Transitional Care Programs

It can be difficult to leave a nursing home and move back into the community, especially if you no longer have a home to return to. It’s also challenging to move from one care setting to the next as you’re recovering from an illness or surgery. Keeping track of medications, doctor’s appointments, therapy regimens and discharge instructions can become overwhelming and potentially lead to hospital readmission or nursing home placement.

As part of our mission to help people remain independent in their homes, Council on Aging offers transitional care programs that address these challenges.

Through home visits, health coaching, connections to community resources and coordination of services, COA helps thousands of people successfully transition from one care setting to another.

In the process, we’re helping our whole health care system by improving outcomes and reducing unnecessary hospital admissions and nursing home placements.

Learn more about our transitional care options: