The days after hospital discharge determine everything. With skilled nursing care at home, you get the medical expertise needed for safe recovery without the stress of readmission. Our nurses ensure healing continues smoothly

Critical Post-Hospital Support

Hospital discharge comes with complex instructions, new medications, and ongoing medical needs. Surgical wounds need professional care. Chronic conditions need monitoring. New symptoms need immediate assessment.

Without skilled nursing support, 30% of patients return to the hospital. With it, you heal faster, safer, and more comfortably at home.

Skilled Nursing Services

Wound Care Excellence

‍Our registered nurses provide:

• Surgical incision assessment and care
• Wound cleaning and dressing changes
• Pressure ulcer prevention and treatment
• Diabetic wound management
• Infection monitoring and prevention
• Photo documentation for physician review

Medication Management

• New medication education and monitoring
• Side effect assessment and management
• Injection administration (including insulin)
• IV therapy and catheter care
• Pain management strategies
• Coordination with pharmacy and physicians

Disease Management

‍Specialized nursing for:

• Diabetes monitoring and education
• Heart failure symptom management
• COPD and respiratory care
• Stroke recovery monitoring
• Post-surgical complications prevention
• Neurological condition support

Medical Monitoring

• Vital signs tracking and trending
• Lab draw coordination (mobile services)
• Symptom assessment and reporting
• Physician communication and updates
• Early problem detection
• 24/7 phone support for questions

Coordinated Medical Team

Skilled Nurses: RNs and LVNs with specialized training in home care, wound management, and disease-specific expertise. Available for intermittent visits or extended care.

Physician Collaboration: Our nurses work directly with your doctors, providing detailed updates and receiving orders to adjust care as needed.

Integrated Therapy: When physical therapy starts, nurses coordinate wound care around movement. When occupational therapy begins, nurses ensure medical stability for participation.

Your Recovery Trajectory

Days 1-7: Stabilization and assessment
Days 8-14: Routine established, complications prevented
Days 15-30: Measurable healing progress
Days 30-60: Transition toward independence
Day 60+: Most patients graduate or step down to minimal support

Insurance and Access

Medicare Part A and B cover skilled nursing when:

• Ordered by your physician
• You're homebound or leaving home requires taxing effort
• Skills of a nurse are required

We verify coverage, obtain authorizations, and handle all documentation. Most patients pay nothing out of pocket for covered services.

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