What are Adult Day Care Programs?

Adult day care is available in three primary categories: centers that focus on providing social activities, programs that offer heath and personal care services, and ones that are dedicated to the daytime care and supervision of clients with Alzheimer's, dementia, or other cognitive difficulties. Many are associated with other organizations, such as hospitals, home care agencies or nursing homes in NYC.


Adult day care can be beneficial to both clients and families. Clients benefit from the opportunity to socialize, an important part of the healing process. Families benefit from knowing their loved one is safe during the day as they work, run errands, or just take a little time for their own mental health and sanity. Medicaid will cover adult day care costs for eligible recipients.



What are Adult Homes?

Adult homes provide a safe living environment for adults who need a bit of help or supervision to accomplish activities of daily living, due to a lack of cognitive skills or mental illness, but do not need the level of care offered by nursing homes in NYC. Ranging in size from homes that accommodate up to six residents to those that house 100 or more, adult homes offer services such as semi-private or private rooms, meals laundry, housekeeping, transportation and recreational activities.


What are Assisted Living Facilities?

Assisted living facilities offer each client apartment style housing that comes with a variety of services. The state of N.Y. requires assisted living centers to make provisions for 24 hour on-site monitoring, personal care and/or home health services and daily meals and snacks for residents. Case management services are required, as is an individualized service plan, or ISP. Other services can include laundry, housekeeping and medication assistance. Typically, these facilities function through private pay, with costs starting at around $2000 per month and ranging up to about $4000.


What are Home Health Care Services?

Home health care agencies send home care workers to a client’s home to perform duties that range from household help to skilled nursing services and physical and occupational therapy. The goal of home heath services is to provide assistance with daily living activities while helping the client to remain as independent as possible. Medicare does pay for up to 100 days under certain conditions. Some clients are able to get Medicaid funding for home care services, while others pay privately.


What is Hospice Care?

Hospice care is for those who need medical services and emotional support and are in the final days of an illness classified as terminal. Hospice also offers assistance to families who need help managing the care of a loved one that is dying, offering both practical help and emotional support. Hospice programs provide services around the clock, seven days a week in a client's home or in a hospice center, and some offer services in hospitals, long-term care facilities and nursing homes in NYC.


What are Nursing Homes?

Nursing homes in NYC are residential care facilities for people that need more care than can be given at home but are stable enough that hospital care is not necessary. Nursing homes provide services that include 24 hour medical supervision and personal care, as well as rehabilitation services and therapy.


What is a PRI, and why is it Necessary?

PRI is an acronym for Patient Review Instrument. It was developed by the NY Department of Health. This four page form is completed by certified trained evaluators, and is used to assess whether or not an individual is eligible for placement in a skilled nursing facility. It also helps determine the amount of reimbursement nursing homes in NYC will receive from Medicare or Medicaid for providing care.


Geriatric care managers, home health care agencies, and hospitals generally have certified evaluators to perform PRI assessments, and once completed the PRI is valid for 90 days as long as the client's health status has not changed due to hospitalization.

Factors assessed by the PRI include medical conditions and treatments and independence levels in regards to daily living activities. Behavior is assessed, determining the frequency of any incidents of aggressive or inappropriate behavior.


What is Respite Care?

Respite care is a service that provides a break for a client's primary caregiver, taking those duties of their hands for a few hours, or even a few days in some cases. Medicare will cover respite care for qualified clients, which include those who have had a hospital stay of at least three days within the last 30 days and require the assistance of a nurse on a daily basis, or help with occupational, speech or physical therapy at least five days a week.


What is Sub-Acute Care?

Sub-acute care is for patients in an inpatient facility who are suffering from and acute illness or a serious injury. These services are usually provided by rehabilitation centers, skilled nursing facilities and nursing homes in NYC.