COVID-19 Case Study: Centennial Adultcare Center – Tennessee

Centennial Adultcare Centers (CAC) are privately owned adult day health care programs1 that provide integrated day care, respite and health care services for families of adults with cognitive or physical disabilities (dementia, CVA, developmental, intellectual, brain injury, etc.) who are 18 years and older. Approximately 60% of adult day care participants are over the age of 60. The adult day health care program2 is the heart of the program and provides an opportunity for families to receive respite breaks and for adults needing care to socialize and engage in meaningful activities. CAC is licensed through the Tennessee Department of Human Services (DHS) through Adult Day Care licensing.3 Centennial’s respite services are predominately center-based with some in-home respite provided for around 80+ clients across its locations.

Tennessee identified adult day care services as an essential service which allowed services to continue. Tennessee left other service closures up to the discretion of local jurisdictions and provided guidance on the use of Personal Protective Equipment (PPE), including wearing masks, symptom screening and testing, social distancing, and education around pandemic issues. Tennessee implemented a Safer at Home order between March 12th and April 30th that urged residents to stay at home to prevent spread of the coronavirus. General COVID-19 guidelines4 were provided for individuals, families, workplaces, and businesses.


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