Discharge Planning Support at Home in Santa Monica, CA

Organized Hospital-to-Home Transitions for Santa Monica

Santa Monica is a city that takes health seriously – from the fitness culture of the beach and Palisades Park to the progressive approach to wellness that defines the community. Montana Avenue, Main Street, and the Third Street Promenade anchor a lifestyle that values both activity and mindfulness. When hospitalization disrupts that lifestyle, Santa Monica residents want a recovery plan that’s as thoughtful and organized as the life they’ve built. HarvardCare’s discharge planning sends a licensed medical social worker to your Santa Monica home to coordinate every aspect of the hospital-to-home transition.

Providence Saint John’s and Beyond

Providence Saint John’s Health Center is Santa Monica’s own hospital, and many of our patients transition from there. But Santa Monica residents also receive care at UCLA, Cedars-Sinai, and specialty facilities across LA. Wherever the hospital stay occurs, our social worker coordinates the return to your Santa Monica home. We communicate with your surgical team, your primary care physician, and any specialists to ensure every discharge order is understood and implemented.

Your Santa Monica Recovery Plan

At your Santa Monica home, our social worker builds a recovery plan that fits your life:

• Post-discharge nursing for clinical monitoring and wound management
• Physical therapy focused on returning to your active Santa Monica lifestyle
• Occupational therapy for daily living independence
• Medication management – reviewing every prescription for interactions and proper scheduling
• Home safety evaluation for apartments, condos, and single-family homes
• Medicare benefit verification and clear coverage explanation

Apartment and Condo Expertise

Much of Santa Monica is apartment and condo living – from the high-rises on Ocean Avenue to the walk-ups along Montana and the neighborhoods near Main Street. Our social workers navigate building access, assess compact living spaces for safety, and coordinate services that work in any floor plan.

Coordinated With Santa Monica Hospitals

We coordinate with Providence Saint John’s Health Center, UCLA Medical Center, Cedars-Sinai, and Kaiser Permanente West LA. Our social worker ensures continuity from hospital bed to your Santa Monica home.

Serving Santa Monica

We cover all of Santa Monica – Ocean Avenue, Montana, Main Street, the neighborhoods near the pier, and every residential street. We also provide discharge planning in nearby Brentwood, Venice, Pacific Palisades, and surrounding Westside communities.

Plan Your Recovery

Call HarvardCare before discharge day. We begin Santa Monica discharge planning while you’re still hospitalized. Medicare accepted.