Transitional Care
Post-Hospital Care & Surgery Rehabilitation Facility
At HealthBridge, we serve people in the process of transitioning from the hospital to optimal independence, providing highly advanced post-hospital care services and rehabilitation by highly-experienced staff in a comfortable, community-based environment.
Individualized Treatment Sets our Transitional Care Facilities Apart
Our clinically proven short-term rehabilitative care helps bridge the distance between the hospital and your best life. Whether you’re looking for short-term rehab after surgery or are recovering from a hospital stay, we can customize a rehabilitation plan to fit your needs. Each patient benefits from an individualized service plan developed and implemented by our interdisciplinary team of professionals with input from all stakeholders. Stakeholders include the patient, family members, referral facility discharge planners, payer case managers and adjustors.
Progress is constantly measured and plans are frequently updated to ensure that residents make as much progress as possible in developing the practical skills needed in their lives as they work toward increased independence and community re-integration. To learn more about the ways in which HealthBridge carefully develops transitional care plans, please contact us today.
HealthBridge…Where specialized care begins and hope never ends
Programs
Commonly Asked Questions
Once a patient is discharged from an acute care facility, e.g., hospital, but not physically ready to return home, they will be moved to a transitional care facility. These facilities provide both subacute (some medical support) and post-acute care (primarily rehab and recovery) depending on the individual’s medical and rehabilitation needs.
Upon arriving at a transitional care facility, a patient will be evaluated and an individualized treatment plan will be developed by an expert care team. The plan will include a range of services, including therapy (physical, speech, occupational, behavioral) and potentially some limited medical treatment.
All types of therapy are provided at a transitional care facility — physical, speech, respiratory, pulmonary, occupational, behavioral and nutrition. In addition, some ongoing medical intervention may be needed for medically complex illnesses or injuries, such as ventilator care, wound care and ongoing testing.
We encourage our patients to bring personal items from home such as photos, blankets or music. All personal items will be logged on an Inventory list upon arrival. If additional items are brought later in the patient’s stay, these items will be added to the inventory list.
At our facilities, pets are allowed in designated areas with the permission of the facility Administrator and only if certain criteria have been met.
The typical stay at a transitional care facility will range between 5 to 21 days, depending on the extent of treatment needed. Timing of discharge will involve a variety of factors including patient evaluation/progress and insurance coverage.