Case Study: Coral Reef 1st Q 2025
Concierge Director: Rosmery Garcia
Patient Age: 80
Discharge to: Home
Admission Date: 11/30/2024
Discharge Date: 03/11/2025
Length of Stay: 102 days
Admitted from: Baptist
Reason for stay: Fracture of left pelvis
Hospital-Baptist Hospital, Miami
How did this patient hear about Coral Reef: Hospital Social Worker

Details of experience:

Mr. S was admitted to Coral Reef Subacute Care Center on November 30th, 2024, from the Baptist Hospital Miami location. Mr. S was admitted to our rehab for Physical and Occupational therapy due to a fall at home, causing a fracture of his pelvis. Before Mr. S arrived at our community, I had a brief chat with his daughter, POA (Power of Attorney), who informed me that doses of the patient’s Parkinson’s and Epilepsy medication were adjusted at the hospital, and Mr. S had not been eating or sleeping well since that time. Upon admission, Mr. S was placed in a shared room where he experienced a hallucinatory episode. The daughter requested a private room to support her father’s episodes. During Mr. S’s first 48 hours at the Community, he was moved to a private room and greeted by Nursing, Activities, Concierge, Therapy, and many more. Mr. S was evaluated on 12-02-2024 by his therapists, Jose and Paolo. The physical and occupational plan was to help him improve his bed mobility, ambulate independently, and perform transfers. It was determined that the patient was fully dependent at baseline, needing our complete assistance as well as unable to ambulate. During his occupational therapy (OT) journey, he received support with ADLS (Activities of Daily Living), and he moved from completely dependent to requiring max assistance during his stay with us. When not in therapy, Mr. S actively participated in therapeutic recreation group programs such as fresh air musical therapy, pet therapy, and special events. During his stay, his four children supported him and joined us during every event and activity offered. Although he could not form complete sentences, you could see his tremendous effort to get well and return home to his children. On various occasions, he was able to express to me how he wished to see his daughter, who lives out of state. His daughter shared in a conversation with me that in her eyes, he has made a 360-degree recovery, and she is grateful for the help we provided. He was able to go home to his family on March 11, 2025. Upon discharge, he met all goals set for bed mobility and required 25%-50% transfer assistance. Mr. S went home walking 125 steps after having been updated from NWB (non-weight bearing) to WBAT (weight bearing as tolerated). Our Social Services team has arranged continued clinical support at home, through Faith Home Health, following his discharge. At Coral Reef, the team wishes Mr. S the best in his journey forward. Never forget what you are capable of, “As said by our Director of Therapy, Alyssa, “He went from not walking to walking,” and we are very proud of all his advancements and wish him and his family a great year ahead.”