Frequently Asked Questions


General (19)

Who is River House Adult Day Center best for?

River House is best for adults who:

•Have physical or cognitive limitations
•Find staying home alone during the day too challenging
•Want more social activity
•Require assistance with eating, walking, toileting, bathing, dressing, and/or may be incontinent
•Take medications and/or need treatments
•Need physical, occupational and/or speech therapy
•Want to have a good time!
River House’s members include people with vision and hearing loss, chronic diseases, arthritis, diabetes, stroke victims, fractured hip, Parkinson’s disease, and Alzheimer’s or dementia.

Eligibility for financial aid is determined on a case by case basis. No person is ever turned away for financial reasons!

What is adult day care?

Adult day care provides daytime services to seniors who may be cognitively or physically impaired while giving a day of respite to their caregivers. The variety of services offered ranges from socialization and recreational activities to health and other support resources. Seniors are able to continue living with their loved ones in the comfort of their own home and receive the care and attention they need during the day while their caregiver is at work or having needed personal time.

What it is not:

•It is not a nursing home, which takes the person out of the home and community.
•It is not in-home care, which leaves the person isolated.

What are the advantages of adult day care?

•Social interaction – being with friends each day instead of being isolated at home alone
•Recreation – interesting daily activities designed to keep seniors active
•Health services – provided by professional nursing and healthcare staff to fulfill regimes prescribed by members’ personal doctors
•Living at home – out during the day yet maintaining independence and pride in being in being at home each night
•Delaying full-time nursing home care – at a significantly reduced cost
•Caregiver’s respite and peace of mind – family or friends can continue with personal activities outside the home knowing that their loved one is being cared for, stimulated, and safe
•Enhances the quality of life – a happier, healthier, better life for both seniors and their caregivers.

Are there any health conditions or physical impairments that River House would not be able to accommodate?

River House does not accommodate someone with a contagious disease, who is physically/verbally abusive, or is bedridden.

Are persons with Alzheimer’s disease or other dementias accepted into the program?

Yes. A separate specialized program is dedicated to meeting the needs of individuals requiring more attention and those with advanced dementia/Alzheimer’s disease. Click here for more information Alzheimer’s & Special Needs.

Are grooming services available?

Showers and general grooming, including shaves for men, are available at no extra charge. Haircuts, permanents and other hairdressing services are available at the beauty shop for a nominal fee.

What is the procedure if an emergency medical situation arises?

The nurse is available to assess the situation and determine the appropriate action. If necessary, 911 is called and the member is transported to Greenwich Hospital for evaluation and treatment.

What are the days and hours of operation?

River House is open Monday through Friday from 7:30 A.M. to 4:30 P.M and Saturday from 8:30 A.M. – 4:30 P.M.

We are closed for six holidays each year: New Year’s Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving, and Christmas.

What is the capacity and how many members are currently accommodated?

The capacity of the current space is around 55-60 members each day depending on our clients needs and makeup. We average 45 members a day at the present time with more than 90 enrolled. Not all members come each day. Some choose only two days a week while others attend the full six days a week.

Does River House have volunteers?

Yes. There is a wide array of volunteers, including students from local schools, adults who bring pets for visits, assist with meals and activities, garden club members who offer special seasonal programs, and a volunteer Board of Directors. To become a River House volunteer and for more information on volunteering, click here How to Help.

Are there any support services for the primary caregiver or family of the member?

Absolutely!  River House is dedicated to not only increase the lives of our members that come to us each day, but also for their caregivers and care partners. You are very much a part of our family as well.

•Individual and family counseling, care planning, and referrals are provided by a licensed clinical social worker.
•Assistance with obtaining financial aid and entitlements.
•Care Plan for Caregivers closely evaluates an individual’s situation and seeks out ways to best manage the challenges of caregiving, and searches for ways to get the caregivers life back under control.
•Caregivers’ Support Group is open to the community and provides assistance and peer support to professional and family caregivers.
•Early Stage Memory Loss Support Group is open to the community and is for couples facing the challenges of early stage Alzheimer’s.

What are the staff’s roles?

The majority of the staff is involved with direct care of the members. There is a ratio of at least one staff person to every seven members. The professional staff consists of registered and licensed nurses, specially trained health, Alzheimer’s and rehab aides, a licensed clinical social worker, therapeutic recreation director, recreation assistants and music, dance/movement and art therapists. Physical, occupational and speech therapists are available to members through a contract with Greenwich Hospital.

Does River House provide transportation?

Yes. Transportation Association of Greenwich (TAG) has a contract with River House to provide escorted, handicap available, door-to-door transportation with in Greenwich and Stamford. This cost is included in our daily fee.

Are meals provided?

Lunch, morning and afternoon snacks are provided daily. Lunches meet 1/3 of the daily nutritional requirement and are planned by a registered dietician. Special diets are available.

What is the cost per day?

The full fee is $95.00/day. There are subsidized fees available for those unable to afford this fee. Medicare does not pay for adult day care services but there are programs in Connecticut that will fund someone in an adult day care program.

How does one become a member of River House?

An admission application and physician’s orders are required for enrollment.

In addition to personal direct contacts from individuals, referrals are made by a variety of persons including health and social service workers, physicians, caregivers of past and current members, clergy, and case managers.

Contact us to set up an appointment and we’ll help you assess if River House is right for you

How is River House funded?

Direct client fees, third party reimbursement (long term care insurance, Connecticut Home Care Program for Elders, Alzheimer’s Respite Program, National Caregivers’ Program, Title III B), contributions from individuals, corporations, foundations, religious and community organizations, Town of Greenwich, the annual benefit, and United Way of Greenwich.

If a member becomes ill for an extended period of time, would he/she be able to return to River House after recovery?

Yes. In fact, members who become hospitalized often return to River House to receive needed treatments and therapies as they recover.

Are members separated into higher and lower functioning groups? Are activities geared toward higher or lower functioning groups?

The focus of River House’s program is recreation and socialization. The therapeutic recreation director is responsible for planning appropriate activities for all members. Groups are developed according to ability and interest.

There is a separate specialized program dedicated to meeting the needs of individuals requiring more one-on-one care or attention and those with advanced dementia/Alzheimer’s disease, for more information, click here Alzheimer’s & Special Needs.

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