Skilled Nursing Facility at Home Trial

This study is testing if receiving skilled nursing and rehabilitation care at home (called "Sub-Acute Rehab at Home") is as good as, or better than, receiving it in a facility after leaving the hospital. You might be able to join if you are 18 or older, need skilled nursing care after a hospital stay, or need more care at home, and your home is suitable. The study aims to see if home-based care can lower hospital readmissions and deaths within 30 days. This trial plans to enroll 650 people, but its current recruitment status is unclear.

Study design
This is a randomized controlled trial, meaning participants will be randomly assigned to either receive care at home or in a facility. It plans to enroll 650 participants.
What's involved
Participants will receive skilled nursing and rehabilitative care either at home or in a facility upon discharge from the hospital, or when needing more services at home.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 30 days after enrollment to track hospital readmission and mortality.

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NCT06547645

Skilled Nursing Facility at Home Trial

Recruiting
NAAges 18+InterventionalHealth services
University of Massachusetts, Worcester
~650 participants
Updated 2026-03-11 on ClinicalTrials.gov
What's tested:Sub-Acute Rehab at Home

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
30-Day Readmission and Mortality
Measured over From time of enrollment to 30 days after enrollment
Skilled Nursing Facility
Rehabilitation
Home Based Care
2 sites across 1 states
Massachusetts2
  • Principal Investigator · PRINCIPAL_INVESTIGATOR · University of Massachusetts, Worcester

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Age 18 or older
Admitted to an inpatient unit OR receiving home health and requiring an escalation to skilled-nursing facility care
Require post-acute care in a skilled nursing facility based on the clinical inpatient team's assessment (or, if the participant is coming from home, based on the home health team's assessment)
Pass the home readiness assessment
Reside within Greater Worcester or Greater Springfield

Exclusion

Inability to return to a home residence where care can be provided
Inability for patient or their proxy to provide informed consent for the study
Requires long-term care
Requires palliative or hospice care
On active chemotherapy
Post-transplant surgery
Requires hemodialysis
Requires radiation therapy
Requires two-person assist or mechanical lift
Expresses unwillingness to be randomized to SNF OR SNF at Home care
Considered clinically inappropriate by SNF at Home clinical team
  • 30-Day Readmission and MortalityFrom time of enrollment to 30 days after enrollment

    Hospital readmission rates and mortality rates between the intervention and control groups in the first 30 days after enrollment