CIRCLE CENTER ADULT DAY SERVICES
4900 West Marshall Street, Richmond, VA 23230 circlecenterva.org

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Organizations Filed Purposes: The mission of Circle Center Adult Day Services is to provide high quality, cost effective daycare services for frail or functionally impaired older adults and their caregivers and to advance community care options for older adults.

Circle Center Adult Day Services provides licensed daycare for community-living, high risk, nursing home eligible older adults, and respite, education and support for their family caregivers. Center services are designed to support continued community living, maintain or improve functional abilities, develop coping skills and improve the quality of individual and family life. The agency measures its success by its ability to help already- nursing-home-eligible older adults continue to live at home, with Center and family support. For the period July 2019 through June 2020:100% of those served met the criteria for nursing home care, but used adult daycare at Circle Center instead.They were able to live at home 42,258 days longer at a savings to their family and taxpayers of at least $8,873,364. Family caregivers also reported improved quality of their lives:98% reported Circle Center services have improved Quality of Life of participant98% reported Center services reduced stress as a caregiver96% reported that Circle Center improved the fulfillment of social, emotional and physical needs of participant 100% reported that Circle Center has impacted their patience as a caregiver in a positive way96% reported that Circle Center helped them to maintain other life roles 100% reported that Circle Center provided them with information and resources to help meet their loved ones' needs94% reported Circle Center was crucial to keeping their loved ones home 98% reported that Circle Center provided a welcoming and safe environment Pandemic specific:90% reported a decline in functioning of participant during closure 73% reported an increase in stress of caregiving during closure ACTIVITIES: At the Center, daily nursing care, 2 meals and 2 snacks, showers, social work services, therapeutic activities, supervision for safety, cognitive and emotional support, transportation coordination and specialized wellness programs and services for those with later stages of dementia provide enrolled nursing-home eligible participants with the daily care they need to continue living at home while enjoying an enhanced quality of life through involvement with their peers. Circle Center brings them together in a social, comfortable and services-rich environment where they share experiences and build friendships while benefitting from a daily routine that keeps them active and engaged. Meanwhile, family caregivers, are freed to work or receive the respite they need from 24/7 responsibility for a relative with special needs. Caregivers also have access to support groups, educational programs and other services to assist them with caregiving and improve their coping skills. The Center brings together families from all socio-economic groups. Due to the COVID-19 pandemic, the Center closed for 3 months in March-June 2020 out of an abundance of caution and concern for the health of our high risk population. We stayed in touch weekly with participants who were homebound and pivoted to provide virtual programming to keep them as engaged as possible at home. We reopened our doors in June 2020 with a smaller census of participants due to public health recommendations of 6-foot distancing, daily screening Monday - Friday 8 am - 4 pm (an adjustment from our previous Monday - Saturday schedule in prior years due to a decrease in staffing as a result of the pandemic). ACCOMPLISHMENTS: Circle Center Adult Day Services, one of first 100 adult daycare centers in the nation, celebrated 44 years of compassionate and innovative services in May 2020. Its most significant achievement in recent years was its January 2009 move into its own facility, following a successful $2.7 million capital campaign, purchase of a 26,000 square foot building and extensive renovation of 15,000 square feet of space, with the potential to expand into another 11,000 square feet of space. In February 2015, with the success of another initiative, the Center renovated 5100 square feet of this space with increased licensed capacity to serve 130 participants per day. The Center has long set the standard for care in the entire region and is Virginia's most comprehensive in terms of services, its state-of-the-art facility and its support and education programs for caregivers. Its extensive intern program provides full and part-time placements for college and university students in occupational therapy, therapeutic recreation, nursing, and social work from 12 schools in five states. Center services are based on a Wellness Model of person centered care and include a wellness program in dedicated space for strength, flexibility and balance training, chair yoga, Tai Chi, Wii activities, based on individual needs. Another specialized service, a Multisensory (sensory stimulation) Program, is known to increase alertness and control anxiety in neurologically impaired elders, an adjunct to our established Montessori-based program for those with later stage dementia. Circle Center also continued its strong track record of innovative programming by offering virtual activities and programs during our three-month closure due to COVID-19. Since 1980, the Center's Scholarship Program has provided full or partial scholarships for those who may otherwise not be able to afford services. In 2019-20, $209,140 in scholarship funds were provided by foundation and corporate grants and gifts from individuals. Circle Center is a provider for the Commonwealth Coordinated Care (CCC+) program, managed care for those both Medicare and Medicaid eligible, which serves high risk individuals in a more comprehensive and coordinated way across their acute and long term care needs. Also, most long term care insurance pays for Center services.The Center's goals include continued growth to meet the needs of a rapidly expanding cohort of older adults aging in place in families and neighborhoods across the seven counties and three cities served in 2019-20 while maintaining best practices for the provision of this care provided by its multidisciplinary team of licensed and certified staff.

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