Bryn Mawr Extended Care Center

Save

  • Interior

    A spacious dining area with large windows, elegant chandeliers, and neatly arranged tables and chairs.
  • Decor

    A cozy living room featuring comfortable seating and soft lighting.
  • Living Room

    A cozy living room with a traditional fireplace and an armchair.
  • Windows

    A cozy seating area with large windows and elegant furniture.
  • Lighting

    A modern lobby with comfortable seating and elegant decor.
  • Lobby

    A comfortable waiting area with a sofa and a side table.
  • Exercise Equipment

    A spacious physical therapy room equipped with various rehabilitation equipment.

Bryn Mawr Extended Care Center

956 Railroad Avenue, Bryn Mawr, PA 19010

For more information about senior living options: (844) 490-3973

3.7 from 100 reviews
5 stars
56
4 stars
11
3 stars
3
2 stars
3
1 stars
27

Skilled Nursing Facility

Overall Review of Bryn Mawr Extended Care Center

Pros

  • pro The Bryn Mawr Extended Care Center is well staffed with people who care about their patients and their families, and the staff are always helpful and polite; the facility is clean and well kept.
  • pro Ms. Wadiya was amazing and helped a lot as Admissions Coordinator.
  • pro Ms. Carole at the front desk is courteous, professional, and friendly.
  • pro Ms. Se?orita is always available to help with anything, and the aides were very helpful and made the loved one feel welcomed and comfortable.
  • pro Katherine, the Director of Nursing, is amazing and not afraid to get her hands dirty.
  • pro The facility is well run, with caring and helpful staff that helped the patient on the road to recovery.
  • pro The reviewer would recommend Bryn Mawr Extended Care and expresses appreciation for the staff.

Cons

  • pro The facility is understaffed and unqualified, leading to inadequate patient care.
  • pro The mother was unfairly treated and her medical needs were not met.
  • pro Staff kept the mother at the facility instead of sending her to the ER when she was sick.
  • pro The facility is described as horrific, filthy, and dangerously underqualified.
  • pro There was neglect, including patients not receiving timely assistance and being left in excrement.
  • pro No phones in patient rooms and unresponsive staff compromised patient safety.
  • pro The director of nursing is described as rude and unprofessional, reflecting badly on the facility.
  • pro The facility sent a patient home with no care plan and contributed to bed sores and septic conditions.
  • pro It is alleged that Saber Health-run facilities prioritize profit over care.

Review

The collection of experiences people have shared about Bryn Mawr Extended Care and related facilities presents a picture of a place that elicits both deep gratitude and serious concern. Some families describe it as a lifeline - clean, well-run, and staffed by people who genuinely care about patients and their loved ones. Others recount terrifying lapses in care, indications of understaffing, unsafe conditions, and disappointing efforts to address problems after they occur. Taken together, the remarks sketch a facility whose quality appears highly variable and strongly dependent on the day, the staff on duty, and the particular department involved.

Among the positive notes, several reviewers highlight that when things go right, the care team can be attentive and collaborative. Messages from residents and families speak to staff who go above and beyond the basics. They mention a number of individuals who stood out for their courtesy and competence: a DON (Director of Nursing) named Katherine who is described as amazing and unafraid to roll up her sleeves; admissions staff such as Ms. Wadiya who was praised for her support during the admission process; Carole at the front desk who is described as courteous and friendly; and a nurse aide team that was "very helpful" and took extra time to make a patient feel welcomed and comfortable. In the respite care setting, these same staff members are remembered positively for helping families navigate a difficult transition and for delivering a level of care that made a meaningful difference to the patient and their family. There are also sentiments that the facility can be well run, with gratitude expressed for the care plan and the people who execute it, and a sense that physicians, therapists, and aides can work together to support recovery and mobility when the facility has adequate staffing.

Yet a much larger portion of the feedback is critical and urgent. Several reviewers describe the facility as severely understaffed, with staff who are overwhelmed and unable to meet basic medical needs in a timely way. The consequences, they argue, can be dire: patients left in distress, not receiving necessary interventions, or discharged prematurely without proper care plans. One family recounts being told that a patient was "not feeling well enough to attempt PT," yet the patient was pressed to proceed with therapy anyway, followed by a rapid decline and subsequent medical emergencies. Others describe a pattern of calls going unanswered, rooms lacking safe features, and even fundamental communication failures - as in a situation where a family member attempted to discuss a problem with a number that was later found not to be in service at all. The overarching sentiment is that when care is needed most, the facility often falls short.

Several reviews recount particularly painful episodes that have left lasting impressions. One account describes a father who was not adequately monitored after dialysis, with staff claiming he had a "bad dream" while his blood pressure was dangerously low. The person describes a cascade of missed opportunities for attention and care, including a lack of call-bell response and a failure to arrange emergency care when alarming symptoms appeared. The narrative grows more distressing with allegations of neglect - an instance of a death following a perceived denial of appropriate medical response, a room described as unsafe and unhygienic, and a physical environment that included a dead rodent found by a visiting family member. The reviewer also recalls being blocked from accompanying their loved one into the room, being told conflicting information by staff, and facing a sense that the care system values administrative control over patient well-being. Complaints to outside bodies did not yield visible action in the recollection of the writer, reinforcing a sense of systemic neglect rather than isolated missteps.

Other stories emphasize substantial gaps in care that culminated in negative outcomes after discharge. One family recounts sending a loved one home with "no care plan" and a serious bed sore, with the patient becoming septic shortly after leaving. This kind of experience fuels a narrative that the facility may be focused more on bed utilization and billing than on delivering thorough medical care and proper discharge planning. There are also remarks about the facility's environment - issues with bed safety, exposed bathtubs in rooms, and other safety concerns that, in the view of the writers, would be unacceptable in a facility that is genuinely focused on safety and quality of life.

The discussions also touch on broader tensions in the long-term care industry, including critiques of profit motives and corporate management. A number of reviewers describe the Birn Mawr site as part of a for-profit system where profit is prioritized over care. Some reviewers contrast their experiences with other facilities that they believe deliver better outcomes, and there is a recurring sense that the facility's reputation may be shaped by corporate ownership and the broader regulatory environment rather than by the day-to-day care delivered by staff on the ground. In the narrative of these experiences, the reality is not simply "good" or "bad" but a complex interplay of staffing levels, administrative support, facility upkeep, and the availability of timely medical intervention.

With all of this in mind, it's clear that Bryn Mawr Extended Care and its related services evoke a spectrum of experiences. For some families, the facility has provided compassionate, capable care and a stable environment that supported recovery, respite, and daily living. For others, it has presented a troubling array of safety concerns, communication breakdowns, and inadequate responses to medical needs. The accounts converge on one essential message: the quality of care at this facility appears to vary significantly, and prospective families - especially those seeking care for a loved one with complex medical needs - should approach with careful due diligence. When considering placement, it would be prudent to request current staffing levels, review recent inspection and compliance reports, speak directly with front-line staff and management, and verify the latest discharge planning processes, safety measures, and contact options for urgent concerns. As these narratives show, talking to multiple sources, visiting the facility, and comparing experiences across departments can help households form a clearer picture of what to expect and how to advocate effectively for the loved one's needs.

Features

Housing

  • 160 resident community capacity 160 resident community capacity

Types of Care

  • Skilled Nursing Facility Skilled Nursing FacilitySkilled Nursing Facilities are crucial for seniors as they provide round-the-clock medical care, rehabilitation services, and assistance with daily activities. These facilities ensure that seniors receive the specialized care they need to maintain their health and well-being as they age.

Amenities

  • Air-conditioning Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
  • Beauty salon Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
  • Cable or satellite TV Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
  • Computer center Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
  • Dining room Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
  • Fitness room Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
  • Fully furnished Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
  • Gaming room Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
  • Garden GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
  • Housekeeping services Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
  • Kitchenette KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
  • Move-in coordination Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
  • Outdoor space Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
  • Private bathrooms Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
  • Restaurant-style dining Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
  • Small library Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
  • Telephone TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
  • Wellness center Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
  • Wi-Fi/high-speed internet available Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.

Transportation

  • Philadelphia International (11 miles away) Philadelphia International (11 miles away)
  • Community operated transportation Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance.
  • Transportation arrangement Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life.
  • Transportation arrangement (non-medical) Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options.
  • Transportation to doctors appointments Transportation to doctors appointmentsTransportation to doctors appointments is crucial for seniors as it ensures they have access to necessary medical care and support, promoting their health and well-being. It allows them to receive timely treatment, monitor existing conditions, and address any new health concerns efficiently. Additionally, transportation services can help seniors maintain their independence and quality of life by enabling them to stay connected with their healthcare providers.

Care Services

  • 12-16 hour nursing 12-16 hour nursing12-16 hour nursing care is crucial for seniors in order to ensure around-the-clock monitoring, timely medication administration, and prompt response to any health concerns or emergencies. This level of care helps to promote the overall well-being and safety of seniors living in senior living communities.
  • 24-hour call system 24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities.
  • 24-hour supervision 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security.
  • Activities of daily living assistance Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
  • Assistance with bathing Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
  • Assistance with dressing Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
  • Assistance with transfers Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Meal preparation and service Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
  • Medication management Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
  • Mental wellness program Mental wellness programMental wellness programs are essential for seniors as they promote cognitive stimulation, emotional support, and social engagement. These programs help prevent isolation, depression, and cognitive decline, ultimately enhancing the overall quality of life for older adults.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Dining

  • Diabetes diet Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
  • Special dietary restrictions Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.

Activities

  • Community-sponsored activities Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
  • Concierge services Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security.
  • Fitness programs Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
  • Planned day trips Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life.
  • Resident-run activities Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers.
  • Scheduled daily activities Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.

Description

The Bryn Mawr Extended Care Center in Bryn Mawr, PA is an assisted living community that offers a range of amenities and care services to meet the needs of its residents. The community features a beauty salon where residents can enjoy hairstyling and other grooming services. Each resident also has access to cable or satellite TV in their private rooms.

Transportation is made easy with the community-operated transportation service which provides transportation to doctors appointments and other non-medical destinations. For those who prefer to stay connected, there is a computer center with Wi-Fi/high-speed internet available.

Meals are served in a restaurant-style dining room, where residents can enjoy delicious and nutritious meals prepared by the staff. Special dietary restrictions, including diabetes diets, are accommodated.

To promote physical wellness, there is a fitness room equipped for exercise and fitness programs are scheduled for residents' engagement. Planned day trips and resident-run activities offer opportunities for socialization and entertainment.

The community offers fully furnished accommodations with private bathrooms and small libraries where residents can relax and read. Housekeeping services ensure that residents' living spaces remain clean and comfortable.

For those who enjoy outdoor activities, there is an outdoor space and garden available for relaxation and enjoyment. Residents also have access to a gaming room for entertainment.

Care services provided include 24-hour call system for emergencies, 24-hour supervision for security, assistance with activities of daily living such as bathing and dressing, as well as assistance with transfers. Medication management ensures that residents receive their prescribed medications on time.

There is also a mental wellness program offered to support residents' emotional well-being. Transportation arrangements are made for both medical appointments and non-medical outings.

Nearby amenities include two cafes, one park, 14 pharmacies, two physicians' offices, five restaurants, one transportation service provider, one place of worship within close proximity to the community. Two hospitals are also conveniently located nearby for any medical needs.

Overall, the assisted living community at Bryn Mawr Extended Care Center offers a wide range of amenities and care services to ensure that residents live comfortably and enjoy an active and fulfilling lifestyle.

Nearby Places of Interest

Hospitals

  • Bryn Mawr Hospital (0.3 miles)
  • Lankenau Medical Center (3.5 miles)
  • Universal Health Services (5.1 miles)
  • Chestnut Hill Emergency Room (7.1 miles)
  • Philadelphia VA Medical Center (7.8 miles)
  • Veterans Administration Community Living Center (7.9 miles)
  • The Pavilion (8.1 miles)

Pharmacies

  • CVS Pharmacy (0.8 miles)
  • CVS Pharmacy (1.1 miles)
  • CVS Pharmacy (2 miles)
  • CVS Pharmacy (2.3 miles)
  • GIANT Pharmacy (2.6 miles)
  • CVS Pharmacy (3 miles)
  • CVS Pharmacy (3.5 miles)

Parks

  • Clem MacRone Memorial Park (1.4 miles)
  • Ellson Glen Park (5.4 miles)
  • Fairmount Park (5.9 miles)
  • Valley Forge National Historical Park (8.1 miles)
  • Wilson Farm Park (8.1 miles)

Restaurants

  • Jack McShea's (1.6 miles)
  • McDonald's (3.3 miles)
  • McDonald's (3.6 miles)
  • Larry's Steaks (4.6 miles)
  • Pizza Hut (4.9 miles)
  • Custard & Cakes Creamery (5.8 miles)
  • Dalessandro's Steaks (6 miles)

Places of Worship

  • St Anastasia Rectory (4.1 miles)

Physicians

  • Main Line Spine (4.6 miles)
  • Dr Madonna's Family Practice (4.9 miles)
  • Mid Atlantic Retina (5.3 miles)
  • Mid Atlantic Retina (6.6 miles)
  • Children's Hospital of Philadelphia - Specialty Care Center (6.9 miles)
  • Main Line Health King of Prussia (7 miles)
  • Children's Hospital of Philadelphia (8 miles)

Cafes

  • Starbucks (4.6 miles)
  • Starbucks (4.6 miles)
  • Starbucks (5.1 miles)
  • Pilgrim Roasters (5.2 miles)
  • The Landing Kitchen (5.5 miles)
  • Starbucks (5.6 miles)
  • Starbucks (5.6 miles)

Transportation

  • SEPTA: 101/102 Lansdowne Avenue Station (4.8 miles)
  • Septa: Radnor Station (5.7 miles)
  • Darby Transportation Center (7.3 miles)
  • Stenton Station (8 miles)
  • SEPTA: MFL/TRL 30th Street Station (8.2 miles)
  • 30th Street Station (8.3 miles)
  • Septa Wayne Junction Station (8.4 miles)

Theaters

  • Regal UA King Of Prussia 4DX, IMAX & RPX (6.8 miles)
  • AMC Plymouth Meeting Mall 12 (7.1 miles)

Frequently Asked Questions

Where is Bryn Mawr Extended Care Center?
What photos are available for Bryn Mawr Extended Care Center in Bryn Mawr, Pennsylvania?

Nearby Communities

Related Resources

  • caregiver dutiesTen Vital Duties of a Senior Caregiver: A Comprehensive Guide

    The guide details ten essential responsibilities of senior caregivers, including personal care, mobility assistance, medication management, and emotional support, while emphasizing the importance of safety, nutrition, and maintaining a safe living environment to enhance seniors' quality of life and independence.

  • memory games for seniors9 Stimulating Memory Activities for Seniors: Puzzles, Cards, and Much More

    The article highlights nine memory-boosting activities for seniors that enhance cognitive health and social interaction, including puzzles, trivia quizzes, and storytelling, while emphasizing the importance of adapting these activities to individual preferences to maximize enjoyment and engagement. Consistent mental engagement is linked to improved cognitive function and emotional well-being in older adults.

  • what happens when medicare stops paying for nursing home careManaging Nursing Home Expenses After Medicare Coverage Ends

    Medicare provides limited coverage for skilled nursing home care, covering full benefits for the first 20 days and partial benefits up to 100 days under certain conditions, after which families must explore alternative funding options like Medicaid or long-term care insurance to manage potentially high costs. Proactive planning is essential to navigate the complexities of financing ongoing care once Medicare coverage ends.