Hospital Discharge to Home: How to Prevent Readmissions

Hospital Discharge to Home: How to Prevent Readmissions
Posted January 2026

Being discharged from the hospital is often a relief, but it can also be the most vulnerable time for a senior.

Studies show that many hospital readmissions happen within the first 30 days after discharge. The transition from hospital to home is critical. Without proper support, small issues can quickly become serious setbacks.

At Mae Flowers Home Care, we help families bridge the gap between hospital discharge and safe recovery at home.

Why the First 30 Days Matter Most when a loved one returns home after a hospital stay, they may be:

  • Weak or unsteady
  • Managing new medications
  • Adjusting to dietary changes
  • Confused about discharge instructions
  • At increased risk for falls

Even seniors who were independent before hospitalization may need temporary support during recovery.

The first 30 days require close attention, supervision, and structure.

1. Medication Errors: A Leading Cause of Readmissions

After discharge, medications often change. New prescriptions may be added, dosages adjusted, or previous medications discontinued.

Common issues include:

  • Taking the wrong dosage
  • Skipping medications
  • Mixing old and new prescriptions
  • Confusion about timing

Medication mismanagement can lead to complications such as dehydration, blood pressure instability, infections, or worsening chronic conditions. At Mae Flowers Home Care, our caregivers provide medication reminders and ensure clients follow discharge instructions carefully.


2. Fall Risks Increase After Hospitalization

Hospital stays can cause muscle weakness and decreased balance. Even a short admission can result in reduced mobility.

Risks at home include:

  • Unsteady walking
  • Cluttered walkways
  • Bathroom hazards
  • Difficulty getting in and out of bed
  • Weakness during transfers

A fall during recovery can mean another hospital visit. Our caregivers assist with mobility, monitor safety, and help create a safer home environment during recovery.


3. Supervision Prevents Small Issues from Becoming Emergencies

Often, readmissions don’t happen because of major medical events; they happen because no one noticed early warning signs.

Examples include:

  • Swelling in the legs
  • Shortness of breath
  • Signs of infection
  • Poor appetite
  • Increased confusion
  • Missed follow-up appointments

Having a trained caregiver present helps catch changes early, allowing families to respond before a situation escalates.

The Bridge Between Hospital and Independence. Many families assume home health alone is enough. While home health nurses and therapists provide skilled visits, they are not present daily.


Non-medical home care fills the gaps by providing:

  • Daily supervision
  • Assistance with personal care
  • Meal preparation
  • Medication reminders
  • Transportation to follow-up appointments
  • Companionship and emotional support

This consistent presence is often the difference between recovery and readmission.


How Mae Flowers Home Care Supports Safe Transitions. At Mae Flowers Home Care, we work closely with families during the discharge process to:

  • Review discharge instructions
  • Coordinate care schedules
  • Ensure the home environment is safe
  • Provide consistent support during the critical first 30 days

Our goal is simple: To help seniors recover safely at home and avoid preventable hospital readmissions.

The period after hospitalization can feel overwhelming for families. Having dependable, compassionate support in place reduces stress and protects your loved one during recovery.

If your loved one is preparing for discharge or has recently returned home, don’t wait for a setback.

📞 Contact Mae Flowers Home Care today to discuss how we can support a safe transition home.

Start Your Journey

Discover the comfort and peace of mind Mae Flowers Home Care provides with our personalized, family-first approach. Reach out today to discuss your loved one's unique needs and start the path to compassionate care.