Post Hospital In-Home Care Lisa February 13, 2025

senior home care

Post-Hospital In-Home Care

Post Hospital In-Home Care for Seniors

At Rhythms Home Care, we understand that transitional care for you or your loved one requires a compassionate and well-coordinated approach. Our dedicated home care teams focus on smoothly guiding individuals from a hospital stay or rehabilitation back to the comfort and familiarity of home.

Our comprehensive approach incorporates input from clients and their families when creating a personalized home care plan. Whether you need short-term support during recovery, long-term care for ongoing needs, such as medical care or elderly in-home companion care or assistance coordinating with medical providers. Our compassionate team offers the support you and your loved ones deserve during these critical transitions.

welcome home

About Our Post Hospital In-Home Care

Personalized Support

When you or your loved one is discharged from the hospital or rehabilitation, the real recovery journey often begins. At Rhythms Home Care we don’t just provide care, we become partners in healing. 

Personalized Transition Support. Our team works directly with your family and healthcare providers to craft your seamless transition plan. If your provider continues rehabilitation our caregivers reinforce your care plan at home, supporting your recovery journey in familiar surroundings.

Medication Management. Our caregivers provide gentle reminders and assistance with new medication routines.

Symptom Monitoring. We watch for warning signs and know exactly when to alert healthcare providers.

Rhythms Home Care is here to be your bridge to better health outcomes and improved quality of life during life’s important transitions.

client and caregiver pouring water

The transition home from a hospital or after rehabilitation often brings new equipment and supply needs that can feel overwhelming. Such as, wheelchairs, canes, special pillows, hospital beds, oxygen supply, and more. It is important to know not only what your loved one will need but also where to get these items and how to use them appropriately.

Rhythms Home Care can also help you find answers to questions such as:

  1. Who will adjust or assemble any special equipment?
  2. Who will teach how to use them correctly?
  3. Will other supplies, such as briefs, disposable gloves, and skin care items, be needed? If so, where can these be obtained? Will insurance cover the cost?

Trust Rhythms Home Care to simplify the equipment and supply aspects of transitional care, giving you more time to focus on what matters most—your loved one’s recovery and well-being.

Video: Transitional Care - From Hospital to Home

transitional care personal associate and client

Go-Home Hospital and Rehabilitation Packages

At Rhythms Home Care, we recognize that transitioning from a hospital stay or rehabilitation back to home can pose challenges for patients and families. From unexpected physical hurdles to navigating complex discharge instructions and new caregiving responsibilities, it can feel overwhelming.

Our Go-Home Packages are designed to ease the transition back home. Our compassionate team is committed to providing the guidance and support necessary for a smooth and comfortable return to familiar surroundings.

Downloadable information: Hospital to Home Package and Rehab to Home Package

Rhythms Home Care Go-Home Packages

Go-Home Packages

Personal Care Assistants (PCAs)/Caregiver Packages

 

PCA | 4-Hour Package

$180 ($45/hour plus mileage for caregiver’s vehicle)

  • Transportation home
  • Personal Care (shower, bathroom assist, dressing assist)
  • Grocery shopping
  • Meal prep
  • Laundry and basic housekeeping

Companion Care | 6-Hour Package

$270 ($45/hour plus mileage for caregiver’s vehicle)

  • Includes all services from the 4-hour package, with additional two hours of care

Certified Nursing Assistant (CNA) Packages
These packages are best suited for clients needing transfer assistance or returning home with a catheter.

Initial Nurse Assessment
$200 (Waived if additional services are added beyond 60 days)

CNA | 4-Hour Package
$200 ($50/hour plus mileage for caregiver’s vehicle)

CNA | 6-Hour Package
$300 ($50/hour plus mileage for caregiver’s vehicle)

Take the Assessment

Frequently Asked Post-Surgical Questions

Returning home after a hospital stay or rehabilitation can be overwhelming, especially during the first few weeks. You’re managing new medications, unfamiliar treatments, and changed routines while recovering.

A post hospital in-home care program provides essential support during this vulnerable period. With a trained companion as part of your care team, you’ll have someone to help navigate medication schedules, coordinate appointments, recognize warning signs, and adjust to new routines. This support can prove beneficial and reduce your chances of needing to be readmitted to the hospital.

For a personal care assistant client, 24-hour notice is sufficient for us to sign the service agreement and get the care scheduled. For certified nursing assistant care, we would need 72 hours notice, mainly because there is always a delay in getting orders for doctors offices. If we are doing a rehab to home or hospital to home visit, this shouldn’t be an issue as we should get the discharge paperwork pretty quickly.

No, if your doctor has ordered any medical care our services are simply an addition to those services. Often, therapy and nursing services are limited in scope under home health due to Medicare and insurance requirements. Our post hospital in-home care services are tailored to your additional needs and allows us to give you that extra support you need to make a smooth transition to home.

No, this program is one that would not be covered by insurance. Medicare and most insurance plans generally cover very specific skilled services like therapy. While those services are essential, they don’t provide the comprehensive daily support you need during this critical transition period. Our program can provide that support and is a worthwhile investment in your overall well-being.

Absolutely, your family remains central to your care, our services provide additional support to help ease their burden. We can also educate family members on medication management, warning signs to watch for, and care techniques so they feel confident supporting your recovery.

Yes. They can pick up most prescriptions with a few exclusions such as narcotics or benzodiazepines.

Our Rhythms Home Care RNs assess your needs and obtain physician orders for skilled, medical care that only CNAs can perform. This includes catheter care, oxygen management, compression therapy, and specialized transfer techniques based on your mobility requirements.

Yes, your care partner will come and help you pack, making sure nothing is left behind. Once you’re home, they’ll also help you unpack and organize everything exactly where you want it

No contract required. You will sign service agreement forms to get started, and you can stop services anytime with 48 hours’ notice. Giving you complete flexibility as your needs change. For visit minimums: residents in our legacy communities have a 1-hour minimum per visit, while those in the greater Denver area have a 4-hour minimum per visit. There’s no weekly hour requirement, so you control the frequency and duration of care based on what works best for you.

Yes, you will be able to schedule as much time as you need for care. We can work with you for up to 24-hours.