Medical Adult Day Care

Our mission is to allow eligible adults with health impairments to remain in their homes and communities and avoid premature entry into a nursing home or other residential facility. Our well-trained and compassionate team of nurses, social workers, health aides, activities staff, and patient drivers offer a robust set of services that can ensure that your loved one is well cared for during the day and provide respite for caregivers.  

Program Information

Program Services

The Medical Adult Day Care program offers a wide range of included services that enhance a participant’s mental, emotional, and physical health. 

  • Skilled nursing: Medication administration and treatments, as ordered by the participant’s doctor.
  • Transportation: Accessible vehicles that can transport participants to the program location, doctor’s appointments, and field trips.
  • Social Services: A licensed Social Worker is available to help participants and their families navigate challenges and access resources.
  • Activities: A daily variety of fun and engaging activities are planned including music, exercise, parties, educational activities, and games.
  • Nutrition: Family-style breakfast and lunch are served daily, as well as snacks. Meals are nutritious and can accommodate special dietary needs or allergies. USDA Non-Discrimination Statement
  • Personal Care: Assistance with bathing. Hair and nail care and shaving. Services provided by a licensed beautician are also available upon request for an additional fee.

Program Hours

Program hours are Monday through Friday from 9:30 a.m. to 2:00 p.m. Office hours are 8:00 a.m. to 4:30 p.m.

We are required to have medical personnel on site during program hours of operation and therefore must abide by these hours. Early patient drop offs or late pickups are not permitted. If you need to request accommodation of an early drop off or late pick up, please contact our office. We may be able to accommodate occasional requests on a case-by-case basis, depending on staff availability.

We are closed on all Maryland State employee holidays, Caroline County government employee holidays, and when Caroline County schools are closed for bad weather. Closure announcements will also be posted on the Health Department Facebook and Twitter. 


The Medical Adult Day Care program part of the Caroline County Health Department

Health and Public Services Building
First Floor, Room 141
403 S. 7th Street
Denton, Maryland 21629

Contact Information

Phone: (410) 479-8065, Dial 7-1-1 to place a call through Maryland Relay.

Fax: (410) 479-4911


If you are interested in getting more information on enrollment, call or email us and our staff will be happy to speak with you in more detail about your loved one. You can also complete our online interest form.


To be eligible to participate in the Medical Adult Day Care program, participants must meet the following requirements:

  • Be at least 16 years of age
  • Be under the active care of a physician or advanced practice provider
  • Be free from Tuberculosis
  • Be up to date on COVID-19 vaccinations
  • Be able to commit to the Program’s minimum attendance requirements (at least 2 days a week for at least 4 hours a day)


The cost of the Program is based on household income and ability to pay, using a sliding fee scale, which is updated annually. This allows the program to be affordable to anyone who would like to participate. Please email us to receive a copy of the current scale.

Our services may be eligible for coverage for those with Veterans Administration or Medicaid benefits. 

Additional costs apply for optional services, such as beautician services. Please request an updated schedule of fees.

Applying for Services

To apply for our Program, you must schedule a time to meet with our staff and take an observation tour of the Program. During this meeting, we will work with you to complete applications and admission paperwork and answer any questions you have.

To schedule a meeting and visit, please contact us using the information provided above.

In preparation for your meeting, you will need to bring the following items with you:

  • All health insurance cards (Medicare, Medical Assistance, AARP, Blue Cross/Blue Shield, etc.)
  • Social Security Card
  • Food Stamp Card (if applicable)
  • Proof of income for participant & spouse (Social Security benefit statement, proof of pension, proof of wages/income – pay stubs, Supplemental Security Income (SSI), veteran’s benefits, money from rental income, earned interest on accounts, IRAs, etc.)
  • PPD Report (within past year) or Chest X-Ray (within 6 months, to prove you are free of tuberculosis)
  • Legal Documents (Advanced Directives, DNR, MOLST, and POA) 
  • Photo ID for the participant  
  • Emergency Contact Information (Name, Address and Phone Numbers)  
  • Name, address, phone number and fax number of primary care physician.
Monthly Activities

Each month our team plans a variety of engaging activities meant to promote physical, social, emotional, and mental health of our program participants. Examples include chair yoga, stretching sessions, crafts, visits with dogs and cats from the Humane Society, bingo, visits with Santa, and picnic at Martinak State Park.

Frequently Asked Questions

What is the difference between a medical adult day care center and an adult day care center?

While we provide enrichment, recreation, and supervision, medical adult day programs are distinguished from others by also offering medical and medication management, as well as assisting with physician prescribed care. These services are performed by our licensed nursing staff. A center designated as medical adult day care indicates that the center is licensed by the state and operates under defined medical measures and guidelines.  

Is the facility safe?

Our facility implements procedures and best practices that provide a safe environment for our participants. We adhere to universal health procedures and provide a facility that is fully accessible to those with impairments and disabilities. Door sensors, access controls, security cameras, and other measures ensure that our patients are safe and remain secure within the facility. 

What are the social benefits of the program?

We recognize that meaningful social connections are vital to maintaining health and wellbeing, especially for older adults. Our program provides opportunities to socialize with others through fun, engaging games and outings, as well as engaging therapeutic activities. 

What type of activities are provided?

Entertaining physical and cognitive daily activities are scheduled each day. Activities are adjusted to abilities and patterned to promote a healthy wellbeing. You can view our monthly activity calendar to view upcoming activities. Also visit our news section and photo album to see examples of past activities.

What assistance is provided if needed? What if my loved one needs assistance eating or toileting?

Our compassionate staff takes care of all your loved one’s needs during their time with us, including assisting with personal activities and other kinds of assistance.

Once I am attending, can I quit whenever I want?

Yes, a participant is not obligated to attend for any length of time however, it is a good policy to notify the center when absent or withdrawing from the program.  

How do I learn more or sign up?

You may fill out our interest form online or call our office and ask to speak with a social worker. Once contact is made, we will schedule a visit, so that you can see the program in action and complete necessary paperwork.

What is respite care and does your facility offer it?

Respite care provides short-term relief for primary caregivers. Our medical adult day care program offers day respite for caregivers. Additionally, our staff may be able to connect you with other respite resources. 

Is the center licensed?

Yes, the center is licensed, surveyed, and audited by the State government regularly to assure quality services and participant safety

What type of training does the staff receive?

Our team members maintain various licenses, certifications, and accreditations that are necessary for their role. Continuing education in their fields is important and all staff are required by the State government to receive ongoing training regarding safety and proper care.

What is the staff/participant ratio?

Our direct care-to-participant ratio is 1:5. State regulation requires a staff-to-participant ratio of no more than 1:7.

How long has the Caroline Medical Adult Day Care program been in operation?

We are proud to have been serving our community for more than 30 years.

Does the center offer volunteer opportunities?

We love volunteers! Our volunteers report that working with our program participants is a deeply rewarding experience. We can also provide service learning hours. Contact our office to discuss opportunities. To ensure patient safety, screening is required for all volunteers. 

Photos & News

We love sharing the latest pictures and stories of the activities our program clients are participating in! Check out our featured stories and click on the button below to view all Medical Adult Day Care news and the accompanying photo albums.

Policies & Forms

Participant Intake Form

Financial Application

Program Agreement

Privacy Policy & Acknowledgement 

Release of Information Form

Maryland Department of Health HIPAA Authorization Form

Maryland Department of Health Patient Photo/Recording & Information Release

Operating Policies, Procedures & Services

Laboratory Services Policy

Inclement Weather Policy

Discharge Planning Policy & Procedure

Resources for Families

Caroline County Health Department Adult Evaluation and Review Services (AERS)

Caroline County Department of Social Services

Upper Shore Aging (Local Aging Agency)

Maryland Access Point, Maryland 211

Maryland Department of Aging

Maryland Department of Disabilities

National Institute on Aging

Alzheimer’s Foundation of America

Alzheimer’s Association 24/7 Helpline

Suicide & Crisis Lifeline 988

National Alliance for Caregiving

Caroline Medical Adult Day Care Foundation

Program fees do not cover all of the special events and activities our program participants love. We are lucky to have the support of a charitable foundation created specifically to support the Medical Adult Day Care program. If you are interested in making a tax-deductible donation to the Foundation, please email us.