mobility, wound care, monitoring of blood coagulation therapies and continual patient/family education. After home care services terminate, patients have an opportunity to continue with outpatient services to complete the rehabilitation goals of functional independence.


The Objectives of the Program Are To:


  • Deliver patient specific therapy services according to the surgeon's protocols
  • Conduct Home Safety Evaluations
  • Provide medication management and nutritional support
  • Provide disease management and education
  • Support patient with training/fitting of walkers, CPM, braces, or crutches as needed
  • Provide dressing/wound care


Balance/Vestibular Program

The Balance/Vestibular Program reduces the frequency of patient falls and subsequent hospital readmission for injury. This is accomplished through patient / caregiver education regarding home safety, environmental modification, medication management / assessment and therapy for balance and strengthening. Although balance issues may be directly related to de-conditioning often there is a Vestibular (sensory system including the inner ear) component. Our specially trained physical therapists can assess and treat these conditions to dramatically improve balance. Extensive services will be provided initially as well as a plan of independence, including an exercise program that the patient will continue to follow after discharge.


The Objectives of the Program Are To:


  • Screen patients for their risk of falling, utilizing specific evidence-based tools
  • Utilize interdisciplinary collaboration (nurse, physical therapist, occupational therapist, social worker) for enhances patient outcomes
  • Provide home assessment for environmental modifications and equipment
  • Assess and monitor medication
  • Provide education and home safety instruction
  • Refer community resources for support, as needed


Cardiac Recovery Program

The Cardiac Recovery Program is a conditioning program which assists the cardiac patient and family with the transition from the inpatient setting to home. It enables the homebound patient to continue the rehabilitation started in the hospital. In conjunction with their Cardiologist/Cardiac Surgeon and Primary Care Physician, the Physical and Occupational Therapists design a plan specific to the needs and ability of each patient. The specialized plan will include various activities to increase the patient’s strength, save their energy, relieve their anxiety and enable them to do more for themselves. A Registered Nurse will manage all cares given in the home and communicate directly with the physician. The Nurse Casemanager is able to assess the needs of each patient and assign additional services, as needed. These services may include a Certified Nursing Assistant to help with personal care, a Social Worker to help find additional community resources to support the patient/family or many other additional services that may be needed. When ready, the patient will be referred to out-patient Cardiac Rehabilitation to complete their rehabilitation process.


The Objectives of the Program Are To:


  • Create a customized plan of care to guide the patient to increased activity and promote healing
  • Evaluate patient safety, home assessment, need for assistive devices
  • Prevent complications through teaching and monitoring the patient through the rehab process
  • Facilitate full participation in Activities of Daily Living (ADL)
  • Reduce patient and family anxiety
  • Provide a bridge for a continuum of care after the inpatient stay and while awaiting outpatient Cardiac Rehab
  • Provide dressing changes/wound care
  • Medication management and nutritional support


Heart Disease Management Program

The Heart Disease Management program is designed to increase the patient’s knowledge regarding heart disease/failure, thus improving their quality of life and reducing re-hospitalizations. A Registered Nurse will visit the patient at home, assess their cardiac status and a teaching program will be instituted. The Registered Nurse will instruct the importance of recording weight and recognizing early symptoms, healthy food choices including limitation of sodium and fluids, and tips regarding medication management. The RN will report the patient’s condition to the patient’s doctor and together, they will formulate a plan of care for their patient. Referrals for physical and occupational therapy may be needed. If the patient needs counseling or long-term planning, a Social Worker may be referred.


The Objectives of the Program Are To:


  • Explain the disease process
  • Provide a specialized physical therapy plan of care, if appropriate
  • Provide nutritional counseling and medication management/teaching
  • Teach patient/family to observe for signs and symptoms associated with complications of the disease
  • Monitor/teach vital signs
  • Reduce patient and family anxiety

Specialty Programs


Orthopedic Program

The Orthopedic Program is a service specializing in the coordination and therapeutic management of pre- and post surgical care of joint replacements. The program provides comprehensive physical therapy, occupational therapy and nursing according to the patient’s physician’s protocols. The program may include pre-operation joint education, home exercises education, ambulation training and home environment safety assessment if requested by the physician. Post discharge from the hospital, the treatment program will involve one-on-one therapy in the patient’s home to return range of motion, muscle specific strengthening, progressive