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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 
  • One and a half to three hours per day of physical, occupational and/or speech therapy 
  • Ostomy care to be provided by a licensed nurse 
  • Extensive wound care 
  • Special equipment such as mechanical ventilator or cardio-respiratory monitoring 

(Note: Therapy must be provided at least 1.5 hours per day, five days per week. The child must demonstrate progress with the overall plan of care on a monthly basis) 

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. 

Room in long-term care unit

Family-centered care 

We focus on your family’s needs as we create a supportive and comfortable environment. Our team coordinates care that promotes collaboration, planning and education. Additionally, families are involved through a newsletter, family care conferences, family dinners and periodic “family fun” days. The Ronald McDonald House and The Doorways are available for family members who need overnight lodging. 

Specialized services 

Depending on your child’s condition, they may receive related services, including: 

  • Assistive technology 
  • Certified rehabilitation nursing 
  • Chaplain 
  • Clinical laboratory services 
  • Dental services
  • Education (special education teachers on site) 
  • Feeding program 
  • Nutritional services 
  • Occupational, physical and speech therapy 
  • Pediatrician, physiatrist and pulmonologist on staff 
  • Physician specialist services 
  • Psychology and neuropsychology 
  • Radiology 
  • Respiratory therapy (24-hour in-house) 
  • Skilled nursing care 
  • Therapeutic recreation 

Referrals and location 

For information on referring a child to the transitional care unit, call the admissions coordinator at (804) 228-5979 or e-mail

Virtual Tour: Our Transitional care unit

This program is not accredited by The Joint Commission. It is surveyed by the Department of Health, Long Term Care Division. 



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