Transitional Care Unit

Montefiore Nyack Hospital’s Transitional Care Unit (TCU) is a 16-bed short-term, post-acute unit designed for patients transitioning from an acute hospital stay to a safe return home or to a skilled nursing facility. Our Unit provides round-the-clock expert care in a comfortable environment to patients who no longer need to stay in the hospital, but need extra time to recover before being discharged. The goal of the transitional care unit is to assist in recovery by providing the nursing and rehabilitative care necessary to help you or your family member regain a certain level of independence. Patients generally stay from 5 to a maximum of 21 days. Depending on the condition, the care may include:

  • Rehabilitative, restorative, or skilled care
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Intravenous therapy and frequent laboratory tests
  • Intravenous anticoagulation therapy
  • Wound care
  • Fall prevention
  • Ventilator care and respiratory therapy
  • Nutritional counseling and dietary planning
  • High-flow oxygen and close respiratory therapy monitoring

The goal of the TCU is to optimize the patient's quality of life and to help the patient transition out of the hospital. Each patient has their own private room with access to a gym and a separate dining room, as well as group and individual activities to meet the patient's needs to socialize with others and their families. Our TCU staff encourages patients to gain as much independence as possible. Patients dress in their own clothes and eat in the dining room.* These steps are an important part of the rehabilitation process. In the TCU, patients receive physical therapy seven days a week as well as occupational and speech therapy.  

What Are the Advantages of Transitional Care?

Unlike community-based sub-acute care facilities, which have limited medical resuscitation equipment or the staff trained to use it, transitional care units have immediate access to acute resuscitation services. Because transitional care units are hospital-based rather than community-based, their radiology and laboratory facilities are located on site. In addition, transitional care units have an on-site medical doctor 24 hours a day, as well as access to all tertiary-care specialties.

*During Covid-19 and under executive order from the Governor of New York State all communal dining is cancelled.