Nestbound Journey:

Transitional Care Program

Nestbound Journey: Guiding you home with safety, support, and peace of mind

Transitioning home after a hospital stay, rehabilitation, or residential care can feel overwhelming for both patients and their families. At Hummingbird Care Services, our Nestbound Journey: Transitional Care Program is built to make that journey home smoother, safer, and fully supported. Nestbound Journey offers a customized two or four-week care plan that gently guides each individual from full hands-on assistance to increased independence, while offering families the peace of mind that their loved one is cared for every step of the way.

What Is The Nestbound Journey Program?

Nestbound Journey is a structured transitional care program designed to support individuals safely returning home from:

  • Hospitals

  • Skilled nursing facilities

  • Rehabilitation centers

  • Assisted living or long-term care settings

Our approach bridges the gap between clinical discharge and home life by offering thoughtful, step-by-step care that reduces risk, encourages recovery, and restores confidence.

Four Weeks. One Seamless Transition.

Nestbound Journey is based on a unique titrated model of care, meaning we begin with full support and gradually scale back as you or your loved one’s independence grows.

Pre-Discharge: Prepare & Assist

  • Coordination with facility case managers and discharge planners

  • Initial in-person assessment by our Nurse Liaison

  • Assistance with arranging skilled home health, DME (durable medical equipment), and additional support services

  • Home safety assessment with recommendations for modifications

Week 1: Full Support

(Days 1–7)

  • 24-hour care starting from discharge—when it’s needed most

  • A caregiver accompanies the client home, door to door

  • Nurse Liaison conducts supervisory visits every other day to adjust the care plan in real-time

Week 2: Moderate Support

(Days 8–14)

  • Reduced caregiver presence, while maintaining hands-on care

  • Nurse Liaison visits every third day for continued supervision and adjustments

  • Introduction of self-care routines and light independence training

  • Ongoing coordination with providers and family

Week 3: Light Oversight

(Days 15–21)

  • Focus on reinforcing confidence, safety habits, and daily routines

  • Troubleshooting any new challenges

  • Care scaled down with support available as needed

  • Promote confidence in personal care, household routines, and mobility

  • Nurse Liaison visit once or as required for final tuning of the care plan

Week 4: Independence & Handoff

(Days 22–28)

  • Final check-ins and evaluation of recovery goals

  • Planning for long-term care needs, if applicable

  • Ensure the client is safe, confident, and ready for long-term independence or smoothly transitioned to appropriate ongoing care

  • Families can rest easy knowing the transition was done right

Why Families Choose Hummingbird’s Exclusive Nestbound Journey Program

Customized to Each Individual

We tailor every care plan to the client’s specific needs, health status, home environment, and recovery goals.

Designed for Safety & Success

Nestbound Journey reduces risk of falls, missed medications, and avoidable hospital readmissions.

Peace of Mind for Families

We serve as a safety net during one of the most vulnerable times, offering consistent check-ins and oversight.

Compassionate, Person-Centered Care

Our caregivers are trained not just in clinical support, but in empathy, communication, and dignity-focused care.

Take the First Step Home

We’re here to help make the return home as safe and stress-free as possible.

Contact us today to speak with a care coordinator and see how we can customize the Nestbound Journey Program for you or your loved one.

Testimonials:

“Using Hummingbird’s Nestbound Journey made my mom’s transition from rehab to home stress-free. The 24/7 support in that first week made all the difference.”

— A grateful daughter

“We didn’t know how we’d manage Dad’s care after the hospital, but Nestbound Journey gave us structure, guidance, and relief. Every step was thoughtfully planned. We could finally sleep knowing he wasn’t alone.”

Julia R., daughter of a Nestbound client

“The gradual reduction in care was exactly what my husband needed. It helped him regain confidence without feeling rushed or abandoned. Hummingbird truly understands what recovery at home should look like.”

Marsha P., spouse and caregiver