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Adult Day Care vs. In-Home Care

Adult day care runs on a schedule and gives a caregiver their day back. In-home care comes to the house on whatever schedule you set.

HomeComparisonsAdult Day Care vs. In-Home Care
Short answer

Adult day care operates on a set schedule at a dedicated facility, giving a family caregiver structured time back during the day. In-home care comes to the house on whatever schedule the family sets, with no travel required for the person receiving care.

Cost and coverage

Indiana does not publish a statewide adult day care cost median the way it does for assisted living or nursing homes. Indiana's PathWays Waiver can help cover adult day services for eligible Hoosiers 60 and older -- ask CICOA Aging & In-Home Solutions whether a specific adult day program participates.

Why many families use both

Adult day care and in-home care are not mutually exclusive. A common pattern is adult day care on weekdays a caregiver works, paired with in-home help or family caregiving in the evenings and on weekends -- covering more hours of the week than either option alone, often at a lower blended cost than scaling up either one by itself.

Free help in your area. CICOA Aging & In-Home Solutions is the Area Agency on Aging covering all six counties this site serves. Read the full explanation →

Questions families ask

Does Indiana require every assisted living community to be licensed?

No. Under 410 IAC 16.2-5-0.5(c), a community that provides only room, board, housekeeping and activities -- without administering medication or providing nursing care -- is not required to hold a Residential Care Facility license at all. Some buildings marketed as assisted living in Indiana may carry no state license, so always confirm directly.

Does Indiana require a separate license for memory care?

No. Indiana requires a written Alzheimer's and Dementia Special Care Disclosure under Indiana Code 12-10-5.5, not a separate state certification. Communities must file the disclosure and meet training requirements, but there is no distinct 'certified memory care' license to check for.

How do I check a facility's Indiana license and inspection history?

Use the Indiana Long Term Care Survey & Inspection Public Search at hoosierusa.isdh.in.gov, run by the Indiana Department of Health. Nursing homes also carry a federal CMS Care Compare star rating; assisted living (Residential Care Facilities) does not.

What's the difference between Indiana's Residential Care Facility and Comprehensive Care Facility licenses?

A Residential Care Facility (RCF) is Indiana's assisted-living-type license, covering personal care, medication administration and ADL help, not 24-hour skilled nursing. A Comprehensive Care Facility is Indiana's nursing-home license, for residents who need 24-hour licensed nursing care.

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