Post-Hospital Care
A safe transition from hospital to home
About This Service
The days and weeks following a hospital discharge are critical. Patients face new medications, wound care needs, therapy requirements, and activity restrictions — all while adjusting to being back home. Our post-hospital care program provides skilled nursing, therapy, and care coordination to ensure a safe transition, prevent complications, and reduce the risk of hospital readmission.
Who It Helps
Post-hospital care benefits patients discharged after surgery, heart attack, stroke, pneumonia, hip fracture, joint replacement, or any hospitalization that requires ongoing skilled care and monitoring at home.
What to Expect
Within 24-48 hours of discharge, our care team will visit your home to review discharge instructions, reconcile medications, assess your condition, and develop a care plan. Ongoing visits will include skilled nursing, therapy, wound care, and education to support your recovery.
Care Coordination
We coordinate directly with your hospital discharge team, primary care physician, and specialists to ensure nothing falls through the cracks during the transition from hospital to home.
When to Call
If you or a loved one is being discharged from the hospital and needs skilled care at home, call us at (385) 287-1311. We can often begin care within 24-48 hours of referral.
Frequently Asked Questions
Get Started
Call us for a free consultation to learn if this service is right for your situation.
(385) 287-1311Related Services
Questions About Post-Hospital Care?
Our care team is ready to answer your questions and help you understand if this service is right for your loved one.
