Transitional Care Unit, located in Fond Du Lac, Wisconsin, operates within SSM Health St. Agnes Hospital and specializes in nursing home care with a focus on short-term rehabilitation and skilled nursing support. Certified by Medicare and Medicaid since October 30, 1997, the unit serves as an intermediate step for individuals transitioning from hospital care back to their homes. Current capacity at the unit is three occupants.
The facility offers a comprehensive range of medical and therapeutic services, including physical, occupational, and speech therapy tailored to the individualized needs of each patient recovering from injury, illness, or surgery. The therapy team works closely with patients to develop customized rehabilitation plans focused on regaining strength, improving mobility, and enhancing daily living skills. Residents benefit from access to advanced therapeutic equipment, such as parallel bars, balance tools, and adaptive devices, all designed to support their recovery goals.
Residents receive round-the-clock skilled nursing care and medical management within the hospital environment, ensuring immediate access to physicians, specialists, and ancillary healthcare providers. This seamless integration with SSM Health St. Agnes Hospital allows for prompt medical interventions, medication management, wound care, and ongoing monitoring of complex health conditions. The unit’s close collaboration with hospital staff supports continuity of care and helps prevent unnecessary readmissions.
Additionally, the Transitional Care Unit provides both resident and family counseling services as part of their holistic support efforts. Social workers and case managers are available to assist with discharge planning, connect families with community resources, and address concerns related to the transition home. Educational resources and support groups are also offered to help families understand the recovery process and promote successful outcomes.
As a Medicare participant, the unit meets rigorous regulatory standards for care, safety, and quality assurance. The intimate size of the unit allows for highly personalized attention and fosters a supportive, home-like environment within the hospital. Residents have access to amenities such as private or semi-private rooms equipped with comfortable furnishings, televisions, and Wi-Fi connectivity. Nutritious, dietitian-approved meals are prepared onsite and tailored to accommodate individual dietary needs and preferences.
While the unit does not feature a full calendar of recreational activities due to its small size and clinical focus, patients are encouraged to participate in therapeutic exercises and engage in social interaction as part of their recovery. Staff members strive to create a compassionate, encouraging atmosphere where residents and their families feel informed and cared for throughout their stay.
No major recent changes to the services or structure of the facility have been reported in public records.
Costs at this community start at $7,817 and range up to $9,068. The average price in the community is $8,442, which is more than the average price in the area of $5,417. The cost of nursing homes in this area is essentially the same as the cost throughout the state. If the resident needs other services, additional services may increase the monthly cost.
