Services

Kissito Post Acute is primarily designed for patients transitioning to post acute care settings after being discharged from acute care settings/hospitals. Kissito Post Acute’s nursing and rehabilitative care comprise a holistic approach while ensuring residents’ safe return to home after a hospital stay. Kissito Post Acute care provides services that include Rehabilitation and Medically Complex Care while focusing on individuals’ functional ability and ensuring their previous level of functioning and return to home. After being discharged from hospitals and before going home or into other community- based settings, most patients need additional time to recuperate. Kissito’s Post Acute environment is tailored to address this need of patients by providing 24-hour skilled nursing care, specialized care, service programs and short term rehabilitation. Our interdisciplinary team participates in the rehabilitative process using clinical pathways which provide the framework for an interdisciplinary effort. The Kissito Post Acute Model provides each patient with a tailored approach to care to address individual needs.

Our clinical services include:

• Post Surgical Rehabilitation
• Post Stroke Rehabilitation
• Cardiac Care, including Post Heart Attack and Heart Failure Rehabilitation
• Respiratory/Pulmonary Rehabilitation (e.g., Pneumonia, COPD)
• Post Hip & Knee Replacement Rehabilitation
• Complex Wound Care Management
• Orthotic/Assistive Devices Management
• Diabetes Management and Education
• Pain Management and Education
• Re-stabilization of Chronic Medical Conditions like Renal Failure, Debilitating Arthritis or Other Chronic Orthopedic and Medical Conditions

In our Post Acute environment, we assist residents in achieving the highest level of independence after a hospital stay. Our large spacious private resident rooms along with our state-of-the-art rehabilitation facility offer an conducive environment for rehabilitation and this sets us apart from traditional skilled nursing facilities. Through rehabilitation, round-the-clock monitoring, and continued nursing care, we provide an appropriate setting to bridge the gap between acute hospital care and discharge to home or a community-based setting. Our highly qualified and skilled professional staff, consisting of registered nurses, licensed practical nurses and certified nurse aides, provides personal care to patients along with treatment and medication.

Rehabilitation

All of our facilities have well-equipped rehabilitation gyms to meet specific needs of our residents. Not only that, our rehabilitation program ensures high quality and provides for greater flexibility in our treatment times allowing the resident to heal more quickly and return to their previous level of functioning. We serve patients with a multitude of diagnoses. The most common rehabilitation diagnoses include stroke, orthopedic conditions like hip and knee replacement, arthritis, and spinal cord injuries. Most patients are admitted directly from a hospital’s medical/surgical unit, but patients can be admitted from any level of care, as well as home. We employ outstanding physical, occupational, and speech therapists and our rehab team works closely with our residents’ physicians, designing and implementing individualized rehabilitation programs.

Some of the features of our Rehab Program include:

• Individual Rehabilitation Care plan
• State-of-the-art rehabilitation gym
• In-house physical, occupational and speech therapies
• Restorative nursing services seven days a week
• Variety of activities for residents
• Provision of specialized dietary needs to support rehabilitation

The Rehabilitation Manager at each of our facilities coordinates rehabilitative care plans, ensures compliance with all insurance requirements, and ensures that each resident and/or family member is an active participant in all rehabilitation related decisions.

Medically Complex Care

Our facilities play an important role in providing quality healthcare to the communities we serve, admitting patients when they can no longer remain in the fast-paced hospital environment and need an affordable and comfortable setting where they can rehabilitate and return to home safely after a short-term stay. We offer advanced clinical care for the medically complex patients; our nursing staff is highly trained and can handle medically complex procedures.

Our skilled nursing staff work 24 hours a day, monitor complex medical conditions as well as medication regimen and ensure that diagnostic, nutrition and rehabilitation needs are met. Our medially complex care services include wound care, pain management, diabetic management, and a variety of discharge and diagnosis management education.

Discharge Process

Our team prepares, educates, and supports the patient and the caregiver/family in the critical discharge process. The team is trained in the University of Colorado’s Care Transitions Program℠ . The term “Care Transitions” refers to the movement patients make between health care practitioners and settings or a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location. This program has been designed to encourage patients and their caregivers to assert a more active role during care transitions and has proven to reduce hospital readmissions.

Our Social Worker and Nursing Staff coordinate the following:

• Conduct home studies when appropriate to ensure the patient’s return to home
• Provide complete medication reconciliation upon patient’s discharge to help with self-administration of medications
• Support patient’s discharge needs including medical equipment and oxygen
• Contact the patient with follow-up calls at 2- days, 7-days, and 20- days

In addition our 24/7 CareLine is available 24X7 if the patient or caregiver has any questions or concerns.