Transitional Care

Bridging the Gap from Hospital to Home

With an average length of stay less than 30 days, our transitional care services provide a care bridge between the hospital and home. Our primary goals are to offer excellent, compassionate care in a warm, hospitable environment dedicated to speeding your recovery home while working closely with you to prevent a relapse and to reduce the chance of rehospitalization. We design an accelerated rehabilitation care plan that is designed specifically to get you back to the activities and daily routines you enjoy as quickly as possible.

Our transitional care program offers:

In room telephones
Post discharge follow-up
In room or community dining
In room TVs with cable service
Comprehensive patient and family education
Beautifully appointed family areas and patient rooms
24 hour coverage by nurses specially trained in patient assessment and evaluation
Large, spacious rehab gyms well equipped with state of the art medical and therapy equipment
Rehabilitation Services, including physical, occupational and speech language pathology therapies 6 days a week
Supervision by experienced physicians, other health care professionals and medical staff well versed in post acute care

Easy Referral, Admission and Discharge

Our streamlined processes for referral, admission and discharge for transitional care program enables each patient to quickly receive the care they need after they leave the hospital and then return home much faster when they recover.

Some examples of healthcare needs that frequently require transitional care are:

Orthopedic surgery and joint replacement
Heart disease
Neurological illnesses
Pulmonary illnesses, including pneumonia

IV therapies
Stroke rehabilitation
Wound care
Specialized nursing needs

Rehabilitation Care

Physical Therapy

Probably the most commonly known form of rehabilitation therapy, physical therapy is the treatment of disease or disability through therapy and exercise. Our programs include assistance with gait training, bed mobility, wound care, restraint reduction and wheelchair positioning.

Occupational Therapy

Occupational therapy is designed to help patients regain skills related to activities of daily living. Individuals may require this therapy if, as the result of an illness or injury, they have difficulty completing tasks such as eating, dressing, housekeeping or grooming.

Speech-Language Pathology

Speech therapists work with patients to help them regain or strengthen their ability to speak with ease and clarity. Our speech therapists utilize the latest technology and clinical processes to help patients regain the ability to communicate and improve swallowing.

Chronic Care

24 Hour Nursing Support

Our extended, long term care services are designed to offer 24 hour medical and support assistance for people with a chronic or terminal condition, disability, a prolonged illness, a serious injury or the challenges of aging. The need for extended care may only last for a few weeks or months, or may be needed for much longer. Typically, these patients or residents have medical conditions that require the expertise of an interdisciplinary team. The team includes the patient or resident’s attending physician, medical specialists, therapists, registered and licensed nurses, social workers, registered dietitians, life enrichment directors and nursing assistants.

Assistance is provided for:

Walking
Bathing
Dressing
Personal hygiene and grooming
Using the bathroom

Managing pain
Preventing unsafe behaviors
Preventing wandering
Eating
Medication management

Easy Referral, Admission and Discharge

Our streamlined processes for referral, admission and discharge enable patients to quickly receive the care they need after a hospital stay or as the inability to stay in a less complex care setting increases.

Interdisciplinary Care

Care Centered Around You

A patient or resident in a Cascade facility is under the care of a physician, who visits regularly and is responsible for an overall plan of care. Once an individual is admitted to one of our facilities, the physician will write orders for all necessary medications and lead an interdisciplinary team of healthcare professionals in developing this individualized plan of care, including restorative and rehabilitation programs, any special dietary needs and clinical treatments.

Your disciplinary team will include:

Medical Director or attending physician
Consulting physician specialists
Nurse practitioner (in some locations)
Registered nurses
Licensed vocational nurses
Certified nursing aides

Physical, occupational and speech therapists
Social Worker
Certified dietician
Activity professionals