Man sitting in room during transitional care.

Transitional Care

Transitional Care is Recovery and Rehabilitation Close to Home

We work closely with your discharging hospital to ensure a safe transition to our Transitional Care Program.

Why Choose Valor Health for Transitional Care?

Transitional Care Room

Our Team helps you recover and rehabilitate, equipped to meet the needs of even the most complex patients, including:

  • Recovery After Complex Surgery – Cardiac, orthopedic, abdominal and more
  • Respiratory Needs – Specialized treatments and support
  • Dialysis Needs- now offering hemodialysis
  • Wound Care – Special attention for wound healing
  • Intravenous (I.V.) Antibiotics – To treat a variety of infection
  • Specialized Therapy – Including physical, occupational, speech, and respiratory care and an array of supportive services.

Our Service Provides:

  • A personalized plan of care.
  • Bedside Rounds that engage you, your family, and your care team to help you reach your goals.
  • Hospital-level nurse staffing to keep you safe and meet your needs.
  • Promotes a home-like environment accommodating family and individualized activity programs and therapy in several environments.
  • Our on-site physician, therapy, imaging, laboratory, and pharmacy teams will address all your medical needs.
Woman in transitional care.
Photo of transitional care team at Valor Health

Our Transitional Care Program centers on teamwork, communication, and collaboration. We work with you and your loved ones to create a personalized plan and support your recovery goals. We will also meet with you regularly to celebrate successes and adjust your plan.



FAQ: Commonly Asked Questions

Q: How long do patients typically stay in Transitional Care?

Most stays in this type of care are a few days to a few weeks; however, some patients may stay for up to 100 days if they have daily qualifying skilled care needs. The majority of patients in our program improve their health and rehabilitation status during their stay, and the majority of program patients who lived at home before their hospitalization are discharged back home after Transitional Care.

Q: How much will my insurance plan cover?

Transitional Care is predominantly covered by the Medicare “Swing Bed” benefit. Some other insurance providers may also cover this care. If you are planning a hospitalization and think you might need care after your stay, we can check if Transitional Care would be covered so you can plan to come to our programs beforehand.

Q: Is “Transitional Care” the same as “Swing Bed”?

Our Transitional Care program focuses on helping patients transition from a hospital stay to their highest level of independence at home or in another setting. We use hospital-level resources, team processes, best practices, and extra clinical education to support this “transition.” Since most patients receive this care under Medicare, this level of care is sometimes also referred to as “Swing Bed.”

Q: How is Transitional Care different from the care received at a Skilled Nursing Facility or nursing home?

Because we are a hospital, we can deliver Transitional Care with high levels of safety, quality, and flexibility with hospital-based resources, including on-site lab, radiology, and immediate access to physicians and other caregivers. Our hospital-based transitional program provides up to 2 – 3 times more available nurse hours per patient day than most skilled nursing facilities. We regularly hold Bedside Rounds with the patient, family, and care team so everyone understands your care plan, identifies things that need to be addressed, and plans for a safe discharge.