Community Based Services St. Camillus opened in 1969, during a time when there was a shortage of hospital beds, and a place was need for patients to receive care to help with recovery and rehabilitation. Although it began as a nursing home, over the years, services were added to meet the changing needs of the community. Today, we continue to respond and adapt to the needs of our community, by offering and adding Community Based Services and Programs to help individuals achieve their highest level of independence and remain in the community as long as possible. 


New Possibilities for Independence
Established in 1971, the St. Camillus Adult Day Health Program was one of the first medical day programs in New York State. In keeping with that same pioneer spirit, our program has continued to expand and to develop an array of services designed to enable adults with medical problems to live in their home as independently and for as long as possible. This is accomplished by developing a comprehensive individualized plan that coordinates our medical day program services with any additional community services needed to meet this goal.
In addition to the provision of vital services for the individual, the program can offer education, support and a respite for those caring for their loved ones at home. The Adult Day Health program allows family members the chance to take care of themselves, knowing their loved one is being well-cared for in a safe environment.

In April 2013, the new Social Adult Day Health Program opened. The mission of the program is to assist adults with neurological impairments, such as stroke, traumatic brain injury (TBI), and chronic illness, such as Parkinson’s disease in maintaining their optimum health and independence in the community. The goal of this program is to enable persons with neurological conditions to obtain support and develop strategies to enhance their ability to remain living at home.


The Centers at St. Camillus offers medical and social Adult Day Health Programs whose missions are to assist adults in maintaining their optimum health and independence in the community.

The Medical Day Health Program is offered Monday through Friday from 8:00 AM - 4:00 PM and serves adults 16 years or older who:

   •  Are returning home from a hospitalization and/or short/long term rehabilitation.
   •  Require additional medical, rehabilitation, and support services to maximize health status.
   •  Can increase independence so they can remain safely in their home.
   •  Have a progressive or chronic illness that has resulted in a gradual decline in health.
   •  Require ongoing medical services and coordination of multiple services to maximize health and the ability to remain at home.
   •  Require medical day services as a component of a waiver program (TBI or NHTD) or to supplement home health services.

The Medical Day Health Program offers...

Rehabilitation Services
   •  Restorative therapies (OT, PT, SLT)
   •  Nursing rehabilitation activities

Medical Support
Skilled nursing service, which includes the following:
   •  Health assessment and monitoring
   •  Medical case management
   •  Individual treatments
   •  Medication administration and management
   •  Pre-fill med boxes and insulin syringes
   •  Wound care and lab draws

Case Management
   •  Assistance in securing/coordinating medical care and appointments
   •  Arranging transportation to/from medical appointments
   •  Assisting with health insurance issues
   •  Assisting in accessing community resources; i.e. Medicaid, food stamps, and HEAP

Personal Care
   •  Personal care services which include showers, based on the need of the individual

Pay Sources
   •  Medicaid and some long term care policies cover the cost of the program and transportation; Medicare does not


The Social Day Health Program is offered Monday through Friday from 7:30 AM - 5:30 PM and serves adults 18 and older with neurological impairments, such as stroke, traumatic brain injury (TBI), and chronic illness, such as Parkinson's Disease. The program provides:

   •  Full and half day care
   •  Breakfast and lunch
   •  Oversight and supervision of health, personal care activities, and safety throughout the day
   •  Modified activities for individual cognitive and psycho-social impairments
   •  Maintenance and enhancement of activities of daily living to increase independence
   •  Caregiver respite
   •  Coordination of social, intellectual, cultural, educational, and physical activities - both group and individual
   •  The opportunity to promote the highest level of physical, mental, and psycho-social functioning
   •  Assistance with arranging transportation, if needed


Waiver Programs

The philosophy of the Home and Community Based TBI and NHTD Medicaid Waiver Programs is to enable the participant to live in the community rather than a nursing home. The Waivers were designed to prevent unnecessary institutionalization. The dignity of risk and right to fail are integral parts of the waiver’s philosophy. The philosophy of the waiver supports the participant’s right to choose where to live, who to live and socialize with, and what goals and activities to pursue. Waiver services are provided based on the participant’s unique strengths, needs, choices and goals. Both Waivers develop an individualized service plan that meets the participant’s needs to accomplish this safely. The participant is the primary decision maker in the development of goals, and selection of supports and individual service providers.

Services for the TBI and NHTD Waiver Programs provided by St. Camillus are Service Coordination, Independent Living Skills Training, Structured Day Program as well as Positive Behavioral Intervention and Support. Below is a brief description of each service.

Service Coordination
The Service Coordinator assists the prospective participant to become a waiver participant and coordinates and monitors the provision of all services in the Service Plan. Services may include Medicaid State Plan services, non-Medicaid federal, state and locally funded services, as well as educational, vocational, social, and medical services. The goal is to increase the participant’s independence, productivity and integration into the community while maintaining the health and welfare of the individual. The Service Coordinator assists the participant in the development, implementation and monitoring of all services in the Service Plan. Additionally, the Service Coordinator must initiate and oversee the assessment and reassessment of the participant’s level of care and on-going review of the Service Plan. The Service Coordinator advocates for the participant to ensure that the participant is receiving appropriate and adequate services from providers.

Independent Living Skills Training and Development Services (ILST)
The SC schedules and facilitates interviews between the participant and an ILST provider. The ILST will conduct a comprehensive functional assessment of the waiver participant, identifying the participant’s strengths and weaknesses in performing Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) related to his/her established goals. ILST services may include assessment, training, and supervision of, or assistance to, an individual with issues related to self-care, medication management, task completion, communication skills, interpersonal skills, socialization, sensory/motor skills, mobility, community transportation skills, reduction/elimination of maladaptive behaviors, problem solving skills, money management, pre-vocational skills and skills to maintain a household.

ILST services are individually designed to improve the ability of the participant to live as independently as possible in the community. ILST may be provided in the participant’s home or in the community. This service is provided on a one to one basis. Progress in goals is monitored on a weekly, ongoing basis. Goals are tailored to attain optimum independence in all aspects of daily living.

Structured Day Program
Structured Day Program services are individually designed services, provided in an outpatient setting or the community, to improve or maintain the participant’s skills and ability to live as independently as possible in the community. Services may include assessment, training and supervision of, or assistance to, an individual with issues related to self-care, medication management, task completion, communication skills, interpersonal skills, problem-solving skills, socialization, sensory/motor skills, mobility, and community transportation skills, reduction/elimination of maladaptive behaviors, money management skills, and skills to maintain a household. Structured Day Program services are intended to provide the opportunity for continued growth and strengthening the skills necessary to attain greater independence as well as increased community inclusion.

Positive Behavioral Interventions and Support Services (PBIS)
PBIS services are provided to participants who have significant behavioral difficulties that jeopardize their ability to remain in the community of choice due to inappropriate responses to events in their environment. The primary goal of PBIS services is to decrease the intensity or frequency of targeted behaviors, and to teach more socially appropriate behaviors. The PBIS provider will work with the participant in developing a behavioral support plan and will work with the participant, paid and natural supports to identify and implement strategies to help the participant deal with everyday responses to stress and adjustment to life post TBI.


Admissions/Referrals
A simple phone call is all it takes to get started. Our case manager will review your individual situation and needs. If our program seems right for you, a more comprehensive evaluation by our registered nurse and case manager will be conducted. We accept payment from Medicaid, private insurance and self-pay clients.

For more information on Adult Day Health at St. Camillus, please contact:

Ryann Zeiner, RN (Director of Day Programs) / Phone: 315-703-0740
Sara Spinner, BA (Medical Day Program Case Manager) / Phone: 315-703-0670
Martha Rowley (Social Day Program Case Manager) / Phone: 315-703-0810

E-mail: admissions@st-camillus.org