Opening an Adult Day Center

Adult day services centers have grown markedly since the first centers, as we know them today, opened in the United States in the 1960s. Given the demographics, we can expect the demand to increase beyond the estimated 5,000+ centers already operating in the United States. Starting an adult day center is not an easy task. Keeping one going after it has been launched is filled with challenges, too. But for those of us who know from our own experiences what day services mean for impaired adults and their family caregivers, the results are well worth the time, money and effort. Fortunately, many have gone before you and a number of excellent resources are available to you as you begin this endeavor.  Before investing in any resource or consultant, inquire of their experience working in the business to establish their credibility.

Determine a Need for an Adult Day Center in your Area

Contact your State Association

State Association leaders are a source of tremendous information regarding adult day centers in your specific state. Many host workshops on opening adult day centers, distribute publications specific to your state, and offer local opportunities for networking. Click to view State Association Partners.

Join the National Adult Day Services Association

There is a wealth of information you can learn by networking with people already in the business. Benefits of membership that may be particularly beneficial to you include access to our member’s only library, the adult day services community list-serv, and discounts on NADSA products. You don’t have to be an expert to benefit from the national or state associations–just a member!

Access National Adult Day Services Publications

Know the Rules and Regulations Governing your Area

Regulations vary by state so you will need to become familiar with local and statewide licensing/certification requirements, zoning regulations and safety codes. The U.S. Department of Health and Human Services has compiled a helpful document entitled Regulatory Review of Adult Day Services.

State-by-State Information

Click for information on centers, state licensing, regulations and funding.

Plan Your Business

Learn more about adult day services

For further questions please contact the NADSA office at



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