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Hospital to Home Program | Transitional Care Services in Buzzards Bay & Barnstable County

Hospital to Home Program

About Our Hospital to Home Program in Buzzards Bay

Leaving a hospital or rehab can be scary, and it can make both you and your loved one feel anxious about what comes next. Your loved one may still be healing, and suddenly, there is no care team down the hall. For families in Buzzards Bay and Barnstable County, TLC Private Home Care’s Hospital to Home Program was built exactly for this moment.

Founded in memory of co-owner Jolene Cicchese, RN’s son, Lyndon, who passed away on December 8, 2018, this program reflects the organization’s deep commitment to bringing joy, laughter, and genuine care to every client. It is not just a service, it is a mission rooted in personal experience and real love for the people we serve.

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    How can transitional care services in Buzzards Bay help your family?

    The Hospital to Home Program is run entirely by nursing, not just a standard caregiver, but a skilled care team that understands what your loved one has just been through. When our team steps in before discharge, families no longer have to piece together a care plan on their own.

    Let our nurses and care team ease the transition home.

    Avoid the stress of figuring out medications, equipment, and home setup on your own.

    Get the care your loved one needs from the very first day back home.

    Receive a personalized care plan built around your loved one’s specific recovery needs.

    How Our Hospital-to-Home Program in Buzzards Bay & Barnstable County Works

    We meet the nurses, therapists, and case managers who have been providing care throughout their stay. This gives our care team the full picture needed to build the right care plan from day one.

    Here is what we gather before your loved one comes home:

    Medications taken during the hospital or rehab stay.

    Any infections, limited mobility, or physical care needs.

    Test results and documentation supporting their stay in the facility.

    Direct input from the entire care team about your loved one as a whole person.

    Hospital to Home Program in Buzzards Bay & Barnstable County, MA
    Elderly woman in wheelchair smiling with doctor at her side

    What happens on the day my loved one comes home?

    On discharge day, a separate in-home care assessment is completed. A caregiver can be assigned that very same day, so there is no waiting period when your loved one needs support most.

    Prescriptions can be picked up and pre-filled on the day of discharge.

    The home is checked for all necessary equipment to support a safe recovery.

    A personalized care plan is put in place immediately.

    Streamlined support services are in place before your loved one settles back in.

    Why Families Across Cape Cod Trust TLC Private Home Care for Hospital-to-Home Assistance

    TLC Private Home Care is built around a Nursing Model of Care, meaning clinical oversight is part of every home care service we provide. Owner Jolene Cicchese, RN, came out to meet clients personally and built a care program that treats every person as an individual, not a case number.

    Our care program is led by nursing, not just a standard caregiver.

    We serve seniors, retired military veterans, and anyone needing support after a hospital stay.

    Our care team remains involved well beyond the first week of recovery.

    We go above and beyond to make sure your loved one’s health and well-being are protected.

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    Your Loved One Deserves to Come Home Safely. We Are Here to Make That Happen

    The days right after leaving a hospital or rehab are some of the most important in your loved one’s recovery. TLC Private Home Care’s Hospital-to-Home Program ensures those days are handled with expertise and genuine care. Our nurse-led care team covers everything from the hospital room to the front door, so your family does not have to figure it out on their own.

    TLC Private Home Care is here when your family needs real help the most. If you are looking for care for a loved one after a hospital or rehab stay, we are ready. Let our nurses and care team ease the transition home, and help your loved one recover with confidence, comfort, and the care they deserve.

    Fill out this short form to schedule your nursing assessment!

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    Do I need to set up care before my loved one is discharged?

    The sooner you contact us, the better, but we can often arrange a same-day assessment and caregiver placement on the very day of discharge. Reaching out before discharge allows our nurses to meet with the hospital care team and gather everything they need to build the best care plan for your loved one’s recovery at home.

    Can your care team handle medications right away?

    Yes. Our nurses can pick up prescriptions on discharge day and pre-fill medication organizers so your loved one has everything they need at home from the start of services. There is no confusion, no gap, just a care team that has already handled it.

    Is this home program only for seniors?

    Our Hospital to Home Program in Buzzards Bay and Barnstable County is designed for anyone who needs skilled transitional support after a hospital or rehab stay, not only seniors. Whether you are looking for care for an elderly parent, a retired military veteran, or any loved one coming home from a facility, our care team is ready to help.

    Buzzards Bay & Barnstable County, MA Home Health Care Services

    Get the TLC you need with our comprehensive Home Health Care Solutions

    Alzheimer's & Dementia Care

    Alzheimer's & Dementia Care

    Expert day-to-day support from certified dementia practitioners and members of the Alzheimer's Foundation of America through our Buzzards Bay

    in-home care.

    Alzheimer's & Dementia Care

    Respite & Hospice Support

    Respite & Hospice Support

    Allowing the primary caregiver to enjoy the remaining time with loved ones in the comfort of their own home is vital for both parties to feel supported.

    Respite & Hospice Support

    Senior Home Care

    Senior Home Care

    We empower seniors to continue living independently in their own homes throughout Buzzards Bay & Barnstable County.

    Senior Home Care

    Home Care

    Home Care

    All our care plans are designed and implemented by nurses only for specific needs, with patient, physician, and family input.

    Home Care

    Post Surgical Care

    Post Surgical Care

    In Buzzards Bay, recuperation in the comfort of your own home with your own caregiver is essential to your recovery.

    Post Surgical Care

    Companionship

    Companionship

    Sometimes all you need is company and a coffee companion. Let us be your friends to keep you company around-the-clock.

    Companionship

    Diabetic Management

    Diabetic Management

    Our skilled nursing service offers diabetic management within the home or in an assisted living facility in Buzzards Bay & Barnstable County, MA.

    Diabetic Management

    Hospital to Home Program

    Hospital to Home Program

    Leaving a hospital or rehab can be scary and cause anxiety. Let our nurses and care team ease the physical and emotional transition home in Buzzards Bay & Barnstable County.

    Hospital to Home Program
    HOME CARE SERVICES IN Buzzards Bay & Barnstable County, MA

    Who needs TLC Private Home Care in Buzzards Bay & Barnstable County, MA?

    While caring for seniors who want to stay in their home is our most common need, other situations include:

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    Dementia or Alzheimer's Care from a certified dementia practitioner

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    Fall Reduction and assistance with mobility

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    Specialty care for Parkinson's, ALS, diabetes, and cancer patients

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    Meal Prep/Bathing/Hygiene Care by qualified, certified caregivers

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    Post-Operative/Post-Surgical Care for help at home after surgery

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    Hospice caregivers to work in coordination with Hospice Agencies

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    Newly diagnosed medical conditions that require assistance or training

    TLC PRIVATE HOME CARE in Buzzards Bay & Barnstable County, MA REVIEWS

    See why families consistently rate us as Buzzards Bay & Barnstable County, MA Top Home Care Provider

    The TLC team helped me to recognize that we all need help at times ... often we don't even realize the assistance we need, especially before and during recovery. I am so very grateful ...
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    Mark Gillard
    The TLC team helped me to recognize that we all need help at times ... often we don't even realize the assistance we need, especially before and during recovery. I am so very grateful to TLC Private Home Care for the amazing services I received recently! I needed home care assistance after major surgery, as I live alone. I am a retired military veteran, and I'm used to taking care of myself. The TLC team helped me to recognize that we all need help at times ... often we don't even realize the assistance we need, especially before and during recovery. The selfless care, caring, conversation and companionship each team member provided daily were just as valuable over my weeks of recovery as the medical care and physical therapy I received from my VA and hospital teams. The TLC owner, Jolene, even made a personal visit on one of the days when I needed urgent assistance using her skills as a registered nurse! As a former caregiver, I can attest that that was above and beyond! I had not previously considered home care assistance until a friend recommended it. I will definitely reach out to TLC for any future needs, and I highly recommend this amazing team for any services you may need!
    Mark Gillard
    If your looking for care for a loved one, look no further!!! Can't say enough about TLC, they helped us with our mom in everyway possible, always there when you need them, always ...
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    Steve A.
    If your looking for care for a loved one, look no further!!! Can't say enough about TLC, they helped us with our mom in everyway possible, always there when you need them, always available when you have questions and need advise, they go above and beyond every time. If your looking for care for a loved one, look no further!!!
    Steve A.
    I highly recommend giving them a call, you’ll be glad you did. If your looking for some helping hands in the care of your loved one, TLC is there.They offer Emotional...
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    Roxanne Reardon
    I highly recommend giving them a call, you’ll be glad you did. If your looking for some helping hands in the care of your loved one, TLC is there.They offer Emotional support, physical care, and the love of what they do. Any need you have they have the answer your looking for. I highly recommend giving them a call, you’ll be glad you did.
    Roxanne Reardon
    The care provided to my parents by TLC was outstanding, reflecting the deep commitment of the organization to their mission. TLC Homecare provided care continuously for about two years for my parents who...
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    Linda Burkly
    The care provided to my parents by TLC was outstanding, reflecting the deep commitment of the organization to their mission. TLC Homecare provided care continuously for about two years for my parents who were both in their nineties. This occurred throughout the duration of the COVID-19 pandemic. In the month after my father’s passing, TLC Homecare continued as needed for my mother. The care provided to my parents by TLC was outstanding, reflecting the deep commitment of the organization to their mission. TLC exhibits the agility to staff quickly, adaptability to changing needs, and reliability to maintain the schedule. TLC managers are readily accessible when questions arise. Of essential importance, the TLC caregivers are experienced and deeply caring individuals. Over the course of two years, several of the same caregivers were regularly there for my parents and for us, and TLC scheduling enabling this personal connection made an amazing difference.
    Linda Burkly
    If your looking for private care, this agency is tops. Just want to thank the nurses and staff at TLC for the great services they provide in these difficut times. I am very ...
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    Ester Lastoria
    If your looking for private care, this agency is tops. Just want to thank the nurses and staff at TLC for the great services they provide in these difficut times. I am very happy with the people and dependable services TLC provides for their Clients and staff. If your looking for private care, this agency is tops.
    Ester Lastoria
    Highly, highly recommended, Kind, caring and compassionate-the care that they provided to my mother was the best, not to mention that our caregiver Tiffany had the patience of an angel. Always on time, ...
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    John Barnes
    Highly, highly recommended, Kind, caring and compassionate-the care that they provided to my mother was the best, not to mention that our caregiver Tiffany had the patience of an angel. Always on time, plus the staff were outstanding in calling if there were any changes to the schedule. Highly, highly recommended.
    John Barnes
    TLC is very responsive to our needs and concerns.. Contacted agency to assist in the care of my father with Alzheimer's disease. Co- owner Jolene Cicchese RN came out to meet my parents ...
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    Susanne Scipione
    TLC is very responsive to our needs and concerns.. Contacted agency to assist in the care of my father with Alzheimer's disease. Co- owner Jolene Cicchese RN came out to meet my parents and do an assessment of my dad. Things could not have gone better. I have been worried about this process and expected some resistance from my parents to allow help in the home. Both of them are LOOKING FORWARD to the start of services. As a nurse myself I can be pretty tough to please, but Jolene and her agency made a fantastic impression on me. I know that we will have a great relationship and that my parents will be receiving the best care possible. So very happy I called TLC!!!
    Susanne Scipione
    As a nurse myself I can be pretty tough to please, but Jolene and her agency made a fantastic impression on me. Contacted agency to assist in the care of my father with ...
    Read More
    Kerry Stearns
    As a nurse myself I can be pretty tough to please, but Jolene and her agency made a fantastic impression on me. Contacted agency to assist in the care of my father with Alzheimer's disease. Co- owner Jolene Cicchese RN came out to meet my parents and do an assessment of my dad. Things could not have gone better. I have been worried about this process and expected some resistance from my parents to allow help in the home. Both of them are LOOKING FORWARD to the start of services. As a nurse myself I can be pretty tough to please, but Jolene and her agency made a fantastic impression on me. I know that we will have a great relationship and that my parents will be receiving the best care possible. So very happy I called TLC!!!
    Kerry Stearns

    Buzzards Bay & Barnstable County, MA Home Care Quality Guarantee

    Why choose TLC Private Home Care?

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    Nursing Assessment

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    Nurse on call 24/7

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    We Collab With Your Physicians

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    Certified Dementia Practitioners

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    Memory Screening Center for AFA

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    Short Term or Long Term Care

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    Compatible Caregiver Guaranteed

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    Thoroughly Vetted Caregivers

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    Licensed & Insured

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    Medical Care Or Companion Care

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    Workers' Comp Accepted

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    LTC Insurance Accepted

    Get Started With Home Care in Buzzards Bay & Barnstable County, MA

    3 simple steps to senior independence and peace of mind for their families

    You're one phone call away from thriving at home with a loving caregiver!

    1. CALL (774) 703-4887

    Contact us to speak with a member of our friendly staff.

    2. Schedule an in-home assessment

    Our team will create personalized home care plan unique to your needs.

    3. Get matched with a caregiver

    Enjoy peace of mind with a perfectly matched caregiver in Buzzards Bay.

    Contact us today to schedule your no-obligation, in-home nursing assessment!

    After your consultation, we'll craft a custom in-home care plan in Buzzards Bay & Barnstable County, MA based on your needs, schedule, hobbies, and personality.

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