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Adult Day Services Census 2026

Census 2026: Why Bother?

  • Capture a snapshot of adult day services in North Carolina;
  • Identify trends and insights into a service sector with a 50+ year history;
  • Create a process for tracking metrics through regular data collection;
  • Explore opportunities for alternative payment models;
  • Identify challenges and opportunities that can focus on sustainability and growth.
Instructions 
Please complete one census record per facility.  Use the information and metrics that are most readily available in your system.  You may be able to complete only some questions, so "do not know" and "do not track" are valid answers.  Your responses are confidential and will be combined with all responses to create a summary report to be distributed to each respondent. 

Background Information
2000:  There were 125 adult day programs in 68 out of North Carolina's 100 counties.  In 2001/2002, Partners in Caregiving: The Adult Day Services Program (a national resource center at the WFU School of Medicine) conducted a national study that determined that North Carolina (based on the age 65+ population) could support a total of 243 adult day programs serving 40 people/day.       

2005:  Because of a concern that 30 adult day programs closed over a five-year period, a comprehensive survey of North Carolina adult day programs was conducted by Partners in Caregiving as part of a State-funded project through the NC Department of Health and Human Services.  The survey revolved around the predictors of success for financial viability.  There were 107 programs in 58 counties.

2009:  An updated survey was conducted by the NC Adult Day Services Association (NCADSA), gathering data focused on marketing, financing and programming to assess financial viability.

2026:  There are 92 programs in 46 counties, of which 15 are PACE sites.  No current data exists to assess the state of the field now. 

Next Steps
*Completion of Census 2026 to update current data
*Synthesis of new data
*Use of findings to increase awareness of adult day services
*Use of findings to advocate for increased funding, and expand to more uniform data collection, including outcome measures.