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.