Safe SNF Discharge and Community Reintegration.

We provide the clinical bridge your residents need to return home safely. Trust our One-Stop Shop model for a seamless Long-Term Care Transition, minimizing recidivism and maximizing independence.

Nurse adjusting medical equipment for a patient in a home living room.

Complex Care Management at Home.

Discharging high-acuity residents back into the community is a delicate process. Often, families are unprepared for the medical complexity required to keep their loved ones safe.

HHHM serves as a viable nursing home alternative for residents who are ready to leave the facility but still require significant clinical support. 

By providing complex care management at home, including wound care, medication administration, and 24/7 monitoring, we ensure that the transition out of your facility is permanent and successful, rather than a revolving door back to the hospital.

Why SNFs Partner with HHHM

We address the gaps in care that typically lead to readmission, offering a seamless continuum of support.

RN-Led Care Plans

Every clinical case is managed under strict Clinical Oversight. Our CHAP-accredited protocols ensure that the medical standards maintained in your facility are continued in the home.

Transitioning from Facility to Home

 We are a One-Stop Shop. We handle the medical needs (Skilled Nursing) and the daily living needs (Personal Care) simultaneously, eliminating the chaos of multiple agencies.

Medicaid & Waiver Experts

We specialize in working with Medicaid Waivers, VA benefits, and BDDS. We help families navigate the financial landscape to ensure long-term care sustainability.

We Handle the Logistics

Your social workers and discharge planners are busy. We take the administrative burden off their shoulders.

From verifying insurance coverage to conducting the initial in-home safety assessment, our local leadership team manages the logistics of the discharge.

We are available 24/7 to accept referrals and answer family questions, ensuring that Transitioning from facility to home is a smooth, stress-free experience for everyone involved.

Relieved family member shaking hands with home care representative.

Ensure a Successful Discharge Today.

Partner with the agency that bridges the gap between facility care and home independence.