4045 Washington St NE, Columbia Heights, MN (612) 223-7691 Fax (952) 400-3300
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What we provide

Clinical care. Residential care. Care coordination.

Everything a patient needs to recover safely after a hospital stay — and everything their discharge team needs to close the loop.

Safe residential environment

A private, furnished room — not a shared cot, not a shelter mat — in a quiet single-family home.

  • Furnished room with bedding and storage
  • Three meals daily, accommodating medical diets
  • Laundry facilities and hygiene supplies
  • 24/7 on-site staff presence

Skilled clinical support

Medical oversight aligned with the treating provider's plan — not a replacement for primary care, a reinforcement of it.

  • Medication management and administration reminders
  • Wound care monitoring and dressing support
  • Vital signs monitoring and reporting
  • Medical Director oversight of plan of care
  • Coordination with PCPs, specialists, and pharmacy

Care coordination

The glue between hospital, clinic, pharmacy, and payer — so a medically stable patient actually stays stable.

  • Benefits enrollment (Medical Assistance, Social Security)
  • Community-resource referrals and navigation
  • Follow-up appointment scheduling
  • Weekly written progress updates to the referring team

Housing navigation

Recuperative care ends — housing shouldn't. We start the transition plan on day one.

  • Housing-placement support and referrals
  • Assistance with housing applications and documentation
  • Connection to shelter, transitional, and permanent housing partners
  • Warm handoff at discharge from our program

Transportation

Getting to a follow-up appointment isn't optional — we make sure nobody misses one because they didn't have a ride.

  • Coordination of non-emergency medical transport
  • Transit support for specialist and clinic visits
  • Pharmacy pickups and lab visits arranged by staff

Discharge & continuity

A 1–60-day stay only works if the landing is planned from admission.

  • Transition plan developed at admission
  • Readmission prevention protocol
  • Documented handoff back to the admitting team
A day in the home

Structure without institutionalizing.

The goal is a recovery environment, not a facility schedule. Patients keep autonomy over their day — with enough rhythm that medications, meals, and appointments don't slip.

  • Morning: Vitals, medications, breakfast, wound checks
  • Midday: Follow-up appointments, transportation, hygiene support
  • Afternoon: Care coordination, housing appointments, rest
  • Evening: Dinner, medications, check-in with on-call staff
  • Overnight: On-call clinical staff, monitored rest
A nurse in teal scrubs holds a patient's hand during a morning vitals check in our recuperative-care home
Scope of care

What we don't do — so referrals land correctly.

Recuperative care sits between a hospital and the community. Being honest about the edges of the program is the fastest way for a discharge team to make the right call.

Not a nursing home

We are not a long-term skilled-nursing facility. Patients who need ongoing 24-hour nursing belong in SNF placement.

Not acute care

We do not admit patients who are medically unstable or still require continuous in-patient care.

Not a lock-down

Residents retain autonomy. We do not accept referrals requiring involuntary or secure psychiatric holds.

Not sure if a patient qualifies?

Our intake nurse can review a case in minutes. No obligation, no pressure.