Senior Care Options After Short-Term Rehabilitation
Oasis Senior Advisors- Florida
For more information about the author, click to view their website: Oasis Senior Advisors
Apr 11, 2025
Florida - Sarasota, Bradenton & Charlotte Counties
Email US
Click to Email Us
Skilled nursing facilities help people maintain or regain their health after a hospitalization, but what happens next? Here, we explore different senior care options after short-term rehabilitation. Photo Credit: iStock.com/Kiwis
Skilled nursing facilities (SNFs) can be a valuable next step after hospital care, helping patients regain their strength and rehabilitate after an illness, injury, or surgery. However, they’re only a short-term care option, after which patients need to transfer somewhere else. The question is, where? In this post, we highlight the various options while examining how patients and their families can determine the best senior care option after rehabilitation.
Preparing for discharge from a skilled nursing facility
As you are preparing for discharge from a skilled nursing facility for a short-term rehabilitation stay, you’ll likely meet with the facility’s social worker or the individual handling your discharge.
The patient should receive notice that they’ll be discharged a few days prior to the discharge date. Though the title of the facility staff member might vary depending on the facility, typically the facility social worker or case manager will inform the patient that they will be discharged from the facility.
Learning of the upcoming discharge date can be daunting to the patient. Even if the patient has met their rehabilitation goals and has improved significantly from their status upon entering the facility, knowing that they’ll leave can feel scary. It’s important to know that patients can appeal a discharge if they feel it is premature. You can learn more about discharge appeals on Medicare’s website.
In most cases, being discharged from a rehabilitation stay is a sign of progress. Nonetheless, the patient may still require assistance in some areas when it comes to personal care and hygiene tasks, continuing with therapies to support further progress, or acclimating to a new or evolved medical condition. Some aspects of life you may need to consider include:
- Safely completing daily personal care tasks, like bathing, getting dressed, feeding, moving around the home (ambulating), or getting in and out of bed (transferring).
- Doing household tasks, like laundry, preparing meals, or maintaining the cleanliness of the home.
- Driving and running errands like grocery shopping.
- Establishing and maintaining a medication schedule.
- Coordinating and getting to follow-up medical appointments and scheduling ongoing therapies as recommended by the skilled nursing facility medical staff.
If you’re in this position and wonder how you’ll take care of these items, there is help. Here are the options for getting the care you need after being discharged from a skilled nursing facility after a hospitalization.
Senior care options after rehabilitation
A person’s care needs will determine the best location for them after rehabilitation. These needs will typically be highest when the individual first leaves the facility and then decrease as they recover. They will eventually reach a new baseline, which could involve a lower level of function than their pre-hospital baseline. When considering the best location, consider how the senior’s health may change. For example, people with degenerative conditions like Alzheimer’s disease will experience a continued decline with increased care needs over time. Let’s take a look at senior care options after discharge from a skilled nursing facility.
Move to a senior care facility
Senior care facilities offer a structured environment designed to support seniors who can no longer safely live independently. There are various types, all with their own entry criteria and specific features.
Choosing independent living
Independent living can refer to being part of a retirement community or being in an independent living wing of a senior care facility. Whatever the context, residents are responsible for looking after themselves and don’t need physical or medical assistance but typically live maintenance-free lifestyles, with staff possibly taking care of tasks like housekeeping and laundry.
To move or return to independent living, a senior must leave rehabilitation in decent health. Sometimes, the senior may be able to hire professionals to provide short-term support, but this won’t always be an option, depending on the community’s rules.
Choosing assisted living
Assisted living facilities provide support with activities of daily living (ADLs), such as dressing, grooming, bathing, incontinence care, and meals. The facilities allow residents to remain as independent as possible while providing plenty of social opportunities.
Assisted living typically doesn’t provide medical care, so it’s poorly suited for anyone with significant medical needs. This type of facility is best for people who leave rehabilitation with personal care needs. For example, someone with limited mobility might be a good fit, but someone who needs regular wound care would not be.
Choosing a nursing home
Nursing homes are like skilled nursing facilities, providing medical support and daily living assistance. However, while skilled nursing facilities focus on rehabilitation, nursing homes are long-term care facilities. These two care types are often in the same facility, with the term “nursing home” referring to long-term care and “skilled nursing facility” referring to short-term stays in the same building.
As a result, nursing homes are best for seniors with significant medical needs, such as wound care, pain management, monitoring vital signs, and medication management. These facilities are particularly well suited to seniors with complex health conditions and those with degenerative conditions likely to need more care over time.
Choosing memory care
Memory care may be offered in an independent facility or as part of another facility type, such as a wing in an assisted living facility. Either way, the care is specifically designed for those with memory-related conditions, including dementia.
Memory care is well suited to individuals with disruptive dementia behaviors (like aggression) or behaviors that put them at risk (like wandering). Some memory care facilities may also provide medical care, especially if they are part of a nursing home. Still, checking with the facility ensures they can meet your loved one’s medical needs.
Choosing a continuing care retirement community (CCRC)
Continuing care retirement communities (CCRCs) offer multiple levels of care on a single campus. Many include independent living, assisted living, skilled nursing care, and memory care, allowing residents to move from one level of care to the next by moving to a different part of the campus.
These communities provide residents with security, as their health needs will always be met. They also reduce stress, as moving within a community is much easier than living in an entirely new facility.
Because the care level varies, CCRCs are suitable for pretty much anyone, although it’s important to note that these facilities may have admission criteria, such as the individual not requiring any personal or medical care upon admission. Also, these communities can be costly and offer little financial support. Thus, they are best suited for seniors who can afford the high entry fees and who want extra security for their future care needs.
Return home with short-term home health care
Returning home is a standard option, especially for seniors who remain relatively healthy following their skilled nursing facility stay. If they continue to need some skilled, clinical services after discharge, the doctor from the SNF may certify that they need short-term home health care, which may be covered under Medicare.
Home health care, which differs from home care, is medically focused and includes tasks like injections, medical tests, pain management, and physical therapy. This care is provided by medical professionals and is typically much less intense than that found within a SNF.
Some individuals may require only home care, which is nonclinical care similar to that found in an assisted living facility. Here, nonmedical caregivers help with tasks like bathing, dressing, grooming, meal prep, and toileting. Medicare typically does not cover home care alone but may cover short-term assistance with some of these tasks if deemed medically necessary and occurring alongside home health care.
Return home with no professional assistance
Finally, the senior could return home with no professional support. This is most viable if they have recovered enough to care for themselves independently. Family members may act as caregivers to help the senior recover during this period.
Potential caregivers should consider this carefully, as the support role can quickly start simple and gradually become more intense over time. If the seniors cannot support themselves after a few months, it may be time to consider alternative care arrangements.
How to get help with deciding on senior care options
Patients and families can consult with a discharge planner, social worker, or doctor in the skilled nursing facility about their senior care options. They can also seek guidance elsewhere, such as with the patient’s former primary care physician and other family members — sources that have known the patient longer than the skilled nursing facility staff. There are also external professionals, like senior placement advisors and senior living advisors. Such individuals can help families determine the best senior care option for their loved one.
Senior care facility rules and requirements vary based on company-specific policies and state-level regulations. The content above represents common guidelines but may differ from a particular facility’s policies or requirements. To learn the regulations that apply in your state, contact your local Oasis Senior Advisor.
Other Articles You May Like
Your Front-Row Seat to the Best of Naples Living
Its a breezy morning along Floridas Paradise Coast, and residents John and Evelyn are on their lanai taking in the Gulf views from their apartment home, sipping coffee, and mapping out the day ahead. For this active, socially minded couple, theres never a shortage of things to do near Naples, Florida, and living at The Glenview at Pelican Bay puts them at the center of it all.After a water aerobics class and light breakfast, they board the tram and glide past mangroves to a private beach for residents. By noon, theyre sharing lunch with friends at the SandBAR one of three exclusive Pelican Bay restaurants. The afternoon brings a stop at the Naples Art District. Later, the couple meets friends for an early dinner at BrickTops, then its off to a Naples Philharmonic performance.For most people, this would feel like a vacation, but for residents its just another day at The Glenview. Nestled in one of Naples most sought-after coastal communities, The Glenview offers more than just elegant livingit opens the door to world-class dining, entertainment, and exclusive amenities like private beach access.From Beachside Bites to Elegant NightsLiving at The Glenview means having exceptional Naples restaurantsall just minutes from home. From casual breakfasts to elegant dinners, youll find everything from fresh seafood and classic Italian to bold global flavors. Whether youre in the mood for fine dining or a local hidden gem, theres something for every craving.Looking to sample Pelican Bay foods and beachside bites? The exclusive Marker 36 and The Nest offer fresh, seasonal menus and unbeatable views. Its where locals and residents gather for sunset cocktails and toes-in-the-sand dining.When youre in the mood for Mexican, Roccos Tacos and Tequila Bar delivers lively vibes and flavorful dishes perfect for a night out with friends. Craving steak? Shulas Steak House offers a classic experience with mouthwatering cuts and refined service.For something globally inspired, locals love Le Indya, known for bold Indian flavors, or Namba, a hidden gem for sushi and ramen lovers. And when Sunday rolls around, youll find residents heading to The Ritz-Carlton Naples for one of the areas most iconic brunches.Here are more restaurants in Naples and Pelican Bay that combine great food, scenic views, and excellent value.Alexanders a newer spot on the scene with rave reviewsOsteria Tulia serving rustic Italian cuisine in a restored farmhouseSeasons 52 seasonal dishes and smart portionsThe Capital Grille known for elegance and consistencyLe Cafe Gourmand a local treasure for French-inspired cuisineBrio Italian Grille perfect for pasta and people-watchingHogfish Harrys relaxed, friendly, and always freshRead this article for more ideas on top restaurants in Naples, Florida.Entertainment and Exploration Close to HomeWhen it comes to things to do in Naples, the culinary scene is just the beginning. Catch a show at ArtisNaples, offering a rotation of nationally touring theater performances, concerts, and exhibitions. For movie lovers, CMX CinBistro Coastland offers a luxe take on your typical night at the movies, complete with reclining leather seats and full-service in-theatre dining.The charming boutiques and galleries of Fifth Avenue South and Third Street South are perfect for an afternoon stroll or a weekend brunch outing. Add in the lively Saturday morning Third Street Farmers Market, and youve got an ideal way to spend time with friends or grandkids.For other things to do near Naples, Florida, attractions like the Naples Zoo, Corkscrew Swamp Sanctuary, and scenic boat tours through Rookery Bay offer outdoor adventure and natural beauty just a short ride away.The Club Pelican Bay offers dining, golf, bridge games, and events. Many former golfers keep a social membership to enjoy the amenities. But every resident also has free access to the 27,000-square-foot Pelican Bay Community Center, featuring a gym, lectures, games, and social gatherings like the mens breakfast club and volunteer events such as Toys for Tots.Live Where Naples Comes to LifeWhether youre trying a new restaurant, attending a performance, or simply enjoying meaningful connections with neighbors, life at The Glenview at Pelican Bay is vibrant, fulfilling, and undeniably fun.Here, youre at the heart of it alla luxurious coastal retirement with the best dining, entertainment, and lifestyle amenities Southwest Florida offers. Contact us today to discover why The Glenview is the pinnacle of Naples living.Featured Image: Fotoluminate LLC / Shutterstock
Seniors Helping Seniors In-Home Care Recognizes Alzheimers and Brain Awareness Month
Seniors Helping Seniors In-Home Care Recognizes Alzheimers and Brain Awareness MonthSeniors Helping Seniors Southwestern PA in-home care underscores the importance of compassionate support for those living with Alzheimers and the families who care for them. PITTSBURGH, PA June marks Alzheimers and Brain Awareness Month, a time to shine a light on the more than 7 million Americans currently living with Alzheimers or other forms of dementia a number projected to nearly double by 2050. In honor of this important month, Seniors Helping Seniors Southwestern PA in-home care is raising awareness about the role compassionate in-home care can play in improving the quality of life for those affected by the disease. According to the 2024 Alzheimers Disease Facts and Figures report, nearly 12 million Americans provide unpaid care for people with Alzheimers and other dementias. These caregivers often experience high levels of emotional, physical and financial stress. Seniors Helping Seniors in-home care offers relief through peer-based, non-medical services designed to help seniors remain safely and comfortably in their homes while easing the responsibilities placed on caregivers. Our mission is to provide support, dignity and companionship to seniors including those facing memory challenges, said C.J. Girod, President of Seniors Helping Seniors Southwestern PA. By matching seniors who need care with active, compassionate older adults, we create a connection that enhances quality of life for both the caregiver and the care recipient. Seniors Helping Seniors in-home care provides flexible support with tasks such as meal preparation, transportation, medication reminders, light housekeeping and, perhaps most importantly, companionship a service that can be especially meaningful for those navigating memory loss. With new treatments for Alzheimers emerging and awareness on the rise, we believe its vital to offer families the support they need to navigate this journey, said Namrata Yocom-Jan, president of Seniors Helping Seniors in-home care. We are proud to be part of the care solution, providing personalized, respectful services that promote dignity and connection. ABOUT SENIORS HELPING SENIORS: Seniors Helping Seniors franchise system was founded by husband-and-wife duo Kiran and Philip Yocom. Kiran, who grew up in India, later worked to advance humanitarian efforts alongside Mother Teresa. After moving to the U.S. in 1995 and marrying her husband Philip, the Yocoms felt called to provide loving care to seniors and to cultivate an exchange of gifts at every generational level. Together, the Yocoms founded Seniors Helping Seniors in-home services in 1998, opening the brand up to franchising in 2006. With a mission to be the most respected and rewarding home care provider in the U.S., Seniors Helping Seniors locations stand apart from competitors as the only company that prioritizes hiring active seniors to provide care services to their less-active counterparts. Seniors Helping Seniors service aligns caregivers and care recipients based on the abilities and needs of both by offering a wide range of care services. Seniors Helping Seniors network has grown to 400 territories nationwide and over 200 franchise partners in 37 states. For more information on Seniors Helping Seniors in-home care, visit https://seniorshelpingseniors.com/.
The Benefits of Adult Day Programs for Seniors & Caregivers
Caring for an aging loved one is both an act of love and a daily challenge. While many families strive to keep their senior family members at home, the demands of caregiving can be overwhelming. Thats where adult day programs come in. These structured programs offer safe, engaging environments for seniors during the day while giving family caregivers a much-needed break.In this blog, well explore what adult day programs are, how they benefit both seniors and caregivers, and how to find the right one for your loved ones needs.What Are Adult Day Programs?Adult day programs are community-based services that provide supervised care and social activities for older adults during daytime hours. These programs typically operate Monday through Friday and may be held in senior centers, healthcare facilities, or standalone locations.The focus is on promoting social interaction, supporting physical and mental health, and allowing seniors to enjoy a routine while still living at home. Services can include meals, transportation, exercise sessions, health monitoring, memory care activities, and more.Benefits for SeniorsAdult day programs can greatly enhance a seniors quality of life. They offer structure and stimulation, which are especially valuable for seniors who may otherwise feel isolated or experience cognitive decline. Daily interaction with peers and staff can help reduce feelings of loneliness and depression, keeping seniors more emotionally balanced and mentally alert.Many adult day programs also offer specialized memory care services tailored to individuals with Alzheimers or other forms of dementia. This structured setting supports brain health and provides therapeutic activities designed to slow cognitive decline.For seniors with mobility challenges or chronic health issues, these programs often include basic medical supervision, therapy, and assistance with daily living tasks. Participation encourages independence, provides a sense of purpose, and promotes emotional well-being.Benefits for CaregiversFamily caregivers, especially those caring for loved ones full-time, often face physical exhaustion, emotional stress, and social isolation. Adult day programs provide them with valuable time to rest, attend to personal responsibilities, or even return to work part-timewithout worrying about their loved ones safety or well-being.Knowing that your senior is in good hands gives peace of mind. Many caregivers report reduced stress levels, better mental health, and improved relationships with their loved ones once adult day care becomes part of their care routine.Affordable and Flexible CareOne of the most appealing aspects of adult day programs is affordability. Compared to in-home care or residential facilities, adult day care is often a more cost-effective option. Families can choose how many days a week their loved one attends, allowing for flexibility based on personal schedules and budget.Adult day programs also serve as a transitional step. For families not yet ready to consider assisted living or skilled nursing care, day programs provide a supportive bridge that helps prolong independence and maintain family unity.Choosing the Right Adult Day ProgramNot all adult day programs are the same. Some focus on medical care, others on social enrichment or memory support. When selecting a program, consider your loved ones physical needs, cognitive abilities, personality, and interests. Here are some key questions to ask:What services are included in the daily schedule?Is transportation available?What kind of staff training and experience do caregivers have?How are emergencies handled?Are meals and snacks providedand can dietary needs be accommodated?Are activities culturally and age-appropriate?Visiting the facility, speaking with staff, and reading reviews can help you feel confident in your decision.Support from Seniors Blue BookAt Seniors Blue Book, we make it easy to explore your local options. Our free directory connects you with reputable adult day programs, senior housing, home health care, and a wide range of elder-focused services. Whether youre just beginning to explore care options or need immediate solutions, were here to guide you every step of the way.Our website also offers helpful articles and educational resources for both seniors and caregivers, so you can make informed choices that reflect your familys needs and values.ConclusionAdult day programs offer a win-win solution: seniors benefit from social connection and structured care, while caregivers get the relief, they need to maintain their own health and well-being. Its not just about managing careits about enhancing life for everyone involved.At Seniors Blue Book, we believe that access to trusted, local resources should be easy and empowering. Thats why our listings are always free, and our mission is to help you find what you need, when you need it most.Ready to explore adult day programs or other senior care services in your area? Contact us at hello@seniorsbluebook.com or call 800-201-9989 for a free consultation and care assessment. Let us help you find the right fit, provide personalized recommendations, and offer tips you can start using today. Together, we can make caregiving more manageable and aging more fulfilling.
Local Services By This Author
Oasis Senior Advisors
Moving Services 3135 42nd St. S.W., Naples, Florida, 34116There are over 31,000 assisted living communities in the United States. That number easily doubles when you start to add in the other types of senior living communities. And, that number continues to grow every day as more and more seniors are less able to stay home because of safety or security concerns. With so many amenities, services, and possibilities to choose from, how do you navigate the seemingly endless maze of senior living options?
Oasis Senior Advisors
Senior Transition Services 3135 42nd St. S.W., Naples, Florida, 34116There are over 31,000 assisted living communities in the United States. That number easily doubles when you start to add in the other types of senior living communities. And, that number continues to grow every day as more and more seniors are less able to stay home because of safety or security concerns. With so many amenities, services, and possibilities to choose from, how do you navigate the seemingly endless maze of senior living options?
Oasis Senior Advisors
Elder Care Planning & Consulting 3135 42nd St. S.W., Naples, Florida, 34116There are over 31,000 assisted living communities in the United States. That number easily doubles when you start to add in the other types of senior living communities. And, that number continues to grow every day as more and more seniors are less able to stay home because of safety or security concerns. With so many amenities, services, and possibilities to choose from, how do you navigate the seemingly endless maze of senior living options?