Children's Emergency Department is now located in Children's Tower: 1001 E. Marshall Street.

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Long term care and transitional care unit

Caring for your child for the long term 

Our long-term care unit provides a friendly, supportive and comfortable environment for both your child and you 

Transitional care unit awardMore than 30 children call our Transitional Care Unit home. While we are their nurses, therapists, dentists and specialists – we are also their teachers, recreation therapists, neighbors and friends. We’re excited to be recognized by the American Health Care Association as a Silver Award – Achievement in Quality facility!

Only 3 percent of long-term care facilities in Virginia have achieved this award for sustainable quality outcomes and processes.


Hallway in the long-term care unit

We care for children with ongoing health conditions that require both medical and nursing supervision, as well as specialized equipment or services. We can admit children by a transfer from another facility or directly from your home. 

At a minimum, a child must require: 

  • At least weekly physician visits 
  • Coordinated multidisciplinary care 
  • Licensed nursing services 24 hours a day 

In addition, a child must need at least one of the following: 

  • Care for a terminal illness 
  • Daily respiratory therapy treatments from a licensed nurse or respiratory therapist 
  • Ostomy care to be provided by a licensed nurse 
  • Extensive wound care 
  • Special equipment such as mechanical ventilator or cardio-respiratory monitoring 

Sometimes a child’s ongoing health condition requires both medical and nursing care, and special equipment or services. 

Depending on your child’s condition, levels of care can include: 

  • Long-term care: Restorative and/or skilled care provided over an extended period of time, assisting patients with activities of daily living 
  • Transitional care: Care that is aimed at improving your child’s health status to prepare for going home, to a rehab facility or to an adult long-term care setting, depending upon needs and age 
  • Palliative care: Care that is intended to maximize your child’s quality of life and relieve pain and other symptoms when a cure is not possible 
  • End-of-life care: Care for terminal illness  

Neighborhood care team 

We have two neighborhoods that provide state-of-the-art, comprehensive care designed specifically for your child and your families. 

An attending physician directs clinical care and leads the team. In addition, your child’s interdisciplinary team typically includes nursing, respiratory therapy, recreation therapy, social work, pastoral care, nutrition, and physical, occupational and speech therapy. 

Family-centered care 

We focus on your family’s needs as we create a supportive and comfortable environment.


Tour the Transitional Care Unit


Meet the team

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Jennifer Kiehl, BSN, MS, CPNP-PC
Jennifer Kiehl BSN, MS, CPNP-PC Long-term care Read more
Ronald W Williams, MD
Ronald Williams MD Pulmonary medicine
Long-term care
Read more


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