The Adult Day Health Care Center offers:

Nursing Care
A full-time registered nurse is present daily to observe and monitor each participant's health status, and administer medications. Health classes are also provided. 

Occupational Therapy (OT)
The center provides training in self-care and daily living activities. The program also offers an OT clinic on site in collaboration with San Jose State University.

Physical Therapy
A major program component is physical therapy.  Participants are provided assistance and training to maintain maximum performance by using therapeutic exercise, rehabilitation services, gait training, prosthesis training, etc.

Speech Therapy
Program speech therapist evaluates participants as needed and develops necessary speech and language therapy plans.

Social Services
A social worker provides social services to participants and their family. 

Nutrition
A hot nutritional meal and a snack are served daily. All meals are supervised by a licensed dietitian who also provides nutrition counseling and monitoring.

Social and Cultural Activities
The center's activities are designed to meet the social and emotional needs of participants. Emphasis is placed on social interaction, education topics, health and safety issues, mental and physical stimulation.  

Examples of Activities:

• Exercise Gardening               
• Bingo    
• Men's Dialogue Group
• Women’s Dialogue Group
• Arts & Crafts
• Entertainment                     
• Music   
• Cultural Events
• Birthday parties                   
• Table games
• Needlepoint                        
• Crocheting

Eligibility
Impaired adults or seniors who have a physical or mental impairment that limits the activities of daily living and have a health condition requiring treatment or rehabilitative service prescribed by a physician.

Transportation
Provided for those who live within our service area.

Program Hours
Monday - Friday 7:30 am - 4:00 PM 

Phone 
(408) 928-1155 

Fax
(408) 928-1153

Fees
Services are covered by Medi-cal.  A sliding fee scale is available for individuals not elegible for Medi-cal. 

Service Area
Santa Clara County
---

What is Adult Day Health Care?  Adult Day Health Care was developed by the state as part of a long term care program to prevent premature institutionalization. Simply put, people who attend out ADHC have health problems but do not need to be in a nursing home. It was created to keep people at home living either by themselves or with their family members for as long as possible. Regulations state there are four criteria for meeting eligibility to enter out program which will give you an idea of its purpose and creation. They are:

1)    A medical condition that requires treatment or rehabilitative services prescribed by a physician.

2)    Mental or physical impairments which handicap daily living activities but which are not of such a serious nature as to require 24 hour institutional care.

3)    Reasonable expectation that preventive service will maintain or improve the present level of functioning.

4)    High potential for further deterioration and probable institutionalization care.

ADHC was developed to help not only those frail adults who had a need for supportive services but for the caregivers who have chosen to keep their family member at home.

ADHC can be simply explained by describing it as a cross between a health facility and a senior/ recreational part is what you would find in any senior center except that it is scaled down. We have bingo, gardening, entertainment, birthday and holiday celebrations, crocheting/ needlework and woodworking etc.

Who are likely candidates? The most obvious ones are those recovering from strokes, heart attacks, and hospitalization for severe problems relating to diabetes. We fin that those participants who come to our center within several  weeks of finishing their rehabilitation program, continue to benefit from the therapies offered here. The consistency and stability of the program prevents premature institutionalization, by solidifying the home exercises and new skills they have learned to continue with their Adult Daily Living skills. We also find that those who are referred 3-5 years post stroke have stopped their exercises and many develop contractors that could have otherwise been prevented. Our RN in these cases acts as a prevention for recurring strokes etc. by monitoring vitals, medications, nutrition, BG's and acting as a liaison with the doctor.

There will also be the "hidden candidates". Those whose health problems are not as obvious. These would include: Parkinson's patients, amputations, osteoarthritis, hypertension, diabetics, asthma emphysema, dementia, arthritis, hip fractures, decreasing vision, decrease in ambulation, and isolation. All these people could benefit from either one or all of our therapies in coordination with our recreational activities.

Both the hidden and more obvious candidates also will have caretakers who require respite from their care taking responsibilities. The ADHC also serves caretakers who need time to themselves. Sometimes an older couple will both have some health and memory problems and by one or both attending there are professionals (especially the nurse) who can monitor how they are doing twice a week.

Candidates who would not be elibible - At MACSA's ADHC we look at every case on an individual basis so if you are unsure go ahead and refer them to us. At this time we do not take people who require a two person transfer from their wheelchair for toileting. We also do no take people who have an open tracheotomy hole or those who are fed by gastrostomy tube only as we do not puree food on the premises. Severe psychosis, extreme behavior problems and wanderers are also not appropriate for our program.