Definitions of Adult Day Care and Adult Day Health
Adult Day Care
Provides an organized program of services during the day in a community group setting for the purpose of supporting the personal independence of older adults and promoting their social, physical, and emotional well-being. Services are provided in a home or center certified to meet state standards for Adult Day Care programs. Some facilities accept Alzheimer's patients.
Adult Day Health
Provides an organized day program of services in a community group setting for the purpose of supporting older adults’ personal independence, and promoting social, physical, and emotional well-being. Services must include health care services and a variety of program activities designed to meet the individual needs and interests of the participants, and referral to and assistance in using appropriate community resources.

How Will I Know Good Care is Being Provided?
Adult Day Care and Adult Day Health providers must meet North Carolina State Standards for Certification. These standards are set by the Social Services Commission. The office of the Adult Day Care Consultant within the State Division of Aging and Adult Services is in charge of making sure the standards are followed. Routine monitoring of compliance is performed by Adult Day Care Coordinators located at county Departments of Social Services.
A single center may be certified to provide both Adult Day Care and Adult Day Health (which is more comprehensive and must offer health services in addition to other services). Adult Day Homes offer the same types of care, but are approved to care for less people.
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a national accreditation agency. If an Adult Day Care provider wants to serve the mentally disabled population through Medicaid, they are required to be accredited by CARF.
"When the service or program you choose is CARF-accredited, it means your provider has passed an in-depth review of its services. It is your assurance that the provider meets rigorous CARF guidelines for service and quality -- a qualified endorsement that your provider conforms to nationally and internationally recognized service standards and is focused on delivering the most favorable results for you." *CARF website

What Do I Look For When Choosing a Center?
The North Carolina Adult Day Services Association has developed some guidelines to help you make the best selection of an Adult Day Care or Adult Day Health center.

What Should I Expect to Pay for Service?
Costs vary from center to center. Adult Day Health may be more expensive due to the enhanced services offered. The Home and Community Care Block Grant funded centers may have a limited amount of funding available to help with the cost. Ask the service provider if financial assistance is available for the center you have chosen.
If you have long-term care insurance or regular health insurance, check your policy to see if any financial assistance is available.
If the person needing care has Alzheimer's, check with the local chapter of the Alzheimer's Association to see if help is available through Medicare and or Medicaid. Some centers also have contracts with the VA to provide care for qualifying veterans.

Specialized Adult Day Services
- A new designation of centers, called PACE, or Program of All-Inclusive Care for the Elderly, is now available in some parts of the state. PACE programs are housed in specially designed adult day centers. The PACE model was developed to address the needs of elderly and frail elderly individuals who want to remain in the community and receive home and community-based services rather than receive care in a nursing home. Once enrolled, the PACE Program provides all the medical care, social services, and personal care services required by the individual. PACE targets those with nursing home level needs, who are also dually eligible for Medicare and Medicaid services,although other payment options may be accepted.
- A select group of Adult Day Centers are now approved to provide overnight respite services in the adult day setting. Regulations related to this type of care are being developed and eventually, more center may offer this option for caregivers.

Find a Center in Region J
Centers with an * beside them are not Home and Community Care Block Grant funded centers. However, they are certified per North Carolina law.
| Chatham |
Wes Care Senior Life Center * Adult Day Care 618 N. 3rd Ave. Siler City, NC 27344 919-742-2611 Sylvia Lowe Capacity: 15 Map |
| Durham |
Durham Center for Senior Life Adult Day Health Center Adult Day Care and Adult Day Health 406 Rigsbee Avenue, Suite 202 Durham, NC 27701 919-682-0215 Champe Revis Capacity: 60 Map |
| Johnston |
Divine Destiny Adult Care Inc. Adult Day Care and Adult Day Health 612 Powell Street Smithfield, NC 27577 919-934-7144 Katrina Boylan Capacity: 20 Map |
| Lee |
Christian Healthcare Adult Day Care * Adult Day Care 507 N. Steele Street Sanford, NC 27330 Wanda Marsh 919-775-5610 Capacity: 40 Map |
| Moore |
None at this time. |
| Orange |
Charles House Association * Adult Day Care 109 Hillcrest Ave. Carrboro, NC 27510 919-967-7570 Paul Klever Capacity: 22 Map Florence Gray Soltys Adult Day Health Program Adult Day Care and Adult Day Health 105 Meadowlands Drive Hillsborough, NC 27278 919-245-2017 Alvonia Baldwin Capacity: 29 Map |
| Wake |
Cary Total Life Center at Bond Park Adult Day Care and Adult Day Health 110 Maury O'Dell Cary, NC 27513 919-460-9008 Joan Kelly Capacity: 29 Map Family Circle Elder Care * Adult Day Care and Adult Day Health 820 W Garner Road Garner, NC 27529 919-773-1115 Olu Adebiyi Capacity: 12 Map The Glade Adult Day Care at Glenaire * Adult Day Care 4000 Glenhope Ct. Cary, NC 27511 919-447-4494 Emily Smith Capacity: 21 Map Resources For Seniors Total Life Center - Creedmoor Road Adult Day Care 6612 Creedmoor Road Raleigh, NC 27613 919-676-5858 Michael Hardee Capacity: 41 Map Resources For Seniors Total Life Center - Cary at the Kirk O'Kildaire Adult Day Care 200 High Meadow Road Cary, NC 27511 919-467-6906 Hillary Dossett Capacity: 29 Map Resources For Seniors Total Life Center - Eastern Wake Adult Day Care and Adult Day Health 323 Lake Drive Wendell, NC 27591 919-713-1534 Sharon Conyers Capacity: 25 Map Resources For Seniors Total Life Center - Departure Drive Adult Day Care and Adult Day Health 5124 Departure Drive #101 Raleigh, NC 27616 919-873-1870 Stella Ray Capacity: 91 Map Resources For Seniors Total Life Center - Garner Adult Day Care 201 Methodist Drive Garner, NC 27529 919-733-3790 Jennifer Murray Capacity: 41 Map Ruth Sheets Adult Day Care Center * Adult Day Care and Adult Day Health 228 W. Edenton St. Raleigh, NC 27603 919-832-7227 Matt Frazier Capacity: 16 Map Sarah Care at Lake Boone Trail * Adult Day Care and Adult Day Health 2245 Gateway Access Point, Suite 101 Raleigh, NC 919-746-7050 Marcia Jarrell Capacity: 51 Map Southeastern Wake ADC Center * Adult Day Care and Adult Day Health 2034 New Bern Ave. Raleigh, NC 27610 919-231-2245 Rose Simmons Capacity: 40 Map |
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Southeastern Adult Day Center* Adult Day Care and Adult Day Health 3911 New Bern Ave. Raleigh, NC 27610 919-212-8580 Joyce Harper Capacity: 20 Map
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Adult Care Connexion, Inc.* Adult Day Care Home 109 Indian Trail Wendell, NC 27591 919-365-4558 Patricia Jones Capacity: 4 Map
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- For pictures of the facilities for Region J providers (Home and Community Care Block Grant funded programs), go to their webpage. Click on the provider for the county in which you need service.
* not Home and Community Care Block Grant funded centers

Find a Center in Other Areas of North Carolina

The North Carolina Division of Aging and Adult Services has a statewide list of centers on their website.
Find a Center in Another County