TRANSITIONAL CARE PROGRAM
FOR MORE INFORMATION: (715) 284-3646
Our Transitional Care Program, commonly referred to as “Swing Bed” by Medicare, is a stop between hospital and home, where patients get the continued skilled care they need to fully recover following a hospitalization. Our skilled staff provide around the clock, on-site care to help patients reach their end goal of returning home – independently and safely.
Personalized services are based off a patient’s individual needs and preferences. Each patient will be supported by their own personal care team throughout their stay.
The length of stay varies with each patient’s individualized needs.
SERVICES
- Skilled Nursing
- Nutrition Services
- Physical Therapy
- Occupational Therapy
- Pharmacy
- Respiratory Therapy
- Social Work
- Speech Therapy
ADMISSION REQUIREMENTS
- Patient must have been in an acute care hospital with a 3 midnight stay within the last 30 days.
- Patient must require skilled nursing services, skilled rehabilitation services, or respiratory needs:
- Skilled Nursing Services: IV therapy, daily injections, extensive wound care, medical teaching, etc.
- Skilled Rehabilitation Services: Physical therapy to gain strength to walk and/or move, or occupational therapy for management of daily activities.
DISCHARGE PLANNING
- Bedside rounding will occur on a weekly basis presenting the opportunity for the patient’s entire care team (family, patients, provider, RN, therapies, social services, etc.) to discuss goal progression.
- Patients are allowed temporary leave from the facility to attend events, personal appointments, or visit their home with prior approval from staff. Temporary leaves are a good way to prepare for discharge and gauge how ready a patient truly is to return to independence.
CONTINUUM OF CARE:
- Upon discharge, our care team will assist the patient with:
- Establishing care with any necessary agencies
- Scheduling follow-up appointments
- Scheduling a visit with their primary care provider
- Connecting patients with additional home health services if needed
