Transitional Care


Rosewood Rehabilitation Center

Rosewood strives to work as a partner in the community to help those who come to Rosewood to transition back into the community. Our progressive approach of individualizing the care of each resident has shown great success in our guests returning back to their prior levels of function and most importantly going home and getting back to living their lives healthier than ever. We work closely with physicians, the local hospitals, and other post-acute providers to ensure the highest levels of care. With staff dedicated to ensure the involvement of our healthcare partners and families in the care of each resident, we strive to provide a level of care that gives you the confidence to trust us with your or your loved one’s care.

At Your Service

It’s time for you to get the care you need, and when you’re in our hands, you can rest assured that you’re getting the best there is. We strive every day to be the skilled nursing facility of choice in our community, so we make sure that each day you spend with us is filled with the caliber of service that will make your stay comfortable, safe and therapeutic. The entire staff will know you by name, and each day when we greet you, we’ll ask you how you are, and whether there is anything we can do for you. We never forget that you’re our valued guest, and the reason we’re here! And remember, if you have a special request, please don’t hesitate to ask. That’s why we’re here – for you!

For the Family

Care Tailored So YOU Can Make a Difference!

Shortly after admission to our facility, the Interdisciplinary Care Team (IDCT) will meet and develop a plan of care for you or your loved one.  The IDCT is made up of members from each discipline (Nursing, Therapy, Nutrition, Activities, and Social Services). Once the plan of care has been developed, a member of the IDCT will meet with each resident or family member and work on tailoring the plan to that specific individual. The resident and family involvement is crucial in this step as it allows for us to get on the same page with goals and expectations. This is the best time for residents and family to ask questions and to share as much information as possible to ensure that we are taking everything into consideration with the plan, from medical data such as diagnosis and prior level of function, to personal information such as likes and dislikes, religious preference, social and family support, and personal history and interests. These steps always happen near the middle or end of the first week after a resident has been admitted to the facility.

Along the way, if there are any changes in the plan of care, a member of the IDCT will reach out to the resident or family and discuss the changes with them, ensuring proper communication and resident and family involvement the entire way through your recovery process. We understand what an anxious process this can be, so we take our time explaining the details of what you or your loved one’s care and stay with us will involve, how you can assist in their recovery, and what to expect along the way.

Your Path for Success

Family Involvement Leads To Patient Success

Together with our team of medical professionals, family involvement is crucial to the overall success of a loved one’s stay with us. We work with you and your family to ensure the very best care from the time you enter our doors until it’s time to return home.

1Prior to admission, one of our admissions staff will reach out with a phone call to give you a brief explanation of what will happen upon arrival.  They will also set up a time to have an initial meeting.

2The initial meeting where, with you and your family, we learn important information about you and your needs and preferences.

3Next, you will receive a brief orientation to the amenities of the facility.  Our Public Relations Director will come by your room within a few days after your admission, and help you get the most out of your stay with us.

4Constant communication with our nursing staff.  One of our nurses will reach out to the resident’s family to discuss medications, diet orders, and other essential information within the first week.

5In this step, we go beyond a phone call and meet with you and your family in a ‘Care Plan Meeting’.  Working with our interdisciplinary team of medical professionals, a tailored plan is created that works toward our ultimate goal of helping you get better and go home.

6The Discharge Plan, an “exit strategy” designed to help you create a “road map” for returning home successfully and functioning at the highest level possible long into the future.

7Finally, the Outpatient Care Plan for those patients who are able to return home but still need to visit the facility periodically for therapy treatments or other outpatient care.

Your Rehab Team

Many Disciplines — One Goal

Once the patient is on the road to recovery, the rehab therapy team rolls into action. The team consists of physical therapists (PT), physical therapy assistants (PTA), occupational therapists (OT), certified occupational therapy assistants (COTA), a speech and language pathologist (SLP), and a rehab aide/technician, who work together based on the individual needs of each patient.

The Physical Therapist assesses and treats impairments in strength and function that occur as a result of injury, disease, age-related degeneration, or environmental factors. Physical therapy treatments are performed by the physical therapist, or a physical therapy assistant who treats under the direction of the supervising physical therapist.

The Occupational Therapist assesses the impact that a decline in function has in the patients’ ability to participate in their life by performing everyday tasks such as dressing and bathing, or being able to return to work or engage in previous hobbies. Occupational therapy treatments are performed by the OT (or a COTA working under the direction of the supervising OT).

The Speech Therapist and/or Language Pathologist assesses language, cognition, and swallowing dysfunction.  A Speech Therapist’s main goal is helping resident with swallowing difficulties.  They will work with residents that may have modified diets to help them get back to eating the types of foods they love.

These three disciplines work together along with nursing, social services, activities, the business office, families, caregivers, and local communities to assess functional potential, and collaborate on the unique goals for every patient. Family members are essential contributors to this interdisciplinary rehab team, as they provide the background and detail of their loved one’s life to incorporate into our plan of care.

While in our care, please know that your loved one will be well taken care of. Because all of our rehab therapists are in-house (rather than outside contractors), our relationships with our residents are superior. Our therapists and nurses work together as a team, and due to the continuity of their care, a strong trust is built with our residents. There is comfort in knowing that the same smiling face will be there to help them through their rehab each day.

On-Site Decision Makers

We Don’t Wait To Make Important Decisions

In order to provide the best care possible, our caregivers must be empowered to make decisions, because in many cases, every second counts. So rather than waiting for a decision from higher-ups who might not understand the crucial details of any given situation, we leave the decisions to those who are closest and know best: the caregivers, doctors, and nurses who work with our patients 24 hours a day, seven days a week.

It’s important to us that our patients, as well as their family members, feel loved, informed and comfortable during their stay at our facility. Quality of life is just as important as quality of care in a skilled nursing facility – and we work hard to make sure that every patient is as happy and comfortable as possible. Every staff member on the floor and in the office knows each patient by name. They make eye contact as they greet them, and once a request is met, they ask if there is anything else they may need. If there is a request, the team member is then empowered to carry it through. We’ve found that with this kind of team member empowerment, patients have consistently shown greater motivation to reach their goals.