Our Rehab to Home program is for patients who have been treated for an
acute condition and still require ongoing skilled care for that condition.
The qualifying stay may occur at Horizon Health or any acute facility.
Services and amenities of our Rehab to Home Program include:
24-hour nursing care with provider onsite
Weekly doctor visits
Room service dining
Hospital care in a friendly atmosphere
Individualized therapy plans
Consistent staffing
Fully equipped and staffed rehabilitation services department
Private rooms
Constant communication with patients and their families before and after admission
Covered by most insurances
Criteria for Admission
Ongoing skilled needs, including, but not limited to:
Prior authorization if required by your insurance plan
Qualifying stay per Medicare criteria
What to Expect
Horizon Health’s Rehab to Home Program, also known as Skilled Swing
Bed, includes a weekly care plan meeting with staff from numerous departments.
Attendees include physical/occupational/speech therapists, a registered
dietician, social worker, case manager, and nursing staff. Family members
are also welcome to attend. This group develops individualized care plans
for every patient.
Discharge Planning
Discharge planning begins at the time of admission. The goal is to make sure you have the
help you need when you leave the hospital.
Discharge Planning includes:
Coordinated care with physicians, clinicians, and other health providers
Facilitated communication among the patient,
family, doctors, hospitals, insurance companies,
and other parties
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