For Hospital Discharge Planners

A Clear Next Step for Medically Stable Patients Who Are Not Ready for Home

Short-term residential recovery with responsive referral review, personal support, and coordination with the patient’s existing care team.

Your patient may be medically stable for discharge but still face real barriers at home.

Limited mobility, personal care needs, cognitive changes, medication routines, therapy recommendations, or an unavailable caregiver can make an immediate return home difficult.

Maison de Serenity provides a private-pay residential option in Elk Grove for appropriate adults who need additional support after hospitalization. Our six-bed setting offers personal assistance, meals, mobility support, supervision, and coordination with approved outside providers.

We understand that discharge decisions often come with tight timelines. Our team prioritizes clear communication about care fit, documentation, availability, and admission planning so you can determine the appropriate next step for your patient.

Patients We May Support

Which Patients Should You Consider Referring?

Is your patient medically stable but still unable to manage daily needs safely at home?

Maison de Serenity may be appropriate for adults who:

We review every referral individually. Diagnosis alone does not determine acceptance.

Functional needs, medical stability, mobility, cognition, required services, and outside provider involvement all affect care fit.

Know the Care Setting

What Maison de Serenity Can Support

Clear expectations at referral help everyone plan appropriately.

Depending on the patient’s assessment and care plan, Maison de Serenity may provide:

Maison de Serenity operates as a residential care setting. We do not operate as a hospital, skilled nursing facility, or inpatient rehabilitation facility.

When required, licensed outside professionals may provide services such as:

Certain higher-acuity or restricted needs may receive individual review when RCFE requirements, appropriate documentation, physician direction, and outside clinical services allow.

If you are uncertain about a specific patient, contact us before ruling the residence in or out.

What to Send

Give Us the Information We Need to Review Fit

Complete information helps us review a referral more efficiently and reduces unnecessary back-and-forth during discharge planning.

When available, please provide:

Providing these records when available can help us review care fit and next steps more efficiently.

If part of the record is still pending, contact our team and let us know what is available.

A Straightforward Process

From Referral to Placement Review

We keep the process clear so you know where the referral stands.

1. Contact Maison de Serenity

Call our team or submit the professional referral form with the patient’s basic information and anticipated discharge date.

2. Share Clinical and Functional Information

Send the available records we need to understand the patient’s diagnosis, mobility, personal care requirements, support system, medications, and outside services.

3. We Review Fit and Availability

Our team reviews the information against our residential care scope, current staffing, required support, and room availability.

If we need additional documents or clarification, we will tell you what is missing.

4. We Coordinate the Admission Plan

For an accepted referral, we communicate with the patient, approved family contacts, hospital team, and relevant outside providers to prepare for arrival.

After the initial review, we coordinate next steps with the patient, approved family contacts, and involved professionals.

When Discharge Timing Matters

Get a Clear Answer as Quickly as Possible

A delayed placement decision can affect the patient, family, and hospital team.

Once we receive the required information, we prioritize prompt review of:

We communicate clearly when a case falls outside our residential care scope rather than leaving your team waiting for an answer.

When complete information is available, we prioritize prompt review and clear communication about fit, missing items, and next steps.

Admission timing depends on care suitability, required documentation, and room availability.

Supporting the Handoff

Clear Communication From Hospital to Residence

A successful discharge depends on what happens after the patient leaves your care.

For accepted referrals, we can coordinate details related to:

During the stay, we can communicate with approved providers when relevant to the guest’s care plan.

With appropriate consent, we can also provide relevant follow-up information to the referring team after a short-term stay.

Your team should know who is receiving the patient, what support is planned, and where outside clinical services fit into the arrangement.

Have a Patient in Mind?

Start a Referral or Discuss the Case With Us

You may have a patient who no longer requires an acute hospital bed but still needs help before returning home.

Send us the available information, and we will review:

If Maison de Serenity is an appropriate option, we will explain the admission requirements and coordinate the next steps with the patient, family, and care team.

If our residential setting cannot provide the required level of care, we will communicate that clearly.