Transitional Care

Personalized Recovery and Rehabilitation Close to Home

At Girard Medical Center, Transitional Care provides patients with additional time, support, and rehabilitation services needed to safely recover after an illness, injury, surgery, or hospitalization. Our goal is to help patients regain strength, improve independence, and transition back home or to their daily routine with confidence.

Sometimes referred to as “Swing Bed” care, Transitional Care bridges the gap between hospital care and returning home by providing skilled nursing care, rehabilitation services, and individualized treatment plans in a comfortable, supportive environment.

Whether recovering from surgery, illness, injury, or a hospital stay, Girard Medical Center offers compassionate care focused on healing, recovery, and improving quality of life.

Contact Transitional Care

Phone: 620-724-5105
FAX: 620-724-5157

What is Transitional Care? 

Transitional Care is a short-term skilled care program designed for patients who no longer require acute hospital treatment but still need medical monitoring, rehabilitation, or nursing support before safely returning home.

Patients may benefit from Transitional Care following:

  • Joint replacement surgery
  • Stroke recovery
  • Fractures or orthopedic injuries
  • Cardiac conditions
  • Pneumonia or respiratory illness
  • General weakness or deconditioning
  • Extended hospitalization
  • Chronic illness flare-ups
  • Recovery after illness, injury, or surgery

Our interdisciplinary team works closely with each patient to develop a personalized recovery plan focused on restoring independence and helping patients safely return to everyday life.

Transitional Care

Services Offered

Girard Medical Center’s Transitional Care Program provides comprehensive services tailored to each patient’s needs and recovery goals.

Services may include:

  • Skilled nursing care
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Medication management
  • Pain management
  • IV therapy
  • Wound care
  • Nutritional support
  • Daily living assistance
  • Care coordination and discharge planning
  • Rehabilitation and strengthening exercises
  • Patient and caregiver education

Our team focuses on helping patients improve mobility, regain strength, increase confidence, and safely transition home.

Skilled Nursing
Person walking on a treadmill during cardiopulmonary rehabilitation

How Does a Patient Qualify?

Patients may qualify for Transitional Care if they need continued skilled medical care or rehabilitation services following a hospital stay but no longer require acute inpatient hospitalization.

Eligibility is often determined by:

  • Physician recommendation
  • Recent hospitalization or qualifying inpatient stay
  • Need for skilled nursing or rehabilitation services
  • Medical stability with continued recovery needs
  • Insurance or Medicare qualification guidelines

Our care team can help determine eligibility, answer questions regarding coverage, and assist patients and families throughout the admission process.

Referral Process

Referrals for Transitional Care may come from physicians, hospitals, case managers, discharge planners, healthcare facilities, patients, or family members.

Our team works closely with referring providers and families to coordinate admissions, verify eligibility, and ensure a smooth transition into the program.

To begin the referral process, patients or providers may contact Girard Medical Center directly to discuss care needs, qualifications, and next steps.

Girard Medical Center provider writing a patient referral at a clinic desk

Start Your Recovery with Girard Medical Center

When additional care and rehabilitation are needed after a hospital stay, Girard Medical Center is here to help patients recover safely, comfortably, and confidently.

To learn more about Transitional Care services or to discuss referrals and eligibility, contact Girard Medical Center today. Our team is ready to guide patients and families through every step of the recovery journey.