Recuperative Care in Santa Rosa, CA
Medical respite with oversight for post-hospital recovery in Sonoma County
Hammock Homes provides CalAIM-funded recuperative care in Santa Rosa, CA for adults who need supervised recovery after a hospital stay. Our medical respite program bridges the gap between discharge and independent living — giving Partnership HealthPlan members in Sonoma County a staffed, structured environment where they can recover safely and stabilize before returning home.
Explore Our Services
Our Recuperative Care Model
Recuperative care — also called medical respite — is a level of care that sits between hospital discharge and fully independent living. It is more than housing and less than skilled nursing: a staffed recovery environment where participants receive the medical oversight, case management, and daily support that makes safe discharge possible for people who cannot recover safely on their own.
At Hammock Homes, this means direct communication with referring partners throughout the placement — consistent updates, prompt response to clinical questions, and clear documentation of each participant’s progress toward discharge readiness.
Each participant in our Santa Rosa recuperative care program receives:
- A staffed recovery environment with daily oversight and health assessments
- Medical care coordination, including medication management and specialist referrals
- Case management to support benefits enrollment and discharge planning
Recuperative Care vs STPH: Which Service Fits?
Recuperative Care
Oversight and medical monitoring
Wound care & medical needs
Cannot safely recover without clinical support
Daily health assessments
Short-Term Post-Hospitalization
No medical oversight needed
Self-manages medications and daily activities
Medically stable, needs housing not healthcare
Periodic wellness checks only
Basic housing and case management
Who Qualifies for Recuperative Care in Santa Rosa
Our Santa Rosa recuperative care program serves adults who:
- Have been discharged from a hospital, emergency department, or psychiatric facility
- Require ongoing medical monitoring or direct clinical support during recovery
- Present with medical needs including post-surgical recovery, wound care, mobility assistance, chronic condition stabilization, or medication management
- Hold Partnership HealthPlan coverage or are eligible for Medi-Cal through CalAIM
- Cannot safely recover in their current living situation due to housing instability, homelessness, or inadequate support
Typical Length of Stay: 30–90 days, based on individual medical need and CalAIM authorization
Who Can Refer: Hospital discharge planners, emergency department social workers, behavioral health facilities, case managers, and residential treatment programs
Serving Santa Rosa and Surrounding Communities
Hammock Homes serves participants across Santa Rosa and the greater Sonoma County region, including Rohnert Park, Windsor, and Sebastopol.
We coordinate directly with discharge and care teams throughout the area, including:
- Santa Rosa Behavioral Healthcare Hospital (NorCal BHS)
- Sonoma County Psychiatric Health Facility
- Kaiser Permanente Santa Rosa Psychiatry and Addiction Medicine Services
- Sutter Santa Rosa Regional Hospital
- Providence Santa Rosa Memorial Hospital
Placement coordinators respond to all referrals the same day they’re received. Whether your client is stepping down from inpatient psychiatric care, leaving the ED without a safe place to recover, or completing an acute medical stay with ongoing wound care needs, we handle the intake-to-placement process start to finish. More than 120,000 Sonoma County residents are enrolled in Medi-Cal through Partnership HealthPlan.
What Sets Our Recuperative Care Apart
Medical Support Included
On site staff providing daily assessments
Wound care and dressing changes
Vital signs monitoring and health status tracking
Coordination with primary care and specialists
Beyond Care
Benefits enrollment assistance (SSI, SNAP, Medi-Cal)
Housing navigation for permanent placement
Behavioral health connections
Transportation to all medical appointments
Nutritious meals supporting recovery
Life skills development for independent living
Quick Information
Ready to Refer a Client in Santa Rosa?
Our placement coordinators are available to review referrals and move quickly on placement decisions. Submit a referral, reach out by phone, or send us an email. We respond the same day.
Frequently Asked Questions
Yes. Hammock Homes provides CalAIM-funded recuperative care in Santa Rosa for eligible Medi-Cal members through Partnership HealthPlan. Contact our team for same-day placement decisions.
Yes. Recuperative care is a CalAIM Community Support available to eligible Partnership HealthPlan members at no cost to the participant. We manage all prior authorizations directly with the plan.
Submit a referral through our online form, call our office, or email our team. Placement coordinators respond the same day and manage the full process from intake to placement.
We support participants recovering from post-surgical procedures, wound care and dressing changes, mobility limitations, chronic condition exacerbations, and complex medication management needs. If you’re unsure whether a client qualifies, contact our team and we’ll assess together.
Skilled nursing facilities provide licensed nursing care at a higher intensity and cost, typically for participants who require around-the-clock clinical intervention. Recuperative care is appropriate for participants who are medically stable enough for a community setting but need daily monitoring, wound care, and case management that standard housing cannot provide.
Typical stays range from 30 to 90 days. Length of stay is based on individual medical need and documented clinical progress within CalAIM authorization guidelines. Extensions are available when clinically warranted.
As the stay concludes, our case managers work with the participant and referring partner to transition to a stable, permanent housing situation. We assist with benefits enrollment, housing navigation, and referrals to ongoing behavioral health or primary care services to support continuity of care.
Yes. Hammock Homes accepts referrals from Sutter Santa Rosa Regional Hospital, Santa Rosa Behavioral Healthcare Hospital (NorCal BHS), the Sonoma County Psychiatric Health Facility, Kaiser Permanente Santa Rosa, and Providence Santa Rosa Memorial Hospital. Submit a referral via our online form or contact our placement coordinators directly — we respond the same day.
Yes. Our Santa Rosa recuperative care program serves participants from across Sonoma County, including Rohnert Park, Windsor, and Sebastopol. Contact our placement coordinators to confirm eligibility and current availability for your client.
Other Hammock Homes Recuperative Care Locations
Also in Santa Rosa: Sober Living in Santa Rosa, CA