Extended Care and Rehabilitation - Salem VA Medical Center
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Salem VA Medical Center


Extended Care and Rehabilitation

About the Program

Geriatrics and Extended Care (GEC) provides a spectrum of services for eligible Veterans enrolled in the system. An interdisciplinary team - comprised of physicians, registered nurses, social workers, dietitians, clinical pharmacists, occupational and physical therapists, and psychologists - work together with the Veteran to determine their goals and needs with a goal of maximizing function and independence.  Care, treatment, and services are provided in both inpatient and outpatient settings, with the majority of care, treatment, and services provided in outpatient programs to support the wishes of the Veteran to live at home or in their communities as long as possible.

Services Offered

Inpatient Care:

  • Community Living Center (CLC)

The Community Living Center (Wards 2-2 and 2-3) provides care to eligible Veterans with chronic stable conditions and to eligible Veterans requiring rehabilitation or short term specialized services following amputation, stroke, injury, surgery, or chronic mental health or medical illnesses The goal of the CLC is to restore the Veteran to maximum function, prevent further decline, and maximize independence. 

The Hospice and Palliative Care Unit, which is embedded on CLC Ward 2-3, provides care for terminally ill Veterans in a supportive environment staffed with nursing, psychology, chaplaincy, social workers, recreational therapists, and provider specialties.  Hospice and Palliative Care collectively represent a continuum of comfort-oriented and supportive services for persons with advanced disease.  Programs emphasize the comprehensive management of the physical, psychosocial, social, and spiritual needs of the patient and include bereavement care for the family.  Call extension

  •  Respite Care

Respite Care is a program providing temporary relief for caregivers, thus supporting caregivers in their ability to maintain the chronically ill Veterans in the home.  The respite care benefit provides respite services to eligible Veterans for up to 30 days in a calendar year. 

Home and Community Based Care:

  • Home-Based Primary Care

Home Based Primary Care (HBPC) provides comprehensive interdisciplinary in-home primary care for Veterans with complex medical, social and behavioral conditions for which routine clinic-based care is not effective. 

  • Community Adult Day Health Care

The Contract Adult Day Health Care Program is a therapeutic day care program, which provides medical and rehabilitation services to disabled veterans in a congregate setting.  Adult Day Health Care is part of the basic benefits package. Veterans must be enrolled in the VA system for their health care and meet the clinical admission criteria.

  • Community Nursing Home Care

The Community Nursing Home Program is designed to assist the Veterans and their families in making the transition to the community from hospital care, CLC, or domiciliary care.  For many, placement will represent an interim period of care pending completion of arrangements to return to their own homes, community residential care facilities, or homes of relatives or friends.  Others may need to remain in the nursing home indefinitely.

  • Purchased Skilled Home Care

Purchased Skilled Home Health is short-term health care services that can be provided to Veterans if they are homebound or live far away from VA. The care is delivered by a community-based home health agency that has a contract with VA.

  • Home Respite Care

Home Respite Care is a service that pays for a person to come to a Veteran's home or for a Veteran to go to a program while their family caregiver takes a break.  The respite care benefit provides respite services to eligible Veterans for up to 30 days in a calendar year. 

  • Home Hospice Care

Hospice Care is comfort care provided to Veterans who have a terminal condition, with less than 6 months to live, and are no longer seeking treatment other than palliative care.

  • Community Residential Care

Community Residential Care (CRC) is the monitoring, supervision, and assistance, in accordance with a statement of needed care, of the daily living activities of referred Veterans in an approved home in the community by the facility's provider.  CRC is not a required service under the VA Medical Benefits Package but offers an alternative to institutional placement for some Veterans.  The Veteran is responsible for paying any charges by the community residential care facility, but VA provides the quality and safety oversight through a CRC program coordinator and one or more case managers. 

  • Homemaker/Home Health Aide Service

A Homemaker or Home Health Aide is a trained person who can come to a Veteran's home and help the Veteran take care of himself and his daily activities.  Homemakers and Home Health Aides are not nurses, but they are supervised by a registered nurse who will help assess the Veteran's daily living needs.  This program is for Veterans who need skilled services, case management and help with activities of daily living. Examples include help with bathing, dressing, fixing meals or taking medicines. This program is also for Veterans who are isolated or their caregiver is experiencing burden. Homemaker and Home Health Aide services can be used in combination with other Home and Community Based Services.

  • Home Telehealth Care

Home Telehealth involves the ongoing monitoring and assessment by Care Coordinators (Registered Nurses) of selected Veterans' medical conditions through telehealth technologies to enhance Veterans' health and prevent unnecessary and inappropriate admission to institutional care - including nursing home placement. 

Visit the Guide to Long Term Care:  http://www.va.gov/GERIATRICS/Guide/LongTermCare/index.asp

Contact Info


  • Salem VA Medical Center
    Inpatient Care: Building 2, 2nd and 3rd Floors
    Home and Community Based Care: Building 12

Contact Number(s)

  • 540-982-2463 Ext. 2502
  • 888-982-2463 Ext. 2502

Hours of Operation

  • Mon-Fri 8:00am-4:30pm