
The first days and weeks after a hospital stay are critical in ensuring a safe, healthy transition home. Leaving the structured environment of a hospital room with around-the-clock assistance and a dedicated nursing staff to return home without the same everyday support can unfortunately make a relapse or return to the hospital inevitable. During this period, seniors are also at a greater risk of suffering falls, injury, malnutrition, loneliness, medication noncompliance, and relocation stress syndrome. Consequently, one in five is typically readmitted to the hospital within 30 days.¹
Fortunately, most readmissions can be prevented with proper care and support.
At HomeWell, we believe assistance during the transition home significantly improves long-term outcomes for the individual in recovery and their family. Our GoHomeWell Signature™ Program is designed with you and your family’s future in mind, with a custom care plan aligned with your discharge order to help you recover safely at home after staying at the hospital or rehab facility and reduce your risk of readmission.
GoHomeWell focuses on four main areas:
Risk Identification and Management
We spot complications and proactively address the key drivers of readmission through our risk screening toolkit.
Care Management Oversight
We administer care according to special instructions given after discharge or in follow-up appointments.
Better Communication
We can facilitate regular communication between you, your family and other healthcare providers.
Constant Improvement
We track your progress to help ensure continued improvement and lasting results.
1: Centers for Medicare & Medicaid Services
Your GoHomeWell care plan may include the following:

Your intuitive, adaptive care plan
Experience the difference in a care plan that truly supports your unique recovery needs, including:
- Ongoing assessment and monitoring
- A holistic care approach to supplement your discharge orders
- Liaising between you and your family and service providers
With GoHomeWell, your care adjusts to address your individual requirements during the recovery journey, with our dedicated caregivers delivering maximal support right after your discharge and tapering it as you regain strength and independence. This approach ensures you receive the necessary assistance without interrupting your rehabilitation process.

We’re here for you and ready to help
Simply contact our office to schedule a consultation and discuss your care needs as you or your loved one returns to life at home. From there, we’ll put together a dynamic care plan that is mindful of both your discharge orders and your well-being throughout your recovery to help ensure a smooth and successful transition.













