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Adult Day Care vs Assisted Living: Understanding Your Options

Happy seniors and their caregiver talking in assisted living dining room

When an adult cannot manage their care independently, loved ones face the difficult decision of what to do next. Adult day care and assisted living are popular choices for giving adults an added level of care and support. It's important to understand both options so you can choose the right approach. Many adults will use both services at some point as they age. Exploring your options will help you decide which is the right fit for your life stage. 


What Is Adult Day Care? 

Adult daycare is a community-based service designed to meet the needs of adults who cannot spend large portions of the day home alone. This is an effective alternative to moving into a care facility for those who can manage alone in the evenings or those who have a family caregiver available in the evenings and overnight. 


Adult day care centers provide structured care throughout the day that may include some or all of the following: 

  • Nutritious meals and snacks 

  • Medication reminders or administration 

  • Physical activity such as group fitness classes, games, or dance 

  • Creative activities like crafts, art, or music 

  • Social events and games 

  • Casual social interactions 

  • Vital sign tracking 

  • Assistance with daily living activities like toileting, grooming, or eating 


Adult day care is often used by older adults who want to age in place but need a supportive daytime environment with supervision, assistance, and enrichment. Even those who can care for themselves may benefit from the social interaction available at adult day care. Social isolation is more than an emotional burden. It also increases the risk of heart disease, stroke, depression, anxiety, dementia, and earlier death. 


Adult day care can also serve individuals who are living with Parkinson's, Down syndrome, autism, or other intellectual or developmental disabilities. It may also provide temporary support for adults recovering from an illness or injury, such as a stroke or surgery. 


Understanding Assisted Living

Close up of elderly woman with walking cane in adult day care

Assisted living provides residents with a private or semi-private apartment where they have access to support. Assisted living communities can provide a safe alternative to living alone when staying in one's own home is no longer a practical option. 


Residents may receive assistance with activities of daily living, medication reminders, and other supports. While they have access to help at any time, they're not under direct 24-hour supervision. This provides a sense of independence in a safe and monitored space. 


Assisted living facilities typically have a private bath and kitchenette but share access to a common room, dining room, and other facilities. The assisted living community may include features like a workout room, movie theater, music room, or park. They typically provide organized social activities, enrichment opportunities, and hot meals.  


Key Differences in Care Levels 

Adult day care is designed for adults who need a mild to moderate level of care. It does provide total supervision during the program's hours, but it's not available 24 hours a day. Adults must return home at the end of the day. Those in adult day care often require assistance in the evenings and overnight from another caregiver. 


Assisted living is appropriate for those who need access to care and support at all hours. This is a good choice for those who are no longer able (or interested in) caring for their own home. Assisted living eases the burden of cooking and cleaning. It provides ample access to social interaction with the other residents. 


Individuals who need a higher level of medical care and support may need to live in a nursing home. Nursing homes can provide dialysis support, intravenous injections, and other advanced forms of care. They can often cater to complex medication schedules and special dietary needs. 


Cost Comparison and Financial Considerations

Group Of Seniors In Activity With Balloons In adult day care

The cost for adult care is usually based on the number of hours that it's provided. Adult day care is typically cheaper than assisted living because the former lasts for only a few hours a day. 


Assisted living offers full-time residences to patients, and this may sound expensive at first. However, it may not always mean that bills are much higher, since monies typically used for rent or mortgages can be utilized to cover costs. 


The cost of care varies by location. Individuals with complex care needs will typically pay more than those who are participating in these programs primarily for socialization.


The average monthly cost of adult day care in the United States is $2,167. Assisted living averages $5,900 a month in the U.S. 


Independence and Lifestyle Differences 

Adult day care allows individuals to maintain their home living environment. This is ideal for those who can still manage their home and need only a moderate amount of daytime support. If it's important for your loved one to age in place, adult day care is the best option. 


Assisted living offers a comprehensive residential environment. There is less independence in this setting, but far more support. Many older adults transition to an assisted living facility when adult day care no longer meets their needs. 


Social and Emotional Benefits 

Both adult day care and assisted living help combat social isolation and support cognitive health. It's important for older adults to stay active and engaged to maintain good physical, mental, and emotional health. Adult day care greatly improves the quality of life for adults who would otherwise be isolated at home. 


Regular social interaction reduces stress and anxiety and can even help combat depression. Regularly engaging in social activities may improve memory retention, slow cognitive decline, and reduce the likelihood of developing dementia. 


Picking the Best Choice for Your Loved One 

When you choose the right level of care for your loved one, you should think about what they need. What kind of care do they require, and what is their family dynamic like? Also, think about your own situation: how much care can you give? If you ponder these things, you'll be able to make a smart and well-informed choice. If you need help, don't hesitate to contact our team. We'll tell you which services are right for you. 



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St. Elizabeth's Adult Day Care Center's mission is to provide a safe, stimulating environment for adults with special needs.

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Email: info@seadcc.org

Phone: (314) 772-5107

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