Your loved one is coming home from a skilled nursing facility or rehab center. You have a date. Now you need a plan for the house.
The home they’re returning to is probably not set up for someone who just had a hip replacement, a stroke, a cardiac event, or major surgery. Most homes aren’t. But with some targeted preparation, you can make it dramatically safer and more comfortable for the first weeks of recovery.
Use this checklist as your starting point.
Before They Walk Through the Door
Confirm the discharge plan in writing. Before your loved one leaves the facility, make sure you have the discharge summary in hand. It should include the current medication list (with dosages and timing), any dietary restrictions, activity limitations, wound care instructions, and a schedule for follow-up appointments. If anything is unclear, ask before they leave. This is not the moment to assume.
Arrange home care before discharge day. If you’re working with a home care agency in North Austin, have the caregiver schedule set before your loved one arrives home. The first 24 to 48 hours at home are often the most disorienting, and having support in place from day one matters. A Place At Home – North Austin can coordinate with the facility’s discharge team to make this transition as smooth as possible. Call 512-521-3010 to get started.
Schedule the first follow-up appointment now. Seeing the primary care physician within the first week or two after discharge is one of the most effective ways to prevent a return to the hospital. Don’t wait until after they’re home to make the call. And make sure transportation is arranged if they won’t be driving.
Fill all prescriptions before discharge. Ask the facility what new medications have been prescribed and get them filled ahead of time. Coming home to a medication gap on day one is unnecessary stress.
In the Bedroom
- Move the bed to a height that allows them to get in and out safely without overextending
- Clear a path from the bed to the bathroom with no obstacles, rugs, or cords
- Place a nightlight on the route to the bathroom
- Keep a phone or personal alert device within reach of the bed
- Make sure their most-used items (glasses, medications, water) are within arm’s reach without needing to bend or stretch
In the Bathroom
The bathroom is where most post-discharge falls happen. Don’t skip this section.
- Install grab bars near the toilet and in the shower or tub (these are not the same as a towel rod; towel rods will not support body weight)
- Place a non-slip mat inside the shower or tub and on the bathroom floor
- Add a shower chair or bench if your loved one cannot stand for the duration of a shower
- Consider a raised toilet seat if they’re recovering from hip or knee surgery
- Remove the bathroom door lock or replace it with a type that can be opened from the outside in an emergency
In the Kitchen
- Stock the refrigerator and pantry with foods that meet any dietary guidelines from the facility (low sodium, soft foods, high protein, etc.) If you need prepared meals to meet these requirements, you should check out Clean Eatz in Round Rock and they can deliver.
- Move frequently used items to counter height so they don’t need to bend or reach overhead
- Clear clutter from walkways and cooking areas
- If they’re prone to confusion or memory issues, consider a simple, color-coded medication organizer kept in a visible spot
Throughout the Home
- Remove throw rugs. All of them. They’re fall risks, full stop.
- Secure or remove any loose electrical cords from walkways
- Make sure stairways have secure handrails on both sides if possible
- Rearrange furniture to create clear, wide pathways (especially if a walker or wheelchair will be in use)
- Check that lighting is adequate in every room they’ll use regularly; add lamps where needed
- Consider a personal emergency response system (a wearable button they can press to call for help if they fall or feel unwell)
Home Health Prescription and Medical Equipment
Two things families frequently forget to confirm before discharge, and both can create real problems on day one.
Home health requires a physician’s order. If your loved one’s discharge plan includes skilled nursing visits, physical therapy, or occupational therapy at home, make sure the prescribing physician has actually submitted that order before discharge. It sounds like a given, but it gets missed. Without it, the home health agency has nothing to work from, and your loved one could go days without care they’re supposed to be receiving. Confirm the order is in place and ask for the name of the home health agency that will be assigned.
Medical equipment needs to be in the home before they arrive. This means:
- Hospital bed (if needed for recovery or safety)
- Wheelchair or transport chair
- Walker, cane, or other mobility aids
- Bedside commode
- Oxygen equipment (if prescribed)
- Any wound care supplies specified in the discharge instructions
The facility’s discharge planner should coordinate durable medical equipment (DME) delivery through Medicare or insurance. But “should” and “did” are two different things. Confirm delivery is scheduled and, if possible, that someone will be at the home to receive it.
And if the equipment that shows up isn’t right for your loved one’s needs, push back.
Stacey learned this firsthand with one of our clients. After discharge, the client needed a hospital bed at home. Stacey fought to make sure it was arranged and in place before the client arrived. When a barely functional mechanical bed was finally delivered, she didn’t accept it. She tracked down a solid, properly working replacement because her client needed it and deserved it.
That’s what advocacy looks like in practice. A discharge plan on paper means nothing if the equipment on the ground doesn’t support a safe recovery. Don’t be afraid to make noise when something isn’t right. And if you’re not sure what to push for or who to call, that’s exactly the kind of thing we help families navigate at A Place At Home – North Austin.
Medications
This one deserves its own section because medication errors are one of the most common reasons seniors end up back in the hospital after discharge.
- Create a written medication list: drug name, dose, what it’s for, and time of day
- Use a pill organizer sorted by day and time
- Confirm no medications from before the rehab stay were discontinued; don’t assume the old regimen still applies
- If there are four or more medications, ask the pharmacist to do a medication review to check for interactions
- Have a plan for who manages medication reminders if your loved one has memory issues
The Emotional Side of Coming Home
Here’s something that often gets overlooked in all the logistics: coming home after a rehab stay can be emotionally hard for your loved one, even when it’s what they wanted.
They may feel frustrated by what they can’t do yet. They may feel a loss of independence. Some experience anxiety about being away from the clinical support of the facility. This is normal, and it passes, but it helps to name it.
Companionship and consistency make a difference. A regular caregiver who shows up at the same time, learns their routines, and genuinely engages with them as a person, not just a list of tasks, is worth more than most families realize until they see it in action.
Stacey Eisenberg has written thoughtfully about the full picture of what families go through during this transition. Her article Oh No, My Parent or Loved One is About to Be Discharged from Rehab. What Do I Do Now? is a good read for anyone feeling uncertain about what to expect.
Ready to Talk Through Next Steps?
A Place At Home – North Austin serves families in North Austin, Round Rock, Georgetown, and surrounding communities. Our caregivers are experienced in post-rehab and post-hospitalization support. We work around your loved one’s schedule, care plan, and goals for recovery.
Call us at 512-521-3010 or visit aplaceathome.com/north-austin to learn more.
And for additional guidance on keeping your loved one out of the hospital after they’re home, read Stacey’s article: How to Prevent Hospital Readmissions for Seniors.











Recently, I was interviewed by Care.com about 







