Transition Planning Guide

Hospital Discharge to Assisted Living Checklist

Use this checklist to organize the information families and referral professionals commonly need when planning a transition from a hospital or rehabilitation setting to assisted living or memory care.

Before Contacting the Community

• Expected discharge date
• Current diagnosis and care needs
• Medication list
• Mobility and transfer status
• Memory or behavioral support needs
• Diet or swallowing considerations
• Recent therapy recommendations
• Primary family or responsible-party contact
• Payer information, Medicaid status or veterans benefit information when applicable

Questions to Ask the Community

• Is there current availability?
• Can the resident’s current care needs be supported?
• What assessment or clinical documentation is needed?
• What room options are available?
• What is included in the monthly rate?
• Can the community coordinate directly with the hospital or rehabilitation team?

Healthcare Professional Referral Information  Check Availability