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Flagler County seeks plan to stabilize David Siegel Adult Day Care after staff outline costs and low utilization
Summary
Health and Human Services told the Board that the county-run David Siegel Adult Day Care is licensed and medically staffed but operates at about nine clients per day and costs roughly $98 per client-day; commissioners asked staff to return in January with budget scenarios and a sustainability plan.
At a Flagler County Board of County Commissioners workshop on Oct. 20, 2025, county health and human services staff reviewed operations and finances for the David Siegel Adult Day Care and were directed to return in January with budget options and a sustainability plan.
The presentation, led by Joe Hegatus, director of Flagler County Health and Human Services, described the center as the county's only state- and Medicaid-licensed adult day care and said it serves primarily older adults with Alzheimer's disease, dementia and related cognitive disorders. "We are here today to discuss the adult daycare program and our community service grants, both of which are under the health and human services umbrella," Hegatus said.
Staff said the program operates with roughly 4.5 full-time-equivalent medically trained staff (a registered nurse program manager, an LPN and certified nursing assistants) and averages about nine to…
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