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SNF at Home

Skilled Nursing Facility (SNF) at Home

Compassus’ SNF at Home program is a post-acute care model designed to allow more patients to recover at home. We provide patients with comprehensive clinical care and non-clinical support from referral to discharge. We comprehensively assess the patient’s needs, preferences and goals, and tailor our services to ensure the best possible outcomes.

Home is where the Healing Happens:

Ashley's Story with SNF at Home

SNF at Home enables patients to effectively recover and break the cycle of recurrent rehospitalizations. Through collaborative clinical and ancillary care coordination, seamless transitions to the right level of care and innovation in home recovery solutions, patients are able to recover wherever they call home while meeting all their care goals.

What does SNF at Home Look Like?

  • Home Health resources: skilled nursing, therapy, aides, and social workers

  • Medication reconciliation and management

  • A personalized care plan based on patient needs and goals

  • Caregiver support, education, training, and respite care

  • Collaboration with PCP and other members of patient’s health care team

  • Personal Care support

  • Other ancillary services including meals/nutrition and non-emergency transportation for health care services

Our dedicated home health care transition coordinator emphasizes the pivotal role of technology in enhancing patient care and outcomes, in addition to highlighting the meticulous care coordination efforts to address home environment challenges. 

How Can we Help Your Organization?

With SNF at Home our partner organizations have experienced rehospitalization rate improvements, discharge planning delay reductions, and total cost of care reductions. These cost savings are achieved through expanding home-based recovery access and ensuring high quality, comprehensive care for patients.


reduction in Rehospitalization Rates*


Reduction in Discharge planning delays*


Reduction in total cost of care*

*Our partner organizations have experienced up to 44% in rehospitalization rate improvements, up to 45% in discharge planning delay reductions, and up to 50% in total cost of care reductions.

Home Health Care

Home Health provides support for people needing continued medical assistance after discharge from a hospital or inpatient facility, or as part of their care plan for an illness, chronic health condition or injury.

Palliative Care

Palliative care is an invaluable resource for patients and their families while they manage serious illness, providing comfort and support and improving their quality of life.

Hospice Care

Hospice offers comfort to patients and their families while helping people live as well as possible when life expectancy is limited.

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