BLOG

Adult Day Centers

Peter Brissette • April 11, 2016

Adult day centers are designed to meet the needs of individuals with dementia and to support their strengths, abilities and independence. Centers typically have staffed activities such as music and exercise programs and discussion groups.

Why use an adult day center

One reason to use an adult day center is to give yourself a break from caregiving. While your loved one is at a center, you’ll have time to rest, run errands or finish other tasks. As a result, you’ll return to caregiving responsibilities feeling refreshed and renewed. If you find yourself feeling guilty, ask yourself, “If I wear myself out to the point of total exhaustion, what good will I be to the person with dementia?

Adult day centers also offer the person with dementia opportunities to be social with others and participate in activities in a safe environment.

Selecting a center

Adult day centers can vary. To choose the best setting for the individual with dementia, do the following:

Consult a variety of sources to find an appropriate adult day center. Many caregivers rely on the advice from their local Alzheimer’s Association and from other caregivers.
Call your local senior center or area agency on aging, too. Give the day center a chance. Consider using its services at least twice a week for a month before making a final decision. Occasional use won’t give you an accurate picture of how the center operates. In addition, give the person time to adjust to the experience of going to the center. While some people may resist going to the center at first, they often look forward to the visit after several weeks of attending, meeting people and joining in activities.
Reevaluate your need for adult day services. At some point the person with Alzheimer’s may need more care than the center can provide. Center staff and support groups can help evaluate your needs for future care.

Evaluating an adult day center

Consider the following when you evaluate an adult day center.

Center clients

Does the center provide services for people with different types of impairments as well as those in good physical health? Knowing about any service restrictions before using the center may help prevent problems.

Assessment

Will the center evaluate the person’s needs? How will this evaluation be accomplished and how often will it be repeated? Will it cover medical needs, social and family history, cognitive functioning, and social skills? Some centers perform assessments in the person’s home.

Services

Does the center offer the services that you and the person with dementia need? These are some of the specific services you may want to investigate. (Keep in mind that few adult day programs offer all of the services described below, and not all of the services are necessary for a program to be of high quality.)

Counseling

Will the center provide support for clients and families? For example, can they offer guidance on outside resources and arrange for supportive care in the home?

Health services

Will the center provide blood pressure checks and physical, dental, foot, eye and ear examinations? Will the center dispense medication and/or offer medication reminders?

Nutrition Does the center provide nutritious meals and snacks? To make sure, you may want to sample one of the meals. In addition, can the center accommodate special diets or provide a culturally specific menu? And does the center provide some sort of nutritional education program?
Personal care

Will the center’s staff provide help with hairstyling, toileting, eating, showering and other personal care tasks?

Activities

Does the center offer a program of activities that the person with dementia can participate in and enjoy?

Behavior management

Is the center prepared to deal with wandering, incontinence, hallucinations,sexually inappropriate behavior or speech difficulties?

Therapy

Will the center help arrange for needed physical, occupational or speech therapy? Are there therapists onsite or on-call?

Special needs

Is the center equipped to deal with someone who uses a wheelchair, who is hearing or visually impaired, or who is handicapped in another way?

Accessibility

Most centers are open from early morning to early afternoon. Some have extended or weekend hours. People may attend the center as little as one day per week or as many as five.

Be sure to ask about the minimum attendance requirements and the notification policy for absences

Cost

Many centers offer services on sliding scales, where caregivers pay according to ability or income. In some states, Medicaid covers cost for people with very low income and few assets.

Be sure to ask about basic fees, financial assistance and additional charges for such services as crafts or field trips.

Location and transportation

Getting to and from some centers may consume a large part of your day and be stressful on the person. However, some centers offer pick-up and drop-off transportation services, while others provide transportation for outings and medical appointments. Be sure to ask about the policy for late arrival or late pick-up.

Facility

Evaluate the overall appearance and quality of the facility. Is it warm, inviting and free of clutter? Is there adequate space for activities? Is there space available for outdoor activities? Are there secured areas for outside walking?

Staff

Assess the qualifications of the staff. What is the number of staff for each client? Do staff members have dementia-specific training? Does the center have a physician, nurse or health care professional on staff or on-call? If the center uses volunteers, are they adequately trained and supervised? Is staff warm and friendly to family members and caregivers? How well does the staff handle people with behavioral problems?

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer care, support and research.

Updated October 2004

Newer Post >

Gardening for Seniors: Benefits and Accessible Gardening Ideas in Assisted Living

October 17, 2025

Gardening offers numerous benefits for seniors, particularly those residing in assisted living communities. Engaging in gardening activities provides physical exercise, mental stimulation, and opportunities for social interaction. The fresh air and connection to nature further enhance overall well-being. Incorporating accessible gardening ideas ensures that all seniors, regardless of mobility levels, can participate and reap these benefits. Assisted living communities that integrate gardening into their programs create enriching environments for residents. By tailoring gardening activities to meet the needs of seniors, these communities promote active lifestyles and improve quality of life. 1. Physical Benefits of Gardening for Seniors Gardening is a low-impact physical activity that enhances strength, flexibility, and endurance. Tasks such as planting, weeding, and watering involve various muscle groups, promoting overall fitness. Regular physical activity through gardening can help manage weight, reduce the risk of chronic diseases, and improve cardiovascular health. According to a study , gardening has strong physical health benefits for older adults. Engaging in gardening also improves hand-eye coordination and fine motor skills. Handling tools and plants requires precision, which can enhance dexterity. Maintaining motor skills is crucial for daily activities and contributes to sustained independence. Moreover, the physical exertion involved in gardening can lead to better sleep patterns, further benefiting overall health. Exposure to sunlight during gardening increases vitamin D levels, which are essential for bone health. Adequate vitamin D helps prevent osteoporosis and fractures, which are common concerns among seniors. However, to reduce the risk of skin cancer, it's important to balance sun exposure with skin protection. Wearing appropriate clothing and sunscreen can mitigate these risks. The right gardening ideas also encourage functional movement, such as bending and stretching, which enhance flexibility. These movements can alleviate stiffness and improve joint health. Maintaining flexibility is vital for comfortably performing daily tasks. Furthermore, the weight-bearing aspects of gardening activities help strengthen bones and muscles. Gardening can also be a form of aerobic exercise. Activities like raking and digging elevate heart rates, promoting cardiovascular fitness. This aerobic component contributes to overall stamina and energy levels. Incorporating regular gardening sessions into routines can lead to long-term health benefits. 2. Mental and Emotional Benefits Gardening has been linked to improved mental health, reducing symptoms of depression and anxiety. Nurturing plants provides a sense of purpose and accomplishment. Engaging with nature has a calming effect, lowering stress levels and promoting relaxation. According to experts , gardening has been scientifically proven to improve both mental and physical health, contributing to a longer and happier life. Gardening activities stimulate the brain through sensory experiences such as touching soil and smelling flowers. These stimuli can evoke positive memories and emotions, which is particularly beneficial for seniors with dementia. Gardening activities also encourage mindfulness, keeping individuals present and engaged. This focus can distract from negative thoughts and improve mood.

The Benefits of Group Therapy for Parkinson’s Rehabilitation

October 15, 2025

How can group therapy enhance the rehabilitation process for Parkinson’s patients? Group therapy offers a multifaceted approach to Parkinson’s care, addressing both physical and cognitive challenges. By participating in structured group activities, patients can experience significant mobility and mental acuity improvements, fostering a supportive environment that promotes overall well-being. The Science Behind Group Therapy's Impact on Mobility Research consistently shows that group therapy can significantly enhance the mobility of Parkinson’s patients. Studies indicate that engaging in group-based physical activities, such as tai chi, dance, and resistance training, can improve balance, gait, and overall motor function. These activities not only target the physical symptoms of Parkinson’s but also provide a structured environment where patients can motivate each other.

Advances in Parkinson’s Research: What’s New in Treatment and Care?

October 9, 2025

Discover the latest Parkinson’s research, from gene therapy to deep brain stimulation, offering new hope for improved care and quality of life.

Addressing Sensory Processing Issues in Seniors with Dementia

October 7, 2025

Learn how sensory processing issues affect seniors with dementia and discover environmental changes that improve comfort and quality of life.

How Robotics and AI are Improving Senior Care

October 2, 2025

Discover how AI and robotics are improving senior care. From mobility aids to health monitoring and caregiver support, explore tech that enhances elder well-being.

Exploring the Benefits of Adult Day Care Programs

September 30, 2025

Adult daycare programs have emerged as vital components in the continuum of care for older adults. These programs offer structured, daytime support, allowing seniors to engage in social, therapeutic, and health-related activities while returning to their homes in the evening. Adult daycare provides a flexible and supportive solution for families balancing caregiving responsibilities with other commitments. Understanding the multifaceted benefits of these programs is essential for making informed care decisions. The demand for adult day care services is growing, reflecting the needs of an aging population seeking alternatives to full-time residential care. According to the CDC , over 5,100 adult day services centers in the United States serve approximately 182,000 participants daily. These centers cater to individuals with varying levels of physical and cognitive abilities and provide personalized care plans. Exploring the specific advantages of adult day care can illuminate its role in promoting senior well-being and family support. How Adult Day Care Programs Improve Social Engagement Social isolation is a significant concern among older adults, often leading to adverse health outcomes. Adult day care programs address this issue by fostering a community environment where seniors can interact with peers. Engaging in group activities , such as art classes, music sessions, and games, encourages socialization and reduces feelings of loneliness. Regular participation in these programs can lead to improved mood and cognitive function. The structured nature of adult day care ensures that participants have access to consistent social opportunities. Centers often organize events and outings, providing variety and stimulation. These activities are designed to be inclusive, accommodating different interests and abilities. Such engagement is crucial for maintaining a sense of purpose and belonging among seniors.

Meaningful Ways to Spend Quality Time with Loved Ones in Assisted Living

September 25, 2025

Maintaining strong connections with loved ones in assisted living is vital for their emotional and psychological well-being. Regular, meaningful interactions can significantly enhance a resident's quality of life, providing comfort and a sense of belonging. Understanding the best ways to spend quality time together fosters these benefits. Assisted living communities offer various opportunities for families to connect with residents through structured and informal activities. These environments are designed to support social engagement, making it easier for loved ones to participate in residents' daily lives. From communal events to personalized visits, numerous ways exist to create meaningful experiences. Exploring these options can help families make the most of their time together. Engage in Shared Activities in Assisted Living Participating in activities together can be a fulfilling way to spend time with loved ones in assisted living. Simple actions like reading a book aloud, working on a puzzle, or watching a favorite movie can provide comfort and enjoyment. These shared experiences can evoke positive memories and foster a sense of normalcy. Such activities can also stimulate emotion, conversation, and connection. Creative pursuits like painting, knitting, or crafting can be therapeutic and enjoyable. These activities allow residents to express themselves and can be a source of pride and accomplishment. Family members participating in these creative endeavors can strengthen their bond with the resident. Additionally, displaying completed projects can boost the resident's self-esteem and provide conversation starters.

Healthy Holiday Eating: Tips for Seniors to Enjoy Festive Meals Without Sacrificing Their Health

September 23, 2025

The holiday season brings joy, togetherness, and an abundance of delicious meals. For a senior, it's a time to celebrate with loved ones while being mindful of their health. Maintaining a balanced diet during festive gatherings is essential to ensure overall well-being. Assisted living communities are crucial in supporting seniors who enjoy holiday feasts without compromising their health. Assisted living facilities recognize the importance of nutrition in senior health. They provide tailored meal plans catering to individual dietary needs, ensuring seniors receive the necessary nutrients. These communities also offer educational programs to promote healthy eating habits among residents. Focusing on nutritional awareness helps seniors make informed choices during the holiday season. Understanding Nutritional Needs During the Holidays As people age, their nutritional requirements change , necessitating diet adjustments. Seniors often need fewer calories but more of certain nutrients like calcium, vitamin D, and fiber. During the holidays, indulging in calorie-dense foods that lack essential nutrients is easy. Assisted living communities address this by offering festive and nutritionally balanced meals. Protein intake is vital for senior health, helping maintain muscle mass and strength. Holiday meals can be tailored to include lean proteins such as turkey or plant-based alternatives. Incorporating these options helps seniors meet their protein needs without excessive saturated fats. Assisted living facilities ensure that holiday menus are designed with these considerations. Fiber is another crucial component of a senior's diet, aiding in digestion and preventing constipation. Holiday dishes can be modified to include whole grains, fruits, and fiber-rich vegetables. Seniors can enjoy traditional meals while supporting their digestive health. Assisted living communities prioritize these dietary adjustments during festive seasons. Hydration is often overlooked but is essential for seniors, especially during the holidays when alcohol and caffeinated beverages are prevalent. Encouraging water intake and offering hydrating foods like soups and fruits can help maintain proper hydration levels. Assisted living facilities monitor residents' fluid intake to prevent dehydration. Managing Chronic Senior Health Conditions with Holiday Foods Many seniors manage chronic conditions such as diabetes, hypertension, or kidney disease, which require specific dietary considerations. Holiday meals can be adapted to accommodate these needs without sacrificing flavor. Assisted living communities work closely with dietitians to create menus that align with senior residents’ health requirements. Controlling carbohydrate intake is crucial to managing blood sugar levels for seniors with diabetes. To reduce glycemic impact, holiday dishes can be prepared with whole grains and natural sweeteners. Assisted living facilities provide alternatives that allow diabetic residents to enjoy desserts in moderation. Thoughtful substitutions make holiday meals inclusive for all.

Navigating the Holidays with Grief: Supporting Seniors Who Have Experienced Loss

September 18, 2025

The holiday season often evokes feelings of joy, togetherness, and celebration. However, for seniors who have experienced the loss of a loved one, this time can be particularly challenging. Memories of past holidays may intensify grief and loneliness, making it difficult to engage in festivities. Recognizing and addressing these emotions is crucial for the well-being of grieving seniors. Emotional support during the holidays is essential for seniors coping with loss. Providing a compassionate environment where they can express their feelings helps heal. Understanding the unique challenges grieving seniors face allows caregivers and family members to offer appropriate support. Understanding Holiday Grief in Seniors Holiday grief in seniors is a multifaceted experience influenced by personal loss, societal expectations, and seasonal changes. The contrast between festive surroundings and internal sorrow can exacerbate feelings of isolation. Seniors may struggle with participating in traditions that once brought joy but now serve as reminders of their loss. Acknowledging these complexities is the first step in providing adequate support. Research indicates that nearly 95% of individuals who have experienced loss report at least one symptom of physical or mental distress during the holidays. These symptoms can include depression, anxiety, and sleep disturbances, which may be more pronounced in older adults. Understanding the prevalence of these issues underscores the importance of proactive emotional support. Caregivers should be vigilant in recognizing signs of holiday grief so they can intervene appropriately.

Helping Seniors Document Their Life Stories and Share Their Wisdom

September 17, 2025

Seniors hold a wealth of life experience that must be documented and shared. Their stories reflect unique perspectives on history, family, resilience, and personal growth. Telling senior life stories helps them connect to others and reaffirm their identity. Life review is an essential part of emotional well-being in assisted living communities. Senior life stories provide a powerful sense of purpose. Creating space for storytelling allows residents to reflect on meaningful moments that shaped who they are. It also strengthens their relationships with family members and caregivers. In assisted living environments, this process can be transformative for both the storyteller and the listener. Creating a Supportive Space for Storytelling A calm, comfortable environment is essential for encouraging residents to open up. Seniors often feel more secure sharing memories in familiar and nonjudgmental spaces. Thoughtful design, familiar objects, and caring staff help create the right setting. Quiet areas with soft lighting and personal touches can foster better memory recall . Caregivers and staff should ask open-ended questions that guide seniors into their memories. Instead of yes-or-no inquiries, questions like “What was your first job?” or “What holidays meant the most to your family?” open doors to rich conversation. Allowing time for thoughtful responses reduces pressure and increases comfort. Gentle prompting paired with genuine curiosity builds trust.