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Preferred Extended Care Facilities

As part of our coordinated care, the Atrius Health Extended Care Facility (ECF) program has physicians and nurse practitioners located at carefully selected ECFs (Skilled Nursing Facilities and rehab facilities) to provide care to Atrius Health patients. These teams have been successful in returning patients home earlier and reducing hospital readmissions because of:

  • Their link to your primary care provider
  • Their expertise in managing complex care events, including medication management
  • Their involvement at family and team meetings
  • The services they bring into the facility, such as a mobile x-ray
  • Their close work with both Atrius Health and ECF case management staff in planning for discharge

We strongly recommend that you select one of these select ECF facilities as part of your care plan.  If you select an extended care facility that is not staffed by one of our Atrius Health providers, it will be more difficult to help you with your care.

For many of our patients, including most Medicare beneficiaries, payers allow us when appropriate clinically to admit directly to our preferred ECF facilities without the requirement of a hospital stay first.

Services that our providers offer at a selected ECF can include:

  • Admitting new patients to the facility.
  • Follow up visit as needed being available to address urgent matter to avoid ED transfer.
  • Advance care planning discussion with appropriate documents completed.
  • 24 hour/7 day coverage by clinicians who have experience managing patients in the SNF setting and who are able to respond in a timely manner.
  • Timely communication to PCP if there is a significant change in the patient’s status.
  • Regular participation in team meetings and in family meetings as necessary.
  • If specialty care is needed, providers will utilize Atrius Health preferred providers, when clinically appropriate.
  • ECF provider will review the patients discharge/follow up needs and ensure that follow up care is appropriate and that the patient is returned to their Atrius Health PCP.
  • ECF case managers complete a comprehensive medical review and case management plan for these patients to support patient goals and a safe discharge

The following facilities are staffed by Atrius Health physicians, nurse practitioners, and case managers:

Alliance Health at Braintree  175 Grove Street, Braintree, MA 02184 
CareOne at Weymouth
64 Performance Dr, Weymouth, MA 02189 
John Scott House Rehab & Nursing Center  233 Middle Street, Braintree, MA  02184 
Rivercrest Rehabilitation and Nursing  80 Deaconess Road, Concord MA 01742 

The following facilities are staffed by Atrius Health case managers:

Aberjona Nursing Center
184 Swanton Street, Winchester MA 01890
Alliance Health at Marina Bay 
2 Seaport Drive, North Quincy, MA 02171 
BayPath Rehabilitation and Nursing Center 308 Kingstown Way, Duxbury MA 02332
Jeffrey and Susan Brudnick Center  240 Lynnfield Street, Peabody, MA 01960 
CareOne at Newton  2101 Washington St. Newton, MA 02462 
Care One at Wilmington 750 Woburn Street, Wilmington, MA 01887
D'Youville Center For Advanced Therapy (TCU)
1071 Varnum Avenue, Lowell, MA 01854
Elizabeth Seton Residence 125 Oakland Street, Wellesley, MA 02481
The Ellis Nursing & Rehabilitation Center 135 Ellis Avenue, Norwood, MA 02062   
Emerson Rehabilitation & Transitional Care Unit
133 Old Road to Nine Acre Corner, Concord MA 01742
Hathorne Hill  15 Kirkbride Drive, Danvers, MA 01923 
Hebrew Rehabilitation Center - Recuperative Services Unit 
1200 Centre Street, Roslindale, MA 02131
Lasell House at Lasell Village  120 Seminary Avenue, Newton, MA 02466
Ledgewood Rehabilitation and Skilled Nursing Center  87 Herrick Street, Beverly, MA 01915 
Life Care Center of Acton One Great Road, Acton MA 01720
Life Care Center of Plymouth  94 Obery Street, Plymouth, MA 02360 
Neville Center on Fresh Pond  640 Concord Avenue, Cambridge, MA 02138 
NewBridge on the Charles Recuperative Services Unit
7000 Great Meadow Road, Dedham MA 02026
The Pavilion Rehabilitation and Nursing Center 
876 Falmouth Road, Hyannis, MA 02601 
Sherrill House, Inc.  135 South Huntington Avenue, Jamaica Plain, MA 02130 
Winchester Nursing Home and Rehab 223 Swanton Street, Winchester MA 01890

If you have a specific question in reference to a Skilled Nursing Facility, please call (617) 421-6003.