Facility care at skilled nursing, assisted living, and independent living communities

Facility care brings medical visits to adults who live in skilled nursing facilities, assisted living, and independent living communities. Our providers travel to these communities in the areas around our Hudson and Trinity offices, so residents can receive consistent primary care without a trip to the office. The same team that sees patients in the office shares one chart, which keeps care connected as a resident moves between settings.

What facility care includes

Facility visits cover the same kind of care a patient would receive in the office, adapted to the setting and the resident's needs.

• Regular on site provider visits
• Care for ongoing conditions such as diabetes, high blood pressure, heart disease, and lung disease
• Medication review and management
• Evaluation of new symptoms or changes in health
• Coordination with facility nursing staff
• Communication with families and caregivers
• Continuity when a resident moves between levels of care

Residents with long lasting conditions often benefit from a clear care plan. Our providers can connect facility visits with chronic disease management and, for eligible Medicare patients, Chronic Care Management between visits. Residents with slow healing wounds or pressure injuries can also receive wound assessment and treatment from a provider team led by a physician who is advanced wound care certified.

What to expect at your visit

Getting started. A family member, the resident, or the facility team can call either office to ask about facility visits. The team reviews the resident's health history, current medications, and recent records from hospitals or other providers.

During visits. Your provider meets with the resident in their room or a private space at the community. The visit may include a review of symptoms, an exam, a medication check, and a conversation about goals of care. Your provider works with facility nurses on orders, monitoring, and follow up.

Between visits. The care team stays in contact with facility staff about changes in health. Families are kept informed, and residents or their representatives are included in decisions about treatment.

When care settings change. If a resident goes to the hospital, our providers can follow that stay through hospital rounding and help plan the return to the community. If a resident moves home, the team can arrange home health coordination so care continues smoothly.

Who this care is for

Facility care is for adults 18 and older who live in:

• Skilled nursing facilities, including short stays for rehabilitation
• Assisted living communities
• Independent living communities

It is a good fit for residents who find office visits difficult, residents with several ongoing health conditions, and families who want one provider team following their loved one's care over time. Facility administrators and nursing teams who coordinate resident care are also welcome to contact the office.

Our providers speak English, Spanish, and Arabic, which can help residents and families communicate comfortably.

Insurance and coverage

Medically necessary provider visits at facilities are commonly covered by Medicare and many other plans. Coverage depends on the resident's plan and the type of visit. Please call the office to verify participation and benefits.

Call 911 for a resident with chest pain, trouble breathing, stroke symptoms such as face drooping, arm weakness, or trouble speaking, severe bleeding, or sudden confusion or unresponsiveness.

Frequently asked questions