Hospital Discharge to Home Care in Toronto: A Simple Family Guide

When a loved one is told they can go home, relief often mixes with worry. Families wonder who will be coming to the house, how medications will be handled, and what the next days will look like. This guide is here to bring some clarity so the first days at home feel less overwhelming.

What home care means in Ontario

Ontario has a publicly funded system that can arrange nursing and other supports at home when someone qualifies. These services are coordinated through Ontario Health atHome and are covered under OHIP after an assessment. Depending on the situation, care may include nursing, personal support, or rehabilitation therapies.

What the hospital should send you home with

Before leaving the hospital you should be given a simple written plan. This plan should explain the diagnosis, the care received, the medicines that are needed now, and the follow-up appointments that are already arranged. Families should be part of this conversation so everyone knows what to expect at home.

The first 72 hours at home

The first few days are about creating calm and safety. Clearing walkways, preparing a comfortable resting place on the main floor if stairs are difficult, and keeping a clear medication list on the fridge can make a big difference. It helps to choose one person to be the main contact so that information and messages are not lost.

What OHIP may cover and what it may not

When someone qualifies, Ontario Health atHome can arrange home visits without cost to the family. The type and amount of care depend on the assessment and can vary widely. Families often discover that the visits are short, the caregivers change from day to day, and the number of hours provided does not always meet the real needs at home.

When private nursing helps

This is where private nursing makes a real difference. Publicly funded care is valuable, but it is rarely enough on its own. Families often find themselves wishing for more time, more consistency, and more attention to detail.

Private nursing gives you the ability to choose who comes to the home and how long they stay. It allows for care that is not rushed and for relationships to build between the nurse and your loved one. Complex care such as wound care, diabetes management, mobility support, or teaching around new medications can all be handled with steady follow-through.

Private care also means flexibility. If you need support early in the morning, later in the evening, or in between hospital and specialist visits, you can have it. Most importantly, it brings peace of mind. Families know that someone is paying close attention, keeping track of changes, and noticing small details before they become problems.

Private nursing does not replace the system. It fills the space in between and raises the standard so care feels personal, seamless, and dependable.

How we support a safe first day home

On the very first visit we take time to listen. We review medications, set up a simple schedule, check vital signs, and walk through the home to reduce risks. We coordinate with the hospital plan and keep your family informed so that the person at the centre of this journey feels supported and secure.

Toronto resources families ask about

For publicly funded services you can reach out directly to Ontario Health atHome for an assessment. The hospital team may also have sent a referral before discharge. The City of Toronto lists community programs and phone lines that can guide you to neighbourhood supports.

Quick questions families ask

Does OHIP cover home care in Ontario?
Yes. When a person qualifies after an assessment, Ontario Health atHome can provide certain services such as nursing or personal support. The amount depends on the care plan.

How do I start publicly funded home care?
You can ask the hospital team to send a referral before discharge, or you can call Ontario Health atHome yourself to request an assessment.

What should I receive before leaving the hospital?
You should receive a clear transition plan and an updated medication list with doses and timing.

Closing

Every discharge is different, but every family deserves peace of mind. If you would like to talk about what those first days at home might look like for your loved one, we offer free consultations. Together we can create a plan that feels safe, simple, and supportive from the very first step.

[Book Your Free Consultation →]

Previous
Previous

Patient Safety at Home: How to Protect Seniors and Loved Ones

Next
Next

Keeping Seniors at Home: An Alternative to Long-Term Care