Transition Care

As seniors move between different levels of care—whether from a hospital to rehab, home to assisted living, or another transition—the process can be confusing, stressful, and risky. Without proper support, seniors may experience gaps in care, improper discharges, financial burdens, and even mistreatment. Seniors In Distress works to ensure that transitions are handled safely, with dignity, and with the best interests of the senior in mind.

The risk of poor transition care

When transitions are poorly managed, seniors are at risk of serious consequences, including:

• Hospital Readmissions – Nearly 20% of Medicare patients discharged from hospitals are readmitted within 30 days due to inadequate follow-up care.
• Unsafe Discharges – Some seniors are sent home without proper support, leading to falls, medication errors, and health complications.
• Confusion and Anxiety – Lack of communication between hospitals, rehab centers, and caregivers leaves seniors uncertain about their care plan.
• Financial Strain – Many families are unaware of coverage options and end up paying out-of-pocket for services that should be covered.
• Increased Vulnerability – Transitions can expose seniors to neglect, fraud, and mistreatment by providers who fail to act in their best interest.

Preventing transition risks—early

Seniors and their families often do not realize the dangers of poor transition care until it’s too late. By taking action early, we can:

• Ensure proper discharge planning and post-care coordination.
• Prevent seniors from being shuffled between facilities without informed consent.
• Advocate for seniors who may be pressured into unnecessary services or unsafe care settings.
• Identify financial assistance options before families are burdened with unexpected costs.

The costs and who pays

Transition care costs vary based on the type of care needed and the duration of services. Estimated costs include:

• Hospital Stay: $2,000–$4,000 per day
• Rehabilitation Facility: $1,500–$3,000 per week
• Home Health Care: $4,000–$5,000 per month
• Assisted Living: $4,500–$6,000 per month
• Nursing Home Care: $7,500–$10,000 per month

Medicare vs. Medicaid

• Medicare covers short-term rehab, skilled nursing, and home health care but does not pay for long-term custodial care. Coverage is time-limited and based on medical necessity.
• Medicaid provides long-term care coverage for seniors who meet income and asset requirements. It covers nursing home care and may also help with in-home services, depending on the state’s program.

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How we can help

At Seniors In Distress, we understand how overwhelming transition care can be—physically, emotionally, and financially. Our advocacy ensures that seniors receive the right care, at the right time, without being overlooked or mistreated. We help by:

• Navigating Care Options – Understanding whether a senior needs rehab, home health care, or long-term support.
• Preventing Mistreatment – Monitoring care transitions to reduce the risk of neglect, fraud, and unsafe discharges.
• Exploring Financial Assistance – Helping families determine if Medicare, Medicaid, or other programs cover needed services.
• Ensuring Safe Transitions – Advocating for proper discharge planning so seniors don’t end up in unsafe or unsuitable care settings.

Need help with transition care

Whether you are planning ahead or dealing with an urgent transition, we can guide the process and ensure you, a loved one or someone you know receives the care and protection they deserve. The transition between care settings can be confusing and overwhelming, but we are here to help navigate each step of the process.

Our team at Seniors In Distress provides personalized support to make sure that seniors are safely moved from one care setting to another, whether it is from the hospital to rehab or home to nursing home. We ensure that the necessary precautions are taken, and that any challenges are addressed promptly to prevent mistakes or gaps in care.

Contact us today to learn more about how we can assist with transition care and explore our affordable membership plans. Together, we can make sure every senior's transition is as smooth and safe as possible.