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Adult Care Center of the Roanoke Valley
Nicole Miracle, Director of Feinour Center
Casey Halstead, Assitant Director of
Feinour Center, and Mallie Elkins
A full day (more than four hours) at the
Feinour Center, which opened in 2017,
costs $80 (half a day is $55) and the facility
is capable of serving 60 participants at a
time (though recently its attendance was
34, which is normal). It has a 6-1 ratio of
staff to participants with full-time and
parttime workers.
Director Nicole Miracle says Feinour " is
interactive, working from independent
living, to assisted living, to home care,
to adult day care. You see a physical
improvement in the participants by being
here. ... It is a nice 'between' [facility] for
the elderly. They can still get out and be a
part of the community. "
Assistant Director Casey Halstead enjoys
Wade says there was an attempt to
move his mother near his King George area
home, but " we couldn't afford it. The cost
was double what it is here. She is cared for
here. "
The Roanoke Valley has three
substantial, full-service adult day care
centers, taking care of people ranging
in age from teens to 100, offering a wide
variety of services from bathing and
personal hygiene to medical care and
recreation. The prices, in general, are
relatively affordable and the Adult Care
Center of the Roanoke Valley serves
Medicare and Medicaid recipients without
any charge to them. InnovAge is both the
insurance provider and medical provider,
providing and coordinating all medical
care for its participants.
Here is a look at the three.
This is the oldest adult day care center in
Virginia, says Administrator Mike Grepiotis.
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The center is celebrating its 40th birthday
and Grepiotis has been the head man for
the past 13 years. The facility was given its
kick start by the Kiwanis Club, headed by
former Mayor Noel Taylor, Grepiotis points
The facility, which costs $75 per day,
paid for by Medicaid or Medicare, is open
weekdays 7 a.m.-6 p.m. and recently had
a roster of 40 participants, the majority
of them older than 60. Adult Care offers
a wide variety of services, including a
complete medical staff and access to the
Veteran's Administration Hospital, which is
across the street. It has a staff of " about a
dozen, " says Grepiotis.
Breakfast and lunch are served to the
participants and activities are carried
out throughout the day. Occasionally,
the facility sponsors road trips. Adult day
care " facilities allow families to remain
together longer, " says Grepiotis. " We are a
hidden gem for families here. "
Learn more about Adult Care Center of
the Roanoke Valley at
the direct interaction with participants.
" I've been [involved in this kind of work]
15 years and I have always loved patient
care. I learn so much from the patients and
they brighten my day. " Director Miracle
shares that appreciation. " I like to start or
end my day here, " she says. " I love hearing
the success stories. "
Miracle says the staff concentrates
on " bringing back simple pleasures " to
the participants. " We do things families
are not comfortable doing. " They are
also eligible for medical and dental care,
as well as a beauty shop, among other
Learn more about Feinour Center/Adult
Day Care at Friendship at
With a capacity of 419 people and a
building that was built in 2021, InnovAge
(formerly Kassito) is by far the largest
Adult Day Care facility in the Roanoke
Valley. It has 17 centers in five states,
while Virginia's locations include

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