Post-Acute Care

Bringing Hospital-Level Expertise to Your Recovery Journey

At Swan Primary Care, we believe that excellent care shouldn’t stop once you leave the hospital. That’s why our Post-Acute Care Network is designed to deliver the same high standards of hospital-level care directly to Skilled Nursing Facilities (SNFs) — ensuring a smooth and supported recovery for you or your loved one.

Timely Visits & Attentive Care

Our dedicated physicians and nurse practitioners follow a structured rounding schedule to ensure you receive consistent, timely, and personalized medical attention.

A Seamless Transition from Hospital to SNF

We coordinate directly with hospital teams to manage your transition to a SNF, ensuring thorough discharge planning and detailed communication so nothing is overlooked.

Clear Communication with Families

We prioritize keeping families informed and involved, providing peace of mind and transparency throughout your stay in post-acute care.

Why Skilled Nursing Facilities Partner with Swan

Your Trusted Partner in Delivering Hospital-Level Care to Skilled Nursing Facilities

At Swan Primary Care, we provide consistent, hospital-grade medical services to post-acute care settings — helping skilled nursing facilities (SNFs) enhance patient outcomes, reduce readmissions, and stay compliant with Medicare regulations. Our experienced team works in close collaboration with your staff to streamline operations and raise the standard of care at your facility.

Medicare Guidelines Compliance

We ensure all patients are seen within 48 hours of admission, and our documentation and follow-ups meet Medicare's regulatory standards, ensuring your facility stays in full compliance.

Collaborative Teamwork

We partner closely with Directors of Nursing, administrators, therapy supervisors, social workers, and discharge planners to ensure seamless coordination of care.

Readmission Reduction Strategy

Our providers actively participate in readmission committee meetings and work with hospital discharge teams to prevent avoidable hospital returns — supporting your facility’s quality benchmarks.

Smooth Transitions of Care

We coordinate with hospital social workers to ensure comprehensive discharge planning and detailed provider handoffs, allowing for uninterrupted, high-quality care as patients move into your SNF.

Get In Touch

For further inquiries or to find out about our doctor’s availability, call us at 630-931-2929.