1 in 5
Medicare patients are readmitted within 30 days. Most readmissions start with gaps discovered too late at home.
The Reality Check
Common Gaps Discovered After Discharge
Patient lives alone with no one to monitor recovery, meals, or medication
Family caregiver works or is unavailable during the day when help is needed most
Medication confusion — discharge list doesn't match what's in the medicine cabinet
Home safety hazards — stairs, rugs, bathroom barriers the hospital never saw
Follow-up appointments aren't arranged and transportation isn't planned
"We can't afford it" — family assumes home care is out of reach and goes without help
What Happens After Discharge?
Safe & Smooth Transition Home
Discharge Support & Planning
✓ Attend discharge meetings
✓ Coordinate care plan
✓ Safe transportation home
✓ Follow-up appointments
Essential Home Support
✓ Home safety check
✓ Personal care assistance
✓ Medication reminders
✓ Mobility support
✓ Light housekeeping
✓ Laundry & linen changes
Errands & Daily Needs
✓ Prescription pickup
✓ Grocery shopping
✓ Meal preparation
✓ PT/OT coordination
We recommend: 16 hours/week with family support, or 40 hours for the first 5 days without family support.
Think you can't afford home care?
Let's check.
Most families qualify for funding they don't know about. We screen for 33 sources in 2 minutes, for free. No obligation.
VA Benefits — up to $3,740/mo
LTC Insurance
Life Insurance Conversion
WA Cares Fund — $36,500
TSOA — $830/mo
GUIDE Program
Bridge Loans
Medicare Savings
+ 25 more
Check My Funding Options — Free