Skilled Medical Care and Rehabilitation


The Medical Center at Caverna's Skilled Medical Care & Rehabilitation Program (formerly known as the Swing Bed program) is a hospital-based skilled care program providing comprehensive inpatient care for the individual who has had an acute medical or surgical event as a result of an illness, injury or exacerbation of a disease process.

Patients who have been treated in larger hospitals return to their community under the supervision of their primary care provider. Care provided close to home allows family members to be more involved in the patient’s recovery and minimizes time and travel expense. Communication with the primary care physician is maintained to assure continuity of care. 

Physical therapy, occupational therapy and speech therapy are available to provide a wide range of services to meet the patient’s needs. 

The primary goal of the Skilled Medical Care & Rehabilitation Program is to help the patient return to their home independently or with the help of other community resources such as:  home health care or outpatient therapy.

How does a patient qualify for the program? 

  • The patient must be eligible for the program through Medicare, Medicaid or other private insurance.
  • Medicare and most private insurance patients require 3-days inpatient stay within the past 30 days. This inpatient stay could have been at The Medical Center at Caverna or another acute care hospital. (The program coordinator will help you determine if your patient is eligible.)
  • The 3 days inpatient stay is not required for Medicaid patients.
  • The patient must also require skilled nursing care or skilled rehabilitation service, which can only be provided in a skilled nursing facility. 

When is the program appropriate?

  • Recovery from surgery or procedures
  • Extended Hospitalization
  • Recovery from accident or stroke
  • Pain management
  • Wounds which are not healing or need special care
  • Nutritional Therapy
  • IV Therapy
  • Rehabilitation Therapy
  • End-of-Life Care

What type of skilled services are available?

The Rehabilitation Department at The Medical Center at Caverna offers Physical Therapy services, Occupational Therapy services, and Speech Pathology services. Our team of Therapists is all licensed in the state of Kentucky and will provide you with a friendly, caring atmosphere. We strive to give you the best service possible in a professional manner. Our goal is to improve your quality of life.

  • Physical Therapy

Physical Therapy is a branch of rehabilitative health that remediates impairments and promotes mobility, function, and quality of life through examination, diagnosis, and physical intervention. Physical therapy uses specially designed exercises and equipment to help patients regain or improve their physical abilities. We also focus on client/family education to promote safety, increase participation in activity, and return to prior level of function. Services are carried out by a licensed Physical Therapist and Physical Therapist Assistant.

  • Occupational Therapy

Occupational Therapy is a branch of rehabilitative health that completes an assessment and treatment to develop, recover, or maintain the daily living and work skills of people with a physical, mental, or cognitive disorder. Occupational therapists also focus much of their work on identifying and eliminating environmental barriers to independence and participation in daily activities. Occupational therapy interventions focus on adapting the environment, modifying the task, teaching the skill, and educating the client/family in order to increase participation in and performance of daily activities, particularly those that are meaningful to the client. Services are carried out by a licensed Occupational Therapist and Certified Occupational Therapist Assistant.

  • Speech Therapy

Speech Therapy is a branch of rehabilitative health that specializes in the evaluation and treatment of communication and swallowing disorders. A licensed Speech Therapist is trained to evaluate and treat voice, speech, language, or swallowing disorders.