Two paths, one goal: home.

Transition means helping someone move out of a hospital, skilled nursing facility, or other institutional setting back to their own home, with the right supports lined up so the move sticks. Diversion means stepping in before that placement happens, so a hospital stay does not become a permanent move to a facility when home was the better choice all along.

The pieces that make home work.

• In-home care (IHSS and private)
• Durable medical equipment, hospital beds, wheelchairs, oxygen, grab bars
• Home modifications, ramps, bathroom safety, lighting
• Meal delivery, transportation to follow-up appointments
• Caregiver support and training for family members
• Connection to Medi-Cal waivers, IHSS, and other benefits
• Follow-up calls to make sure the plan is working

Discharge planners & case managers.

Refer early. The earlier we know about a planned discharge, the more time we have to line up in-home support, equipment delivery, and family training. Use the online referral form or call directly.

Refer Someone