level of independence.

Data Source: Interview with client; Family Questionnaire; Care Plan updates; Medical Assessment

To maintain or improve functional abilities of elderly disabled adults enrolled in the center.

Outcome: 37 clients maintained or improved functional abilities.

Data Source: Care Plan updates; Medical Assessment

To serve 55 unduplicated elderly/disabled adults in the program by 6/30/04.

Outcome: 44 clients were served during the fiscal year ending 6/30/04.

Data Source: Enrollment documentation; Client files


Mary Wright, Community Services Director