For Healthcare Professionals
A responsive home care referral partner in the Twin Cities & Greater Minnesota
When a patient needs support at home, we make the referral process simple. Discharge planners, case managers, social workers and physicians in the Twin Cities & Greater Minnesota can refer a patient quickly online, or call to speak directly with an RN case manager or our Director of Nursing.
In most situations, care can start within 24 hours.
Urgent Discharge? Give us a call.
Staffed Mon to Fri, 8:30 a.m. to 5 p.m. Central Time, with 24/7 on-call escalation. Ask for the referral coordinator.
Southern Minnesota: 507-399-2080
Under Two Minutes
Refer a patient
Complete the form below, and we will call you back within one hour during office hours.
Outcomes & Performance
What you can expect when you send us a patient
Clinical Capabilities
Conditions and care needs we support at home
Baywood provides medical and non-medical home care services with RN assessment, care planning, oversight and coordination. We work collaboratively with physicians, home health agencies, hospice providers, therapy teams and other members of the patient’s care team. Personalized services are based on the nursing assessment, care plan, caregiver competency, and applicable scope-of-practice and delegation requirements.
Compliance & Credibility
The standards behind the care
Clinical Resource
Short guides for referral decisions
Consider a home care referral when a patient is medically ready to discharge, but not functionally ready to be alone. Practical triggers:
- Lives alone, or the family caregiver works full-time or is already exhausted
- New mobility limitation, activity restriction or assistive device
- Two or more activities of daily living deficits at discharge
- Cognitive impairment affecting medication adherence or safety
- Prior fall in the last 6 months, or an admission that followed a fall
- Readmission history, or a complex new medication regimen
- A need for supervision, personal care, meal preparation, transportation or household support
Home care is often appropriate when:
- The patient is medically stable.
- The patient needs skilled nursing and/or supervision and assistance with activities of daily living.
- The home is safe or can be made safe.
- The patient strongly prefers home.
- 24-hour coverage can be arranged, if required.
An assisted living/nursing home facility is usually the safer choice when:
- The patient requires more intensive rehab.
- The home cannot be made safe.
- There is no way to cover overnight risk.
- The patient requires equipment and monitoring the home cannot support.
When deciding between home care and assisted living, live-in care is the option most often overlooked. It provides continuous presence at a flat daily rate that frequently compares favorably to facility pricing, especially for couples.
In most situations, we can begin care within 24 hours of referral, and same-day placement is often possible, when caregiver capacity allows. For same-day needs, call the referral line rather than using the form.
To start, we need the referral source contact information, patient contact information, target discharge date and urgency. To staff, we require diagnoses and functional status, mobility and cognitive status, medication needs, home address, family contact, and payer source. A Baywood RN will complete the full assessment, so you don’t need to have every answer.
Yes. We frequently provide one-to-one companionship and supplemental personal care for residents of assisted living, memory care and assisted living facilities. We can also provide one-to-one support during hospital stays, when additional supervision or companionship is needed.
Have a patient who needs care at home?
Refer in under two minutes, or call the referral line and talk to a person right now.
