Post-Acute Care Services
Post-Acute Care Management
Our post-acute care services are designed to support patients transitioning from hospital stays, skilled nursing facilities, or rehabilitation settings back to a stable and healthy routine. At Excellence Health, we provide coordinated, physician-directed care focused on recovery, continuity, and long-term health outcomes.
Comprehensive care coordination to support recovery, reduce readmissions, and improve long-term outcomes.
Serving patients across South Daytona, Daytona Beach, New Smyrna Beach, and Palm Coast.
(386) 238-9064
Monday – Friday: 8:00 AM – 5:00 PM
Physician-Directed Care
All post-acute care services are guided by experienced medical providers to ensure continuity and quality of care.
Coordinated Care Transitions
We work closely with hospitals, skilled nursing facilities, and care teams to support smooth and effective transitions.
Personalized Treatment Plans
Each patient receives a care plan tailored to their condition, recovery needs, and long-term health goals.
Ongoing Monitoring & Support
Regular follow-ups help track recovery, prevent complications, and reduce hospital readmissions.
What Is Post-Acute Care?
Post-acute care refers to the medical services and support patients receive after being discharged from a hospital, skilled nursing facility, or rehabilitation center. This phase of care focuses on recovery, stabilization, and preventing complications or hospital readmissions.
At Excellence Health, our post-acute care services are designed to ensure continuity of care by bridging the gap between inpatient treatment and long-term health management. We work closely with patients and care teams to monitor progress, manage conditions, and support a safe transition back to everyday life.
Our goal is to provide structured, physician-directed care that supports recovery while reducing the risk of setbacks, complications, or unnecessary hospital visits.
Post-Acute Care Services We Provide
At Excellence Health, we provide a comprehensive range of post-acute care services designed to support recovery, improve outcomes, and ensure continuity of care after hospitalization or facility-based treatment.
Skilled Nursing Facility Care
Medical oversight and ongoing care for patients recovering in skilled nursing facilities, ensuring proper treatment, monitoring, and coordination with facility staff.
Transitional Care Management (TCM)
Structured follow-up care after hospital discharge focused on preventing readmissions, managing medications, and ensuring a safe transition home.
Long-Term Nursing Facility Care
Ongoing medical management for patients in long-term care settings, with a focus on stability, quality of life, and chronic condition management.
Post-Acute Care Management
Comprehensive coordination of care across settings, including communication with hospitals, specialists, and care teams to support recovery.
Chronic Condition Management
Ongoing monitoring and treatment of chronic health conditions to prevent complications and support long-term health.
Care Coordination & Follow-Up
Close collaboration with patients, families, and healthcare providers to ensure consistent, high-quality care throughout the recovery process.
How Our Post-Acute Care Process Works
Our post-acute care process is designed to ensure a smooth transition from hospital or facility-based care to a stable and well-managed recovery. We focus on coordination, monitoring, and long-term health support.
Initial Evaluation & Care Review
We begin by reviewing discharge information, medical history, and current treatment plans to understand each patient’s needs.
Care Plan Development
A personalized care plan is created to support recovery, manage conditions, and ensure continuity of care.
Coordination with Care Teams
We communicate with hospitals, skilled nursing facilities, specialists, and caregivers to align treatment and support.
Ongoing Monitoring & Follow-Up
Follow-up care and monitoring to support safe recovery after hospital stays, illness, or medical procedures.
How Our Post-Acute Care Process Works
Post-acute care is designed for patients who require continued medical support after being discharged from a hospital, rehabilitation center, or skilled nursing facility.
Patients recently discharged from a hospital stay
Patients recovering from surgery or acute illness
Patients transitioning from a skilled nursing or rehabilitation facility
Patients with chronic conditions requiring ongoing medical management
Patients at risk of hospital readmission without proper follow-up care
Why Choose Excellence Health for Post-Acute Care
Choosing the right post-acute care provider is essential for ensuring a safe recovery and preventing complications after discharge. At Excellence Health, our physician-directed approach focuses on coordinated care, continuity, and long-term health outcomes for every patient.
Physician-Directed Care
All post-acute services are overseen by experienced medical providers to ensure continuity, accuracy, and quality of care.
Strong Care Coordination
We work closely with hospitals, skilled nursing facilities, specialists, and caregivers to maintain seamless communication and treatment alignment.
Personalized Care Plans
Each patient receives a structured care plan tailored to their medical condition, recovery needs, and long-term health goals.
Focus on Reducing Readmissions
Our proactive monitoring and follow-up care help reduce complications and unnecessary hospital readmissions.
Continuity of Care
We bridge the gap between inpatient treatment and long-term health management, ensuring patients receive consistent, high-quality care throughout recovery.
Post-Acute Care Services Available Across Our Locations
Excellence Health provides post-acute care services across multiple locations, ensuring patients have access to coordinated, physician-directed care close to home. Our team works with hospitals, skilled nursing facilities, and families to support recovery and long-term health outcomes.
South Daytona (Beville Rd)
Providing post-acute care services for patients transitioning from hospital or facility-based care in South Daytona and surrounding areas.
Daytona Beach (Mason Ave)
Serving patients in Daytona Beach with coordinated post-acute care focused on recovery and continuity of care.
Find Post-Acute Care Services Near You
Access coordinated, physician-directed post-acute care services at one of our Excellence Health locations. Our team works closely with patients, families, and care providers to ensure a smooth recovery and ongoing medical support after discharge.
Post-Acute Care FAQs
Have questions about post-acute care services? Below are answers to common questions about recovery, care coordination, and ongoing medical support after discharge.
Post-acute care refers to the medical services provided after a hospital stay, rehabilitation visit, or skilled nursing facility discharge to support recovery and prevent complications.
Patients recovering from surgery, illness, or hospitalization, as well as those transitioning from skilled nursing or rehabilitation facilities, often benefit from post-acute care.
After discharge, patients may require follow-up care, monitoring, and coordination with healthcare providers to ensure recovery stays on track and complications are avoided.
Yes, our team works closely with hospitals, skilled nursing facilities, specialists, and caregivers to ensure continuity of care and effective communication.
Through regular monitoring, follow-up care, and coordinated treatment plans, post-acute care helps identify and address potential issues early.
The duration varies depending on each patient’s condition and recovery needs, with care focused on stabilization and a safe transition to long-term health management.
Coordinate Post-Acute Care with a Trusted Medical Team
Our physician-directed post-acute care services are designed to support safe recovery, reduce complications, and improve long-term health outcomes. Whether you are transitioning from a hospital stay, skilled nursing facility, or rehabilitation setting, our team provides structured, coordinated care tailored to each patient’s needs.
Call (386) 238-9064 to coordinate care or submit a referral.
Comprehensive post-acute care focused on continuity, coordination, and long-term outcomes.
Serving South Daytona, Daytona Beach, New Smyrna Beach, and Palm Coast