Complex Care Programs and Services
Intensive Post-Acute Rehabilitation
Individuals entering rehabilitation are always unique, but their primary objective is typically the same – a return to health, home and what’s important in life, as soon as possible. At Touchpoints Rehab, part of the iCare Health Network, we understand.
Our innovative, personalized program is designed to accelerate the recovery process, so that patients can Get Well, Live Well and Be Well, faster, better and with fewer challenges than any traditional rehabilitation program. These programs are designed to optimize therapy, promote recovery, and provide ongoing quality of life for patients experiencing chronic and high acuity medical conditions.
What is Complex Care?
Touchpoints Rehab is a leader in this field. The Complex Care program uses a team of healthcare providers including nursing, respiratory and other staff to closely monitor a patient’s health status and facilitate safe transitions from setting to setting. This team will guide care from the hospital to the skilled nursing facility and into the home ensuring a smooth transition from one to the next. You will often see the same nurse or team member in the hospital, in the facility and following up after discharge to ensure success and avoid readmission to the hospital.
The Complex Care team works with physician guidance and alongside APRNs, Physician’s Assistants and the entire staff of the skilled nursing facility. The team focuses additional focus and resources on patients with complicated medical conditions who are at risk for frequent hospital admission.
Complex Care Team
- Transitional Care - Heart Failure Nurse
- Regional Clinical Director
- Care Transitions Respiratory Therapist
- Multi-disciplinary clinical team
- Consulting physician specialists, pulmonologists, PAs and APRNs
Addressing Frequent Hospitalizations
The program also addresses repeat hospitalizations by applying frequent lab work and assessment, integrated specialty care including pulmonary/respiratory therapy and sleep medicine, specialist consultation, clinical partnerships and more.
For patients with multiple hospitalizations the team will address their general state of health and wellness and improve their daily functionality. This will get them back home where they want to be and slow the tide of re-hospitalizations.
Your caption text here
Complex Care Clinical Programs
- Congestive Heart Failure
- Chronic Obstructive Pumonary Disease (COPD) and other related pulmonary disease processes.
- Post open-heart surgery care.
- Affiliation or enrollment in Accountable Care Organization, Risk or Payment Bundle and/or at high risk for readmission.
Program Highlights
Some patients who have been hospitalized following these conditions may be encouraged to stay in a post-acute facility to regain their strength. Our network partnerships ensure that our patients receive rehabilitation services in close collaboration with their medical team within the hospital networks. The key features of this unique approach include:
- The Touchpoints Rehab team has been trained by the hospital network team. The clinical team follows their established protocols.
- Touchpoints Rehab has experienced physicians and physician extenders.
- The Touchpoints Rehab team includes a dedicated Transitional Care Nurse who follows caseload patients through the course of their care, including after discharge home and provides additional, continuous clinical over- sight and support.
- The hospital and Touchpoints Rehab teams remain in continuous communication, working together to ensure a smooth transition.
- The hospital team remains informed on the progress of patients’ post-acute stays on a daily basis and continuing through discharge home.
- Once discharged, patients are reconnected with their primary care provider.
- Touchpoints Rehab staff are skilled in the delivery of all IV treatments and modalities.
Program Benefits
- Consultations and daily communication with the hospital team ensure continuity of care and optimal treatment decisions.
- Careful oversight of progress and a quieter, more personal environment are highly conducive to rapid improvements.
- Individually paced rehab programming enables faster recovery, stabilization and restoration of strength.
- Ongoing specialty evaluations
- Diagnosis-specific education for you and your family
- Healthy menus tailored to your diagnosis.
- Weight monitoring
- Physical, occupational and speech therapies
- Customized care planning
- Home support and discharge planning
- Weekly rounds by hospital practitioners
- IV Lasix, Bumex, Dobutamine and Milrinone therapies
- Weekly lab value monitoring
- Touchpoints Rehab locations in Bloomfield, Manchester, East Windsor and Farmington.
For more information, please call (860) 812-0788, email moc.nheraci@ofni or visit us online at www.touchpointsrehab.com
News & Updates
Discover the latest from our blog
-
Parkville Care Center has earned a CMS 5-Star Rating, a recognition that reflects the dedication, consistency, and commitment demonstrated every day by the center’s staff and leadership team. The Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating System is one of the nation’s most recognized measures of quality in skilled nursing care. The designation evaluates facilities across several categories, including health inspections, staffing, and quality measures, helping… -
“Community in Bloom”: iCare Health Network Exhibit Features Resident and Staff Creations
May 27, 2026
As part of this year’s National Skilled Nursing Care Week celebration, residents, staff, and families across iCare Health Network participated in a unique collaborative art initiative that transformed blank canvases into deeply personal expressions of creativity, memory, and community. Each participating care center received the same starting point: a three-foot by three-foot blank canvas and an open invitation to create without rules or limitations. Residents and teams were encouraged to use … -
At Fresh River Healthcare, a simple idea has continued to grow into one of the center’s most popular and meaningful resident activities. What began as a casual coffee and pastry gathering has evolved into a thriving Coffee Social that now regularly brings together more than 30 residents for conversation, connection, and community. The socials have become a highlight of the week for many residents, creating a welcoming space where friendships are strengthened and new relationships are formed ov… -
Representatives from iCare Health Network joined more than 50 vendors and over 200 attendees at the 29th Annual West Hartford Senior Day and Health Fair on May 13, 2026, at the Elmwood Senior Center in West Hartford. The annual event brought together healthcare providers, senior service organizations, and community partners for a morning focused on wellness, resources, and community engagement. Representing iCare at the event were Regional Clinical Director Francis Lijadu and Complex Care Nurse … -
The entire iCare Health Network team is excited to celebrate National Skilled Nursing Care Week (NSNCW), also known as Nursing Home Week, taking place May 10–16, 2026. The annual observance recognizes the dedication of skilled nursing care professionals while celebrating the residents, families, and communities that make our centers so special. This year’s NSNCW theme, “Moments in Bloom,” highlights the meaningful connections, joyful experiences, and everyday moments that flourish within… -
MissionCare at Bennington’s Carin DeGrenier Named Vermont MDS Coordinator of the Year for 2026
May 12, 2026
MissionCare at Bennington is proud to announce that Carin DeGrenier has been named the 2026 MDS Coordinator of the Year by the Vermont Health Care Association. The award recognizes outstanding dedication, professionalism, and leadership in long-term care, honoring individuals who play a critical role in ensuring quality resident care, accurate clinical assessments, and strong interdisciplinary coordination within skilled nursing facilities. The Vermont Health Care Association serves as the state… -
iCare Health Network and its care centers will join organizations across the country in celebrating National Skilled Nursing Care Week (NSNCW), also referred to as “Nursing Home Week”, taking place May 10–16, 2026. This year’s theme, “Moments in Bloom,” highlights the everyday interactions, relationships, and milestones that shape life inside skilled nursing communities. From small personal victories in rehabilitation to shared laughter among residents and staff, the week is … -
From May 6 through May 12, National Nurses Week 2026 offers a meaningful opportunity to recognize the individuals who stand at the heart of healthcare—our nurses. Across iCare Health Network and our care centers, we are proud to celebrate the extraordinary professionals whose compassion, skill, and dedication shape the experience of every resident, patient, and family we serve. This year’s theme, “The Power of Nurses,” highlights the profound and far-reaching impact nurses have on indivi…
