Transitional Care Unit

The Transitional Care Unit is a 25-bed unit located at the Inter-Community Campus. The goal of the team is to maximize the patient's quality of life and to help the patient transition out of the hospital. Patients may be discharged home from the Transitional Care Unit or transition to another level of care for continued care, such as an Acute Rehabilitation Unit or a long term care facility, or a custodial care site.

Our Team

We have a multidisciplinary team that is involved in the continuity of care. The team assesses each patient and will plan, initiate, and coordinate a plan of care to meet the individual needs and goals of the patient, family, and caregivers.

Our team includes a medical director, consulting physicians, a corporate director, a unit director, an MDS Coordinator & staff developer, Registered Nurses, Licensed Vocational Nurses, Nursing Assistants, unit secretaries, physical and occupational therapists, speech pathologists, social workers, case managers, an activities coordinator, and dietitians. Services on site that allow for timely testing and clinical management include services such as radiology/imaging services, pharmacy services, and Laboratory Services.

Interdisciplinary Team Care Conferences are held weekly and as needed to ensure appropriateness of patient's goals and progress.

Entry into the Program

Admission is based on TCU Admission Criteria. We conduct an evaluation based on the individual's skilled need, medical status, and discharge plan. When a patient admission is not appropriate, every effort will be made to recommend alternate treatment placement.

Referrals to the Transitional Care Unit may be directed to the unit director at (626) 938-7645 or MDS Coordinator at (626) 331-7331, ext 12225.