Swing Bed

We are proud to provide our patients all private rooms with private bathrooms, Physical Therapy, Occupational Therapy, Speech Therapy, Wound Therapy, IV Therapy, Activity Therapy, and friendly, caring staff. 

Just Like Home

While medical attention is certainly a focus, Keokuk County Health Center offers many home-like amenities and social events. Family members are considered an important part of the team caring for their loved ones. We use a holistic approach by focusing on the entire person. Mental stimulation provided through recreational and therapeutic activities designed at varying levels of skill is offered by our activity department. Beauty and barber services are also available on site. Patients and their families are encouraged to visit frequently and may use our activity room for special events such as birthdays, anniversaries, or other events provided by the health center.

 What is Swing Bed?

Swing bed is a Medicare program designed to provide additional skilled care to those needing extra time to heal before returning home.

A swing bed means it swings in the way Medicare reimburses for the care provided for the patient. A patient being treated for an acute condition can remain in the hospital for follow up care rather than be discharged to home when they are not quite ready or discharged to the nursing home when they really only need care for a few more days or weeks. The patient stays in the same room, receives the same care, but the services are billed differently. Or the patient may have been hospitalized in a facility away from home and be transferred back to their local hospital for their swing bed stay.

Who qualifies for Swing Bed Services?

Acute care patients who have had a qualifying hospital stay (3 consecutive days in acute care).


Your Doctor has determined that you need daily skilled care. Care must be given by or under the direct supervision of skilled nursing or rehabilitation staff.

Is Swing Bed Care Covered by Insurance?

Swing Bed Care is often covered by Medicare, Medicaid and many private insurances. If you have any questions you can call and speak to our Social Service Discharge Planner who can help answer your questions.

Medicare coverage is limited to 100 days of skilled care per episode of illness. A patient would have to be out of the hospital for 60 days for the 100 days to reset. Medicare covers the first 20 days at 100%. Days 21-100 are covered minus a coinsurance that may be covered by a secondary insurance.

If you have a Medicare Managed Care Plan or Private Insurance coverage may vary and benefits will need to be checked by calling the number on the back of your insurance card. Our staff can assist you with this.

What can I expect during my stay?

Swing bed patients receive daily nursing care and therapies as ordered. Each patient will have a Care Plan specific to their needs to help restore their ability to perform activities of daily living such as walking, climbing stairs, dressing and bathing.

You will have a weekly care team meeting to discuss your progress and determine if you continue to meet skilled care criteria. Once you no longer meet skilled criteria the discharge planner will assist in making any arrangements for home care, medical equipment or nursing home placement.