Bridge care that ensures a safe, smooth transition from hospital or rehab facility back to the comfort of home.
What's Included
The first 72 hours after discharge are the most dangerous. Medication changes, mobility limitations, wound care instructions, and follow-up appointments all collide at once. Transition care puts a trained caregiver in the home during this critical window to make sure nothing falls through the cracks.
We coordinate with hospital discharge planners and rehab facilities before your loved one even comes home. The caregiver arrives prepared with the care plan, medication list, activity restrictions, and follow-up schedule. No scrambling, no guesswork.
Post-surgery support covers everything from mobility assistance and fall prevention to meal preparation and medication reminders. We reinforce the physical therapy exercises, help with wound care as permitted, and watch for signs of complications that warrant a call to the doctor.
This service is uniquely valuable for Ativo clients because of our connection to senior living communities. If your loved one is transitioning between a community setting and home, we understand both environments and can bridge them seamlessly.
Everything Included
Everything below is part of one care plan, delivered by the same trusted caregiver. Nothing is booked or billed separately.
A trained caregiver in the home for the critical first days after discharge, when medication changes and new restrictions all land at once. We coordinate with discharge planners before your loved one leaves the hospital, so nothing falls through the cracks.
Non-medical recovery support after surgery, including mobility help, meals, medication reminders, and watching for warning signs that deserve a call to the doctor. We reinforce activity restrictions so healing stays on track.
Support that keeps recovery momentum going after a skilled rehab stay ends. Caregivers encourage the prescribed exercises, carry the household load, and handle transportation to follow-up appointments.
Is This Right for You?
Our Caregiver Standard
“Skill gets a caregiver through the door. Character is what earns them a place on my team. Every caregiver I bring on is held to the same standard as our Ativo Senior Living teams, because that is the standard a family deserves when they open their door to us. The people who make it through are the people I would want caring for my own parents.”
Gabriela Ordonez
Director, Ativo Home Care Arizona
Flexibility Built In
Transition care typically starts within 24 to 48 hours of discharge and runs for 2 to 6 weeks, depending on recovery. Many families begin with daily 8-hour visits and taper down as their loved one regains independence. No contracts mean you can stop the moment care is no longer needed.
Quick Contact
Share a few details and our team will follow up quickly.
FAQ
We hear these questions every week about transition care. If yours is not here, call us. We would rather spend 10 minutes on the phone than leave you guessing.
We can typically have a caregiver in the home within 24 to 48 hours. We work directly with discharge planners to coordinate timing, and with advance notice from the hospital or family we can often be ready when your loved one arrives home. We understand that discharge dates change unexpectedly.
Yes, frequently. Home health typically provides skilled nursing visits a few times per week. Our caregivers fill the hours between those visits with the non-medical support your loved one needs: meals, mobility help, medication reminders, transportation to follow-ups, and companionship during recovery.
You simply extend the service. There is no set end date and no contract to renegotiate. If your loved one needs an extra two weeks of support, we keep the same caregiver in place and adjust the schedule. If they recover faster than expected, you can scale back immediately.
That is one of the primary goals. Studies show that proper support after discharge significantly reduces readmission rates. Our caregivers watch for warning signs like increased confusion, fever, wound changes, or medication side effects, and escalate concerns before they become emergencies.
Every family's situation is different. Let's talk about yours. In about 20 minutes we'll map out a simple starting plan and a clear path forward, with no pressure.
“Caring, thoughtful, and proactive during some very challenging circumstances.”Sally D., family member
