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Extended Care / Step-Down (90+ days / Sober-Living Bridge) Rehab Programs

Embracing sobriety is a process that flourishes with ongoing support. For those seeking a bridge beyond initial treatment, extended care rehab offers a structured path forward. These 90-day or longer programs provide a supportive transition to sober living, strengthening the foundation for lasting change. Explore licensed mental health and addiction treatment facilities designed to guide you through the next phase of your recovery journey.
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The hospital says your parent is stable enough for discharge, but not strong enough to go home. In that overwhelming moment, with worry swirling and decisions looming, you might find yourself asking, Where do I turn next? You’re not alone—so many families feel lost at this crossroads. Understanding the choices for extended care can be the key to ensuring your loved one’s safe recovery and finding some much-needed peace of mind for yourself.
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Centerstone - New Castle

New Castle, Indiana

(13 reviews)
Insurance Accepted

3221 S Memorial Dr, New Castle, IN 47362

Virtual Telehealth Inpatient (Residential) Outpatient
Hamilton Center Inc: Mathew Maleakal S MD - Addiction treatment center in Terre Haute, Indiana
(1 reviews)

620 8th Ave, Terre Haute, IN 47804

Virtual Telehealth Inpatient (Residential) Intensive Outpatient more 4
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La Verna Lodge

Westfield, Indiana

(6 reviews)

1550 East 156th Street, Westfield, IN, 46074

Inpatient (Residential)

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Serenity House Inc

Clarksville, Indiana

(16 reviews)

200 Homestead Ave, Clarksville, IN 47129

Sober Living
House of Hope of Madison County - Image 1 of 2House of Hope of Madison County - Image 2 of 2
(18 reviews)

902 High street, Anderson, IN, 46012

Sober Living
First City Recovery Center - Image 20 of 20First City Recovery Center - Image 1 of 20First City Recovery Center - Image 2 of 20
(58 reviews)
Insurance Accepted

317 W Jefferson St, Kokomo, IN, 46901

Detox Inpatient (Residential) Intensive Outpatient more 4
Adult and Teen Challenge Northern Indiana - Image 6 of 6Adult and Teen Challenge Northern Indiana - Image 1 of 6Adult and Teen Challenge Northern Indiana - Image 2 of 6
(20 reviews)

1111 W Bristol St, Elkhart, IN 46514

Inpatient (Residential)
Recovery Centers of America at Indianapolis - Image 20 of 20Recovery Centers of America at Indianapolis - Image 1 of 20Recovery Centers of America at Indianapolis - Image 2 of 20
(164 reviews)
Insurance Accepted

8530 Township Line Rd, Indianapolis, IN 46260

Inpatient (Residential) Outpatient
Aspire Indiana Health - Progress House - Image 10 of 10Aspire Indiana Health - Progress House - Image 1 of 10Aspire Indiana Health - Progress House - Image 2 of 10
(60 reviews)

201 Shelby St., Indianapolis, IN, 46202

Inpatient (Residential) Sober Living
The Way of Rockport Indiana - Addiction treatment center in Rockport, Indiana

The Way of Rockport Indiana

Rockport, Indiana

(12 reviews)

317 Main Street, Rockport, IN, 47635

Intensive Outpatient Sober Living Outpatient more 1
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Oxford House - Indy

Indianapolis, Indiana

(16 reviews)

5126 East 76th Street Center, Indianapolis, IN, 46205

Sober Living Aftercare Support
Dove Recovery House for Women - Image 1 of 3Dove Recovery House for Women - Image 2 of 3Dove Recovery House for Women - Image 3 of 3

Dove Recovery House for Women

Indianapolis, Indiana

(20 reviews)

3351 N Meridian St #110, Indianapolis, IN 46208

Sober Living Intensive Outpatient Aftercare Support
Volunteers of America - Behavioral Health Clinic - Image 12 of 12Volunteers of America - Behavioral Health Clinic - Image 1 of 12Volunteers of America - Behavioral Health Clinic - Image 2 of 12
(38 reviews)
Insurance Accepted

927 N. Pennsylvania Street, Indianapolis, Indiana 46204

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Roadways to Recovery

Bedford, Indiana

(6 reviews)

2620 Industrial Park Dr, Bedford, IN 47421

Virtual Telehealth Sober Living Intensive Outpatient more 2
Community Health Network - Community Howard Regional Health - Image 20 of 20Community Health Network - Community Howard Regional Health - Image 1 of 20Community Health Network - Community Howard Regional Health - Image 2 of 20
(171 reviews)

3500 South Lafountain Street, Kokomo, IN, 46902

Virtual Telehealth
Adult and Child Center - Drake Road - Addiction treatment center in Franklin, Indiana
(10 reviews)

86 Drake Road, Franklin, IN, 46131

Outpatient
Dunes Fellowship House - Addiction treatment center in Michigan City, Indiana

Dunes Fellowship House

Michigan City, Indiana

(5 reviews)

211 E 6th St, Michigan City, IN 46360

Sober Living
Community Health Network - Gallahue Mental Health Services - Addiction treatment center in Greenfield, Indiana
(21 reviews)
Insurance Accepted

145 West Green Meadows Drive, Greenfield, IN 46140

INcompass Healthcare - West Eads Parkway - Image 1 of 2INcompass Healthcare - West Eads Parkway - Image 2 of 2
(8 reviews)

427 W Eads Pkwy, Lawrenceburg, IN 47025

Inpatient (Residential)
Centerstone – Aspen House - Addiction treatment center in North Vernon, Indiana

Centerstone – Aspen House

North Vernon, Indiana

(1 reviews)
Insurance Accepted

299 W Hayden Pike, North Vernon, IN 47265

Virtual Telehealth Inpatient (Residential) Outpatient

The hospital says your parent is stable enough for discharge, but not strong enough to go home. In that overwhelming moment, with worry swirling and decisions looming, you might find yourself asking, Where do I turn next? You’re not alone, so many families feel lost at this crossroads. Understanding the choices for extended care can be the key to ensuring your loved one’s safe recovery and finding some much-needed peace of mind for yourself.

A physical therapist assisting a man with walking exercises in a rehab gym.

Your Care is our Priority

Think of extended care rehab as a bridge between an intensive hospital stay and returning home. It’s a supportive, “step-down” level of care designed for patients who no longer need acute hospitalization but aren’t quite ready to manage on their own. This type of subacute rehabilitation is often necessary after a surgery, stroke, or serious illness. The primary goal of extended care and step-down programs is to help you or your loved one regain strength, function, and independence in a safe, medically supervised environment. In a skilled nursing facility, patients receive the support they need to focus on recovery[1].

Amenities & Services

Extended care facilities offer a blend of medical, therapeutic, and personal services designed to support a whole-person recovery. The focus is on improving your quality of life by providing everything from intensive therapy sessions to assistance with daily activities and social engagement. A dedicated care team works with each resident, ensuring all needs are met. These services are provided in facilities that meet rigorous certification standards, giving you confidence in the level of care provided[2].

Residents playing a card game together in a communal area of a care facility.

Rehabilitation

The core of your stay revolves around rehabilitation services tailored to your specific needs. Physical therapy focuses on rebuilding strength and improving mobility, while occupational therapy helps you regain the skills needed for daily living, like dressing and bathing. For those with communication or swallowing issues, speech therapy provides essential support. Each therapy plan is designed to restore function and promote independence[3].

Skilled Nursing

Medical supervision is a key component of extended care. This includes 24/7 skilled nursing care from a compassionate staff ready to assist at any moment. Nurses manage medications, provide wound care, and carefully monitor vital signs and other medical conditions. This constant attention ensures that patients are safe and their health needs are addressed promptly, allowing them to focus entirely on getting better.

Social Services

You’re not on this journey alone. Social services are vital to a successful transition back home. The care planning team provides emotional support to both residents and their families, helps coordinate care, and handles all the details of discharge planning. They make sure you have all the necessary resources and a clear plan for a safe and smooth return to your community.

Easy Steps to Quality Care

Choosing the right Indiana rehab can feel overwhelming, but asking the right questions makes the process much clearer. When you evaluate a care facility, you’re looking for a safe, supportive environment for your family member. It’s a good idea to schedule tours to see the facility firsthand and speak with the admissions team. Here are some key questions to ask:

A family member discussing care options with an admissions coordinator in a bright office.
  • What are your staff-to-resident ratios for nurses and aides?
  • What are the visiting hours and policies for family?
  • What specific types of therapy do you offer, and how often are sessions held?
  • How do you coordinate with our insurance provider? For more details on this, our rehab cost guide may be helpful.
  • Can you share your latest state inspection results and any COVID-19 protocols?

Asking these questions helps you understand the quality and safety standards of the facility, which are guided by federal and state regulations[4]. You can find more information about Indiana treatment resources through the Substance Abuse and Mental Health Services Administration (SAMHSA).

We Provide Compassionate Care, Every Step of the Way

Extended care is more than just a place to stay; it's a dedicated time for healing. It provides the compassionate care and support needed to rebuild strength, restore confidence, and ensure a successful and lasting recovery. Choosing the right facility is a significant first step toward that goal, offering peace of mind for your whole family. A good program focuses on linking patients to community-based treatment and support to help them thrive long after they return home[5]. This often includes planning for aftercare services to support continued progress.

A tranquil garden path at a care facility in Indiana during autumn.

Finding the right path forward when a loved one needs more care can be challenging, but you don't have to navigate it by yourself. The goal is always a safe return home with renewed strength and independence. If you’re ready to explore options in Indiana, our team at Indiana Rehabs is here to help. Call us at (888) 568-9930 or contact us today to find the compassionate care your family deserves.

Frequently Asked Questions About Extended Care Rehab in Indiana

What’s the difference between extended care and a traditional nursing home?
Extended care rehab focuses on short-term, intensive therapy to help you recover and return home, while traditional nursing homes are designed for long-term residential care. Think of extended care as a temporary stop for recovery after a hospital stay, with a clear goal of getting you back to your community. A nursing home is more like a permanent residence for those who need ongoing, 24/7 care for chronic conditions.
How long does someone typically stay in an extended care rehab facility?
The length of stay varies based on your specific needs and recovery goals, but it typically ranges from a few weeks to a few months. It’s not a one-size-fits-all timeline. Your care team will work with you to create a plan focused on helping you regain independence safely. As you meet your therapy goals, they will adjust your discharge plan accordingly.
Who pays for extended care rehab in Indiana?
Payment for extended care is often covered by Medicare, Medicaid, or private health insurance, especially following a qualifying hospital stay. Coverage details depend on your specific plan and medical situation. The facility's admissions team can help you verify your insurance benefits and understand any potential out-of-pocket costs. It's always a good idea to discuss payment options before admission.
What is a typical day like in extended care?
A typical day is structured around your personalized therapy schedule and medical needs, balancing treatment with rest and social time. You’ll likely participate in one or more therapy sessions, such as physical or occupational therapy, and meet with nurses for medical care. There is also downtime for resting, eating meals in a dining area, and visiting with family.
What happens after I leave extended care?
Before you leave, a social worker or case manager will create a detailed discharge plan to ensure a safe transition home. This plan often includes arranging for home health services, outpatient therapy, or any necessary medical equipment. The goal is to make sure you have a strong support system in place to continue your recovery journey and maintain your independence.
  1. Medicare. (n.d.). Medicare coverage of skilled nursing facility care. U.S. Centers for Medicare & Medicaid Services. medicare.gov
  2. U.S. Department of Health and Human Services. (n.d.). State residential treatment for behavioral health conditions: Indiana. ASPE. aspe.hhs.gov
  3. Indiana Health Coverage Programs. (2021). Medicaid Rehabilitation Option (MRO). State of Indiana. in.gov
  4. (n.d.). Appendix PP - Guidance to Surveyors for Long Term Care Facilities. Centers for Medicare & Medicaid Services. cms.gov
  5. (2024). Progress report November 2024. State of Indiana. in.gov

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