Transitional Care Center


Marshall’s Transitional Care Center (TCC) is a separately licensed, independent skilled nursing facility, located within Marshall Hospital in Placerville.

TCC often helps ease the transition from a hospital stay to home and independent living. It’s designed to help patients on the road to recovery after certain illnesses or injuries, especially those linked with orthopedic or neurological impairments.

Twenty-four hour nursing care, intensive therapies, injectable or IV medications, wound care, respiratory treatment and other medical services are provided in a warm, home-like atmosphere, but with complete hospital resources such as diagnostic imaging, lab, pharmacy and respiratory care onsite around the clock.

TCC allows approved pet visits by patients' own pets, and sometimes from others who wish to share their pets with interested TCC patients. Please review the guidelines here.

Admission to TCC

A physician referral is necessary for admission to TCC. A patient in TCC typically has one or more of the following needs:

  • Skilled care by a licensed nurse 
  • Therapies or treatments administered by a licensed nurse or other health professional 
  • Rehabilitation services needed at least daily
Marshall TCC is fully certified by Medicare, and many private insurance companies also cover skilled care in TCC.

Specialized Therapy Services

Our physical therapists are specialists in evaluation and treatment of impaired mobility, strength and endurance caused by medical problems. They promote safety and self-confidence during hospital recovery and at home.

Occupational therapists help patients move from the dependence of hospital care to the independence of “self-care” in daily living tasks.

Speech therapists help patients regain basic communication skills – speech, language and voice. This may include evaluating and treatment of the facial and throat muscles, as well as difficulties in swallowing, reading, writing and memory skills.

Leaving TCC

Planning for continued recovery of our patients once they leave TCC is a very important aspect of the care we offer. A discharge planning nurse will assist in preparing a smooth transition from the hospital to home or next level of care. Any need for social services will also be discussed shortly after admission to assist in crisis intervention, financial evaluation and referrals and coordination of post-hospital arrangements with community resources.