MISSION
The mission of the Shinrai In-Home Day Program is to provide personalized, home-based day programming for residents of Shinrai Homes, focusing on enhancing physical health, mobility, and personal development.
We are committed to delivering individualized care that respects the unique needs, preferences, and circumstances of each participant, fostering independence, self-esteem, and a higher quality of life through adaptive and engaging daily activities.
VISION
Our vision is to be a leader in in-home day programming by creating an inclusive environment where every participant can achieve their fullest potential. We strive to empower individuals through person-centered care, promoting autonomy and well-being, while being a trusted partner for families seeking supportive and effective in-home services for their loved ones.
Shinrai InterMediate Care Facility (ICF) and Shinrai Adult Day Health Center (ADHC) share one vision: to create a society where every individual can live with safety, dignity, and hope.
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At the ICF, we provide 24-hour medical, nursing, and daily living support, offering a secure and caring home. At the ADHC, we provide daytime medical care, rehabilitation, learning opportunities, and social engagement, ensuring that each person stays connected with the community.
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But what makes us unique is the word Shinrai. In English, it might be translated as “trust” or “believe,” yet in Japanese, Shinrai (ä¿¡é ¼) goes far deeper.
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Shinrai means believing in each other’s heart, keeping promises, and building bonds that feel like family. It is a cultural value rooted in Japan—quiet but strong, reminding us that we are valued, respected, and never alone.
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This spirit of Shinrai is the foundation of our care. It is the promise behind our name.
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Our vision is to ensure that every individual can live a life true to themselves, respected by their community, and supported with compassion and unwavering dignity.
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In the name of Shinrai, we commit to protecting the dignity and potential of every life we serve.
What are ICF-DDH and ICF-DDN?
ICF-DDH (Intermediate Care Facility for the Developmentally Disabled Habilitative)
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Meaning: An intermediate care facility for individuals with developmental disabilities, focused on habilitation.
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Key Features:
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Provides daily living support such as meals, bathing, dressing, and toileting
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Emphasizes habilitation — training and programs that help individuals gain, maintain, and develop new life skills
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Nursing staff provide health checks, medication management, and medical oversight as needed
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Small, family-like living environment designed to ensure comfort and safety
A facility that integrates daily living support + skill development + medical oversight when needed.
ICF-DDN (Intermediate Care Facility for the Developmentally Disabled Nursing
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Meaning: An intermediate care facility for individuals with developmental disabilities, focused on continuous nursing care.
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​ Key Features:
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24/7 nursing presence for continuous medical monitoring
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Provides advanced medical care such as ventilator management, tracheostomy care, suctioning, and tube feeding
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Comprehensive medication management and emergency response for seizures, respiratory conditions, etc.
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Rehabilitation and therapies integrated with medical and daily living support
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Daily living assistance (meals, hygiene, mobility, dressing) combined seamlessly with medical care
A facility that integrates daily living support + continuous, advanced medical and nursing care.
What is ADHC (Adult Day Health Care)
ADHC (Adult Day Health Care) is a type of care facility that individuals attend during the day.
While continuing to live at home, participants come to the center during daytime hours to receive comprehensive support—medical care, rehabilitation, daily living assistance, and social engagement.
Key Features
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Medical Support
ADHC offers a medical model of adult day services. Nurses are on-site throughout the day to perform vital sign checks, manage
medications, and closely monitor health conditions. Physicians and therapists provide regular assessments, and necessary treatments are administered under physician supervision. When urgent care is required, ADHCs coordinate directly with hospitals and healthcare providers, ensuring immediate response.
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Rehabilitation
Licensed physical and occupational therapists provide customized rehabilitation programs to help maintain, restore, or improve mobility, strength, and Independence.
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Daily Living Support
Assistance with meals, bathing, hygiene, and exercise is provided in a safe and supportive environment.
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Chronic Condition Management
ADHCs specialize in caring for individuals with chronic illnesses (e.g., diabetes, heart disease, respiratory conditions), providing continuous monitoring and preventive interventions.
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Social Interaction
Recreational and group activities stimulate the mind, encourage friendships, and prevent social isolation.
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Transportation Services
Door-to-door transportation is often provided, reducing the burden on families and making access to care easier.
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Purpose of ADHC
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The goals of ADHC are:
• To provide ongoing medical supervision so participants can safely continue
living at home
• To support physical recovery, disease management, and overall well-being
• To reduce the caregiving burden on families by offering reliable daytime care
• To ensure participants remain socially connected, emotionally supported, and physically active.
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The Whole Picture
ADHC is not just a social program. It is a healthcare-based day program that bridges the gap between home living and
facility-based care.
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For participants, it is a place to maintain health, independence, and peace of mind.
For families, it is a trusted partner in managing both medical and caregiving needs.
Services Provided by Shinrai
1. Medical and Nursing Support (ICF-DDH / ICF-DDN / ADHC)
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• 24/7 nursing care (ICF-DDN)
• Vital sign checks, medication management, and continuous health monitoring.
• Immediate emergency response with direct coordination to physicians and hospitals.
• Advanced medical procedures such as ventilator management, tube feeding, and suctioning.
• ADHC: On-site nurses during the day provide health observation and necessary medical interventions.
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2. Daily Living Support
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• Provision of nutritionally balanced meals.
• Assistance with bathing, toileting, dressing, and personal hygiene (ICF)
• ADHC: Support for meals, bathing, and exercise during daytime hours.
• Safe and supervised living environment, including nighttime care (ICF-DDN /DDH)
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3. Habilitation and Rehabilitation
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• ICF-DDH: Habilitation programs that build life skills and promote independence.
• ICF-DDN: Rehabilitation integrated with daily medical and nursing care.
• ADHC: Physical and occupational therapy to support recovery and maintain function.
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4. Social Participation and Emotional Care
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• Recreational programs, group activities, and community involvement.
• ADHC: Daytime opportunities for social interaction to prevent isolation.
• Emotional support in an environment that values individuality and dignity.
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5. Family Support
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• Caregiving consultation and guidance.
• Respite services to reduce caregiver burden.
• Training for families on medical and caregiving techniques.
• ADHC: Door-to-door transportation services to ease the burden on families.
SUMMARY:
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Shinrai provides an integrated model of life support, medical care, growth, and peace of mind through:
• ICF-DDH (daily living + habilitation + medical support as needed)
• ICF-DDN (daily living + 24/7 nursing + advanced medical care)
• ADHC (daytime medical support + rehabilitation + social interaction)
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Together, these facilities embody the Shinrai philosophy of protecting health,
independence, and dignity for every individual and their families.
Integrated Care with Shinrai
At Shinrai, all of our services—ICF-DDH, ICF-DDN, and ADHC—are provided under one unified system. This means that the same client can live safely in our residential facilities, attend our Adult Day Health Care center during the day, and return to the facility in the evening.
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This continuity ensures:
• Seamless medical care — health monitoring, medication management, and nursing follow-up across both facility and day program
• Consistent support — daily living assistance, rehabilitation, and social engagement without interruption
• Holistic well-being — dignity, independence, and health supported in every setting
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Unlike fragmented services, Shinrai provides a continuous circle of care, so clients and families experience true peace of mind.
With Shinrai, life is not divided between places— It is connected, supported, and enriched every day.
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Member Since 1996
Member Since 1996
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