Transitional Home Care

Thrive at home with care services and assistance from the RiverSpring Certified Home Health Agency.

We help New Yorkers get back to living full lives by making the transition from the hospital or short-term rehabilitation back to home as easy as possible. Count on us for direct, in-home care services, specializing in transitions in care from discharging organization to home. We’re on call 24/7, with office hours Monday to Friday, 8:30 a.m.–5:00 p.m.

How Home Health works.

RiverSpring Certified Home Health Agency provides skilled services at home, such as nursing, physical therapy, occupational therapy, speech therapy, and social work.

Based on the evaluation of your condition at home, if your interdisciplinary plan of care includes home health aide services, your nurse will create a care plan for your home health aide as part of your services. We are certified by the New York State Department of Health (NYSDOH), the Centers for Medicare & Medicaid Services (CMS), and the Community Health Accreditation Program (CHAP).

RiverSpring Certified Home Health Agency accepts payment for home care services from various sources, including Medicare, Medicaid, many health insurance plans, and private pay.

The frequency of home care visits and length of time on service are determined and revised based upon an ongoing evaluation of your condition and progress. Your interdisciplinary care plan will also be reviewed with you on a regular basis by your care team.

Transition in Care is our Specialty

RiverSpring Certified Home Health Agency nurses work directly with you and the discharging facility to create an individualized, interdisciplinary care plan, and implement it right in your home. Our care services include but are not limited to long-term care, rehabilitation, social work, and home health aide services.

Direct, in-home care services, specializing in transitions from discharging facility to home, include:

Long-Term Care
  • Comprehensive interdisciplinary care management
  • Disease management to reduce rehospitalization or relapse
  • Post-surgical recovery
  • Medication reconciliation and management
  • Wound care for post-surgical, new, and chronic wounds
  • Pain management
  • Intravenous therapy
  • Nutritional counseling
Rehabilitation Services
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Social work
  • Long-term care planning
  • Identification of available community services and resources
  • Psychosocial assessment
  • Entitlement assessment

Team Testimonials

How can we help you?

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