Skilled Nursing Facilities

Baba gives your residents and their families a dedicated advocate after discharge. We help with medications, appointments, and home setup so residents stay safe once they leave your building. This reduces 30-day rehospitalizations, strengthens hospital partnerships, and cuts down on post-discharge calls to your team, all at no cost to your facility.

Reduces

30-Day Readmissions

Fewer

Post-Discharge Calls to the Facility

Higher

Family Satisfaction

Advocacy that extends your care beyond the facility

Baba advocates begin working with residents and families before discharge and stay involved for as long as they need at home. We close the gaps that often lead to readmissions and unhappy families.

Plan & Execute Safer Discharges

Coordinate with IDT & discharge planner

Review discharge instructions with resident and family

Confirm follow-up appointments and providers

Help arrange home health, personal care, and equipment

Ensure families / caregivers know what to watch for at home

Post-Discharge Advocacy and Navigation

Scheduled check-ins during first critical weeks at home

Help with mediciations, refills, and questions

Support with transportation and community resources

Escalation to home health, primary care

Documentation that shows how facility supports residents post-discharge

Family Communication & Support

Dedicated advocate for family questions after discharge

Clear explanations of the care plan in everyday language

Coaching on when to call a doctor vs. emergency room

Regular updates that build trust in your facility

Fewer complaints and service calls to your staff

And many more…

Core solutions for stronger post-acute outcomes

Baba focuses on the transition from your beds to home. Our advocacy reduces readmissions, supports compliance with the discharge plan, and gives hospitals confidence in your outcomes.

30-Day Readmission Reduction

Daily follow-up and early problem solving help residents avoid preventable hospital returns.

Safer Transitions to Home and Home Health

We make sure orders, follow-up visits, and services are understood, scheduled, and actually used.

Actionable Insights Back to Your Team

Supportive advocates lead to better online reviews, fewer grievances, and happier referral sources.

Throughput and Hospital Confidence

Hospitals see that your facility has a structured post-discharge program, which supports referrals and network position.

CORE SERVICES

30-Day Readmission Reduction

Daily follow-up and early problem solving help residents avoid preventable hospital returns.

Safer Transitions to Home and Home Health

We make sure orders, follow-up visits, and services are understood, scheduled, and actually used.

Actionable Insights Back to Your Team

Supportive advocates lead to better online reviews, fewer grievances, and happier referral sources.

Throughput and Hospital Confidence

Hospitals see that your facility has a structured post-discharge program, which supports referrals and network position.

Technology that keeps residents supported after discharge

Our platform gives Baba advocates a simple way to stay in touch with residents and families by phone and text, capture issues quickly, and share concise updates with your team. No new system is required for your staff.

Easy Referral at Discharge

Your team sends a basic referral with contact information and discharge summary details. Baba takes it from there, enrolls the resident and family, and begins outreach before they leave the facility.

Structured Outreach and Follow-Up

Baba uses a planned schedule of calls and messages during the first 30 to 90 days at home. Advocates follow consistent protocols to check symptoms, medications, and safety and then close the loop on any open issues.

Actionable Insights Back to Your Team

Our system summarizes key post-discharge issues and trends. Your leaders can use this information in QAPI discussions and hospital meetings to show how the facility supports outcomes beyond its four walls.

Our engagement model supports residents from bed to home

Baba partners with your team at discharge, then remains with residents and families as they adjust to life at home. The result is safer transitions and stronger post-acute performance.

In Facility

Skilled Nursing Care

Your clinicians deliver high-acuity rehabilitation, nursing, and complex care. As discharge approaches, time is short and families may feel overwhelmed by instructions and follow-up plans.

in home

Ongoing Advocacy and Support

After discharge, Baba checks in regularly, solves practical problems, and escalates changes in condition to home health, primary care, or your preferred partners before they turn into emergencies.

At Discharge

Baba Onboards Resident & Family

Baba meets the resident and family virtually or by phone, reviews the discharge plan, confirms providers and services, and becomes their point of contact once they are home.

In Facility

Skilled Nursing Care

Your clinicians deliver high-acuity rehabilitation, nursing, and complex care. As discharge approaches, time is short and families may feel overwhelmed by instructions and follow-up plans.

At Discharge

Baba Onboards Resident & Family

Baba meets the resident and family virtually or by phone, reviews the discharge plan, confirms providers and services, and becomes their point of contact once they are home.

in home

Ongoing Advocacy and Support

After discharge, Baba checks in regularly, solves practical problems, and escalates changes in condition to home health, primary care, or your preferred partners before they turn into emergencies.

Reaching residents and families others struggle to support

Baba is designed for the residents most likely to bounce back to the hospital or feel lost after a short SNF stay. We make it easier for them to succeed at home.

Residents Returning Home Alone

High-Risk and Frequent-Flyer Residents

Families Who Feel Overwhelmed

Limited Resources or Transportation

We’re here when you need us.

This is what inspires our teams

Every day we see the difference that our partnerships make for patients, caregivers, and clinics. These stories from our provider partners remind us why we do this work—helping partners close care gaps, and give patients the support they deserve.

“Before Baba, I was always worried I’d forget my pills or an appointment. Now I get a call every morning and a reminder before I go out. If I’m not feeling well, I can say it right away and they help me figure out what to do. It feels like someone is looking out for me every day.”
Helen S, Baba Member
,
79
“My children live in different states and used to call every day to ‘check’ on me. Now they know Baba is already checking in. We still talk, but it’s about the grandkids instead of my blood pressure and prescriptions. That has taken a lot of worry off all of us.”
Arthur, Assisted Living resident
,
83
“I work full time and was constantly afraid I was missing something with my mom’s care. Baba’s check-ins catch things I would never know about, like when she was feeling dizzy from a new medication. They coordinated with her doctor and the home care nurse. I finally feel like I have a partner in this.”
Priya P,
,
daughter and caregiver
“Baba has become our unofficial ‘seventh day of the week.’ Our caregivers focus on in-home support, and Baba keeps an eye on clients between visits. We’ve seen fewer last-minute cancellations and families are noticeably calmer because they know someone is checking in every day, not just when we’re scheduled.”
Michael, Owner
,
Home Care Agency
“Our biggest headaches were readmissions in the first 30 days and after-hours calls from anxious families. Since partnering with Baba, our team gets early alerts when something is going wrong at home, and many routine questions are handled before they ever reach our nurses. It feels like we added a transition-of-care team without adding headcount.”
RN, DCS
,
Home Health
“Hospitals were asking what we did after a resident left our building. Baba became our answer. Their advocates connect with residents and families before discharge and stay with them once they’re home. We can now point to a real post-discharge program when we talk with referral partners, and our rehospitalization numbers are moving in the right direction.”
Administrator
,
Skilled Nursing
“We brought Baba in mainly for companionship and family communication. The surprise was how much it helped with length of stay. When residents have someone checking in, reminding them about medications, and encouraging them to use the services here, they are able to stay in our community longer and more safely.”
Executive Director
,
Assisted Living
“Our residents value their independence but still need a safety net. Baba gives them someone to talk to, keeps track of appointments and medications, and lets us know if someone seems off. Families see it as a premium service and it differentiates our communities in a very crowded market.”
VP of Operations
,
Senior Living

“Before Baba, I was always worried I’d forget my pills or an appointment. Now I get a call every morning and a reminder before I go out. If I’m not feeling well, I can say it right away and they help me figure out what to do. It feels like someone is looking out for me every day.”
Helen S, Baba Member
,
79
“My children live in different states and used to call every day to ‘check’ on me. Now they know Baba is already checking in. We still talk, but it’s about the grandkids instead of my blood pressure and prescriptions. That has taken a lot of worry off all of us.”
Arthur, Assisted Living resident
,
83
“I work full time and was constantly afraid I was missing something with my mom’s care. Baba’s check-ins catch things I would never know about, like when she was feeling dizzy from a new medication. They coordinated with her doctor and the home care nurse. I finally feel like I have a partner in this.”
Priya P,
,
daughter and caregiver
“Baba has become our unofficial ‘seventh day of the week.’ Our caregivers focus on in-home support, and Baba keeps an eye on clients between visits. We’ve seen fewer last-minute cancellations and families are noticeably calmer because they know someone is checking in every day, not just when we’re scheduled.”
Michael, Owner
,
Home Care Agency
“Our biggest headaches were readmissions in the first 30 days and after-hours calls from anxious families. Since partnering with Baba, our team gets early alerts when something is going wrong at home, and many routine questions are handled before they ever reach our nurses. It feels like we added a transition-of-care team without adding headcount.”
RN, DCS
,
Home Health
“Hospitals were asking what we did after a resident left our building. Baba became our answer. Their advocates connect with residents and families before discharge and stay with them once they’re home. We can now point to a real post-discharge program when we talk with referral partners, and our rehospitalization numbers are moving in the right direction.”
Administrator
,
Skilled Nursing
“We brought Baba in mainly for companionship and family communication. The surprise was how much it helped with length of stay. When residents have someone checking in, reminding them about medications, and encouraging them to use the services here, they are able to stay in our community longer and more safely.”
Executive Director
,
Assisted Living
“Our residents value their independence but still need a safety net. Baba gives them someone to talk to, keeps track of appointments and medications, and lets us know if someone seems off. Families see it as a premium service and it differentiates our communities in a very crowded market.”
VP of Operations
,
Senior Living

Baba Care, Inc. is a private online software technology company not affiliated with nor endorsed by any Government agency. Baba Care, Inc. does not charge clients for any official Government forms; however, we charge fees for the use of Baba Care, Inc. software in assisting clients with accurately completing such forms. Baba Care, Inc. is not a financial, accounting or law firm and does not provide legal or financial advice.