Residential Medical Care


Nowadays many children with complex medical and developmental needs can be cared for at home with community-based supports and services.  But sometimes circumstances make that option impossible for families.

Cedarcrest Center provides sub-acute residential care with skilled nursing support, therapy services, and special education for as many as 26 children, infants through age 21.

Children may be admitted for several weeks, months, or even years, for a variety of reasons:

  • Limited community resources and services, especially in rural areas
  • Changes in family structure or circumstances that impact care-giving capacity
  • Increasing medical needs that alter the level of at-home care required
  • Increasing physical demands of providing at-home care for a growing child
  • Need for extended rehabilitation following surgery or for hospice care

Whatever the situation, Cedarcrest Center for Children with Disabilities collaborates with other community providers to ensure a continuum of care to meet your child’s medical and developmental needs, and to address your family’s particular circumstances.

Prior to admission for residential care, each child is evaluated by our director of nursing services, therapists, dietician, and special educators, as well as others our medical director may designate.  Upon admission, a team including parents or guardians, Cedarcrest staff, a representative of your child’s home school district (for children of school age), and other providers, develops a Total Plan of Care specific to each child’s stay.  We welcome family visits anytime during a child’s stay with us.

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As families care for a child with complex medical and developmental needs at home, they sometimes need access to temporary residential nursing care for a few days, a week or even a month.  Cedarcrest Center’s short-term stay option is designed for those times.

A short-term stay can be an important care option when a family emergency arises or when a gap in home nursing coverage occurs. A short-term stay can speed rehabilitation or help stabilize a child medically following surgery or during a transition from hospital to home.  Sometimes, a short-term residential stay can also maximize opportunity for a child to remain at home supported by community services.

Each short-term stay program at Cedarcrest Center is developed collaboratively with a child’s parents or guardians, primary care physician and specialists, and the Center’s medical director and director of nursing services. During a short-term stay, your child would be included in all aspects of our residential program, with participation in school programming at the discretion your local school district.

Prior to a your child’s discharge, our staff will work with you and your family, caregivers and other providers to assure your child’s smooth transition home.

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When a child is born with complex medical and developmental needs, a family can easily be overwhelmed by the realities of providing round-the-clock care at home:

  • Arranging for at-home nursing support
  • Securing comprehensive therapy services
  • Understanding and using high-tech medical equipment
  • Maintaining family life for siblings
  • Attending to the physical and emotional health of family caregivers

Sometimes a family needs some time to adjust and to prepare.

With successful transition from hospital to home as our goal, Cedarcrest Center’s Infant/ Toddler Program provides a transitional care option for families of young children who require intensive nursing support.  Infants and toddlers diagnosed as high-risk can continue to stabilize medically and progress developmentally in an out-of-hospital, home-like setting.

Children in our Infant/Toddler Program may have respiratory complications or be at-risk for developmental delay because of extreme prematurity.  They may have been born with vision, hearing or other neurological impairments, or orthopedic deformities.  They may have tracheostomies or gastrostomies, or require ventilator or other high-tech support. Cedarcrest Center is the only intermediate care facility in New Hampshire licensed to provide comprehensive medical services for children under the age of three.

When we admit a child to our Infant/Toddler Program, we complete comprehensive evaluations identifying strengths and abilities across a number of developmental parameters.  We then prepare a Total Plan of Care to assist in ongoing diagnosis and treatment.

Our Infant/Toddler Program formally integrates physical, occupational and communication therapies with age-appropriate developmental activities focused on social and emotional relationships, cognitive skills and adaptive behaviors. As part of the transition process, we also provide families extensive training for a child’s special care needs, including feeding and respiratory treatments.

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