Inpatient Therapy

Swing Bed Program

Memorial Health hospitals in Lincoln, Jacksonville and Taylorville offer patients a Swing Bed program, which means you can transfer with confidence from acute hospital care to a Swing Bed transitional care setting. As a Swing Bed patient, you will work with a therapy team to become as independent as possible before being discharged from the hospital. Therapy will work with you on daily tasks like hygiene, bathing, dressing and safely moving around your home. You will discuss your specific goals and length of stay with your care team. When you no longer require Swing Bed service, the care manager and discharge specialist will assist in arranging services including home care or outpatient rehabilitation, if needed.

Swing Bed services can include: physical, occupational and speech therapy; Bipap or Cpap; complex wound care; wound vacuum management; blood administration; management of central lines and IV medications; feeding tube management (PEG, NG); intravenous medications; tracheostomy care. Benefits of this care include: private rooms, RNs on nursing unit 24/7, low patient-to-nurse ratio, on-site hospital resources including radiology, lab services and pharmacy, physicians on site 24/7, respiratory therapy available 24/7, a discharge specialist, a registered dietitian, restaurant style in-room dining, activity program, caregiver training and education when patient is ready for discharge, physical/occupational/speech therapy.

Skilled Care and Custodial Care

It is important to understand the difference between skilled and custodial care.  Medicare does not cover custodial care. Skilled services are considered to be: physical therapy, occupational therapy or speech (must participate and show progress toward goals); daily intravenous medications; daily intramuscular injections; new tube feedings requiring adjustment; wound care requiring medicated ointments or dressings; new respiratory treatments requiring adjustments; new catheters to treat an active disease process; Stage III (3) or IV (4) pressure ulcers; patient/family education for new conditions.

Swing Bed service is approved and paid for by Medicare and many insurance plans. To qualify for a Medicare-covered skilled/swing nursing benefit, you must:

  • Be enrolled in Medicare Part A and have skilled days available; or have an insurance plan that includes skilled benefits;
  • Have been admitted to the hospital for at least three consecutive midnights before beginning Swing Bed service if enrolled in Medicare Part A;
  • Be admitted to Swing Bed service within 30 days of your discharge from the acute hospital or previous Swing Bed stay;
  • Be admitted for the same condition for which you were treated in the hospital or previous Swing Bed stay;
  • Be certified by a doctor as needing skilled services on a daily basis; and
  • Require daily skilled services on an inpatient basis (services that cannot be provided in a lesser care setting).

If you have commercial insurance, a care manager will call your insurance company to verify possible Swing Bed benefits.