Transitional Care at Home in Maryland
Bloomfield Homecare provides transitional care at home for older adults and families in Anne Arundel County, Baltimore County, Howard County, and surrounding Maryland communities. We understand how needs change when your loved one leaves the hospital or rehabilitation stay. Our vetted caregivers provide personal care, mobility support, meals, medication reminders, and help with daily routines as your loved one adjusts to life at home. Bloomfield begins with an in-home RN assessment to determine the appropriate level of support your loved one requires. Get a free RN assessment to begin.
Who Can Benefit From Transitional Care?
In-home transitional care is ideal for older adults and families to manage the period after a hospital or rehabilitation stay. They will require assistance with everyday tasks more than ever. Bloomfield Homecare provides personalized in-home support for families in Anne Arundel County, Baltimore County, Howard County, and surrounding Maryland communities.
Older Adults Returning Home After Hospitalization
Older adults who need additional help with personal care, mobility, meals, or daily routines after returning home from a hospital stay.
Seniors Transitioning From Rehabilitation to Home
Individuals leaving a rehabilitation facility who may still need assistance with everyday activities as they adjust to being back in their own home.
People With New or Increased Support Needs
Adults whose care needs have changed after an illness, injury, or hospital stay and who now require more help with daily activities than they did before.
Families Managing a Loved One's Transition Home
Family caregivers who need dependable in-home support while helping a loved one settle back into familiar routines after hospitalization or rehabilitation.
What Does Transitional Care Include?
Transitional care focuses on practical support during the period after a hospital or rehabilitation stay. After an in-home RN assessment, Bloomfield Homecare develops a personalized care plan according to the client’s current needs, daily routine, and recommended level of support. Trained caregivers then provide assistance at home while the client adjusts to being back in familiar surroundings.
Personal Care After Discharge
Assistance with bathing, dressing, grooming, toileting, and other activities of daily living that may have become difficult after a hospital or rehabilitation stay.
Mobility and Daily Activities
Support with walking, transfers, moving around the home, and everyday activities when temporary changes in strength or mobility make them harder to manage independently.
Meal Preparation and Hydration
Help preparing meals, maintaining regular mealtimes, and supporting everyday hydration routines while the client settles back into life at home.
Medication Reminders
Reminders to follow the medication schedule established by the client's healthcare provider, as included in the personalized care plan and within Bloomfield's scope of service.
Light Housekeeping
Basic household assistance such as tidying commonly used areas and helping with everyday tasks so the client can focus on getting settled at home.
Companionship and Routine Support
Friendly companionship and practical assistance can help reduce the disruption of returning home and make it easier to re-establish familiar daily routines.
24/7 and Live-In Care
For clients who need more extensive support after returning home, Bloomfield offers 24/7 care and live-in care based on the level of assistance recommended during the care assessment.
Family communication
Ongoing communication helps families stay informed about the support being provided and gives them greater visibility during the transition from facility-based care to home.
Optional Remote Patient Monitoring
Where appropriate, Bloomfield can provide remote patient monitoring (RPM) as an optional service, with readings such as blood pressure, weight, or glucose captured during visits and uploaded to a dashboard for clinical visibility.
How Bloomfield’s Transitional Care Begins
Our transitional care at home conveniently starts with a thorough conversation about your loved one’s recent hospital or rehabilitation stay. We talk about the support they may need after returning home. Once the initial call is done, an in-home RN assessment determines what care they need. Based on that assessment, Bloomfield develops a personalized care plan and arranges trained caregiver support.
1. Initial Call
You speak with a Bloomfield care advisor about your loved one’s recent hospital or rehabilitation stay. You talk about their current challenges, daily routine, and the type of support your family needs at home. The initial call is free, takes about 15–20 minutes, and comes with no obligation.
2. In-Home RN Assessment
A registered nurse visits your loved one at home to assess their personal care, mobility, daily activities, medication reminder needs, and other areas where additional support may be appropriate. The assessment helps determine the level and type of in-home transitional care recommended for the client.
3. Personalized Care Plan
Following the RN assessment, Bloomfield develops a care recommendation and personalized plan according to the client's current needs, routine, preferences, and level of independence. The plan identifies the caregiver support needed during the transition back home.
4. Caregiver Match & Start of Care
Bloomfield coordinates a trained caregiver according to the agreed care plan and schedule. The caregiver provides the planned support at home, helping your loved one manage daily routines while adjusting after hospitalization or rehabilitation. Bloomfield remains in communication with the family as care needs change.
Why Families Choose Bloomfield for Transitional Care
Returning home after a hospital or rehabilitation stay leaves many families managing new routines, changed mobility, and additional daily support needs. Bloomfield Homecare combines an in-home RN assessment with personalized care planning and trained caregiver support to help make the transition home more manageable. Families can arrange care around their loved one's needs while remaining involved throughout the process.
Support During the Transition Home
Bloomfield provides practical assistance with personal care, mobility, meals, daily activities, and routines while your loved one adjusts to being home after a hospital or rehabilitation stay.
RN-Led Care Planning
An in-home registered nurse assesses your loved one's current needs and provides the foundation for a personalized care recommendation and plan.
Highly Vetted Caregivers
Bloomfield caregivers undergo background checks, employer verifications, skills demonstrations, knowledge assessments, and internal training before being placed with clients.
Personalized One-on-One Support
Caregiver support is based on the client's individual needs, routines, preferences, and level of independence rather than following a one-size-fits-all approach.
Ongoing Family Communication
Families receive ongoing communication about the care being provided, helping them stay informed while their loved one adjusts to life at home.
Flexible Care Options
Transitional care can be arranged according to the level of support needed, including scheduled visits, overnight care, 24/7 care, or live-in care when appropriate.
What Sets Bloomfield’s Home Care Apart?
When you are about to hire an in-home care service for your loved one, caregiver quality and oversight matter. Bloomfield Homecare takes a careful approach to caregiver selection, preparation, and care coordination. This is how families can arrange in-home care with greater confidence.
For Your Loved One:Preserved dignity, enhanced home safety, and continuous independence in daily routines.
For Your Family:Complete peace of mind, relief from caregiver stress, and more quality time spent together.
Thoroughly Vetted Caregivers
Bloomfield caregivers undergo background checks, employer verifications, skills demonstrations, and knowledge assessments before being considered for placement.
Training Before Home Placement
Selected caregivers receive up to 15 hours of internal training before providing care in a client’s home, helping prepare them for the responsibilities of their role.
RN-Informed Care Planning
An in-home RN assessment helps identify the client’s care needs and provides the foundation for a personalized care plan.
Founder-Led Support
Bloomfield maintains a hands-on approach to client and family support, giving families a direct connection to the company rather than feeling like they are simply being handed off to an agency.
Every caregiver is handpicked not just for their professional expertise,but for their dedication to treating your loved one with the respect, warmth, and dignity they deserve.
Built on trust, our caregivers are rigorously screened and professionally trained to uphold the highest clinical standards. We carefully match your loved one with dedicated professionals who deliver exceptional care with everyday empathy.
Personalized Care, Based on Your Needs
Every client has different care needs, so we don't use a one-size-fits-all price. A Registered Nurse will visit to understand your loved one's needs, evaluate the level of care required, and help develop an appropriate care plan. After the assessment, Bloomfield will provide an estimated cost based on the care and services needed.
RN Assessment
A Registered Nurse will visit to understand your loved one’s needs.
Care Evaluation
We evaluate the level of care required and discuss your goals and preferences.
Personalized Care Plan
We develop an appropriate care plan and provide an estimated cost based on the care and services needed.
Trusted Care, Loved by Families
Hear from families who have experienced compassionate, dependable care and the difference it has made for their loved ones.
We are so grateful to have Bloomfield Homecare on our side. For four years, I’ve been caring for my mom, taking her to doctor’s appointments, prepping her meals, cleaning, and even staying by her side during her hospital stays. Since Bloomfield came on board, their whole team, including the owner, has been so involved that my family and I finally have peace of mind. We no longer worry about how Mom is being taken care of, and we get daily updates on even the smallest details. Thank you so much, Bloomfield.
After my mother-in-law’s knee replacement surgery, we needed help with her recovery since we live about an hour and a half away. Bloomfield Homecare connected us with Sandy, and we couldn’t be more grateful. Sandy has been incredibly caring and dependable. She helps with medications, blood pressure checks, meals, household tasks, doctor appointments, and bathing. She always treats my mother-in-law with kindness and respect, making her feel comfortable and cared for. Most importantly, Sandy makes sure she never feels alone. Knowing someone we trust is there for her when we can’t be gives our entire family peace of mind. We are incredibly grateful to Bloomfield Homecare for providing such wonderful care.
Had a great experience with Bloomfield Homecare. Everyone was professional, helpful, and easy to work with. I wouldn't hesitate to recommend them.
If you’re looking for someone in Maryland you can trust, call Bloomfield. They took care of my family, and gave me peace of mind. Highly recommended!
Frequently Asked Questions About Transitional Care
Find Clear Answers to Common Questions About Transitional Care and What to Expect From Bloomfield.
What is transitional care at home?
Transitional care at home provides temporary, personalized support for people returning home after a hospital or rehabilitation stay. Care may include personal care, mobility assistance, meal preparation, medication reminders, companionship, and help with daily routines while the client adjusts to being home.
Who needs transitional care after a hospital stay?
How does transitional care help after rehabilitation?
How long does transitional care at home last?
What services are included in transitional home care?
Does Bloomfield provide 24/7 transitional care at home?
How do I arrange transitional care for a loved one?
Let’s Talk About the Care Your Loved One Needs
Have questions about our services or unsure where to start? Our care team is here to listen, understand your needs, and help you find the right support for your loved one.