Swing Bed Program

Our Swing Bed program allows you to transfer with confidence from an acute hospital care setting (at TMH or any other hospital) to Swing Bed care at TMH to prepare you for your return home.

As a Swing Bed patient, you will work with a therapy team to become as independent as possible before being discharged from the hospital. Therapy will work on daily tasks such as bathing, dressing and safely moving around your home. Your specific goals and length of stay will be discussed between you and your care team. When you no longer require Swing Bed services, the TMH care manager and discharge specialist will assist in arranging services for you including home care or outpatient rehabilitation, if needed.  Read Wreatha's story.

For more information about our Swing Bed program, please contact Care Management at 217-707-5673.

Benefits of the Swing Bed Program

  • Private rooms
  • RNs on the nursing unit 24/7
  • Low patient-to-nurse ratio
  • On-site hospital resources including radiology, lab services and pharmacy. You do not need to leave the facility for testing.
  • Physicians on-site 24/7
  • Respiratory therapy available 24/7
  • A discharge specialist
  • A registered dietitian
  • Restaurant style in-room dining
  • Activity program with Activity Room located on the Swing Bed unit
  • Caregiver training and education when patient is ready for discharge
  • Physical, occupational and speech therapy
  • Rehab gym located on the Swing Bed unit

Supported Services in the Swing Bed Program

  • Bipap or Cpap
  • Complex wound care
  • Wound vacuum management
  • Blood administration
  • Management of central lines and IV medications
  • Feeding tube management (PEG, NG)

Difference between Skilled Care and Custodial Care

It is important to understand the difference between skilled and custodial care.  Medicare does not cover custodial care. Skilled services are considered to be:

  • Physical therapy, occupational therapy or speech (must participate and show progress toward goals)
  • Daily intravenous medications
  • Daily intramuscular injections
  • New tube feedings requiring adjustment
  • Wound care requiring medicated ointments or dressings
  • New respiratory treatments requiring adjustments
  • New catheters to treat an active disease process
  • Stage III (3) or IV (4) pressure ulcers
  • Patient/family education for new conditions

Medicare and Insurance Coverage Requirements

Swing Bed service is approved and paid for by Medicare and many insurance plans. To qualify for a Medicare-covered skilled/swing nursing benefit, you must:

  • Be enrolled in Medicare Part A and have skilled days available; or have an insurance plan that includes skilled benefits;
  • Have been admitted to the hospital for at least three consecutive midnights before beginning Swing Bed service if enrolled in Medicare Part A;
  • Be admitted to Swing Bed service within 30 days of your discharge from the acute hospital or previous Swing Bed stay;
  • Be admitted for the same condition for which you were treated in the hospital or previous Swing Bed stay;
  • Be certified by a doctor as needing skilled services on a daily basis; and
  • Require daily skilled services on an inpatient basis (services that cannot be provided in a lesser care setting).

If you have commercial insurance, a care manager will call your insurance company to verify possible Swing Bed benefits.