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Transitional Care Rehab

Recover and Return to Your Activities of Daily Living

The Subacute Unit is designed for adult patients who no longer need 24-hour acute care but require further rehabilitation and skilled care to regain maximum independence.

Subacute care shortens the time spent in the acute care facilities of the hospital. Focusing on restorative therapy, subacute care provides the skilled care needed for patients to be discharged to their home or to a facility where appropriate care can be given.


Adult admissions are based upon a patient's diagnosis and care needs. It is the policy to treat and care for individuals without regard to race, color, creed, sex, national origin, disability, or economic status.

Subacute care treats a condition for which three consecutive days of medically-necessary inpatient hospital care was provided, or for a condition which arose while a person was in the hospital. Conditions treated on the Unit may include stroke, recovery from orthopedic surgery or other surgery, wound care and amputation. Treatment on the Subacute Unit is directed by a physician on the medical staff at Mary Lanning Healthcare.

Patients may be referred to the Subacute Unit by calling 402-461-5290.

Rehabilitation Program

Patients will find a significant difference in the type of care and treatment received on the Subacute Unit. For instance, patients dress in regular street clothes and eat their meals in a dining room with other patients. Care is individualized to fit specific needs of each patient and is provided by a team of healthcare professionals. Patients learn about their condition and why various treatments and exercises are necessary. Team members include physicians, nurses, occupational therapists, speech therapists, physical therapists, recreational therapists, respiratory therapists, social workers, and pharmacists. Pastoral care from each patient's denomination, as well as support from family and friends, is welcomed and encouraged.

The team works with the patient and their family to achieve maximum independence in the activities of daily living (ADL). Goals are determined by the patient, their family and the healthcare team. Focus is placed on independence as improvement takes place.


Mary Lanning Healthcare and the Subacute Unit are accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Inpatient Rehab Unit (IRU) vs. Transitional Care Unit (TCU)



Admission can be from anywhere – doctor office, home, ER, nursing home, etc.

Admission requires a 3 day hospital stay

Average length of stay: 14 days

Average length of stay: 7 days

Most common diagnosis: neurological (CVA’s), fractures, medically complex

Most common diagnosis: total joints, neurological

Therapy coverage: intense level – minimum 3 hours per day and at least 2 out of 3 disciplines involved (PT,OT,ST)

Therapy given at less intense level, only 1 discipline must be involved (can work with PT,OT,ST)

Nursing coverage: requires RN 24 hours/day

Nursing requires RN 8 hours/day – although our unit provides RN coverage above this minimum – usually 24 hours/day

Physician Coverage: 24 hour availability of physician required, physician visits required at least every 2-3 days

Physician visits as necessary – requirement is 1 visit per month

Medical Director: Dr. Subramaniam Parameshwaran, MD (Physiatrist – a physician who specializes in physical medicine and rehabilitation)

Medical Director: Dr. Fred Catlett, MD (Family Practice Physician)

Opened in 2007, currently an 11 bed unit

Opened in 1995, currently a 9 bed unit

IRU and TCU similarities

  • Both units utilize the FIM (Functional Independence Measure) to measure progress.
  • The screening process determines which unit is appropriate – screens completed by Barb, Karla, or Leslie utilizing input from social work, physicians, and patient/family needs.
  • Patients for both units are mostly Seniors – over age 75.
  • Medicare is the primary payor for both units – about 90%, although both units accept all insurance types.
  • Both units have an “open admission” referral process – any physician with privileges at MLH can admit and be the attending physician while patient is on the unit.
  • Both units utilize a team approach and have weekly team conferences.
    (Team members: Medical Director, Nursing, PT, OT, SLP, Social Work, Case Management, Unit Director, Unit Manager, Pharmacy, Nutritional Services, Recreational Therapy, and Psychologist).
  • Program goals are to assist patients in returning to their highest level of independence and to be discharged to their destination of choice. These goals can be accomplished by patients completing their own daily cares and toileting, attending therapy sessions, eating meals in the dining room, all while wearing casual clothing. Therapy and nursing services will assist with achievement of these goals.

If you have any questions or would like further information, please call 402-461-5290.