Interim HealthCare of Upper Macomb County
Personalized support, a holistic approach, and clinical excellence — all in the comfort of home.
- (586) 281-6280 Main Office
67150 Van Dyke Rd, Suite 200, Washington, MI, 48095
Services in Upper Macomb County
From short-term assistance after a hospital stay to long-term help with everyday tasks, and from highly specialized medical care to daily companionship, we’re here to help provide the individualized care your loved one needs to thrive.
What we offer
- Chronic Disease Management
- Independent Living Senior Care
- Post Hospitalization & Rehab Care
- Veteran Care
About Us
Home Care and Nursing, done well. An elevated approach to senior care in the home, enhancing the lives of veterans, seniors and dementia caregivers giving loved ones peace of mind. At Interim, our team is driven to make an excellent difference - each client, every encounter.
Considered the experts in all things Senior Care, we provide dementia care solutions, and if we can't be the ones to assist you with your needs, we'll never leave you empty handed! We have a vetted list of veteran care and skilled care resources and partners that we can connect you with, giving you peace of mind....every step of the way.
Alzheimers Association
National Alliance for Care at Home
Staffing Industry Analysts
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Provider of Choice 2024
Proudly Caring for Veterans
American Heart Association Aligned
Teepa Snow Certified PAC Trainers
Proud Member
What Our Community is Saying
We chose Interim because we were referred from a friend who used them before. Their care is good, it's good quality care. It's good to know that they are reliable. The caregivers are reliable and social; they do everything well and take care of my mother. The office staff is helpful and gets back to you promptly. They were able to give us just what we needed!
Amazing company. So kind and compassionate. Always here to be a supportive hand. Each staff member has a positive attitude that benefits all employees. They really care about each and every client and always keeps their best wishes and interests forefront.
The CarePros at Interim Health are always friendly and very caring. They always look out for my mom and go the extra mile to make sure she is taken care of.
Our family has previously worked with several home care agencies, and our experience with Interim HealthCare has been by far the best. Interim has given our parents the gift of being well cared for in their own home, which has given all of us a sense of comfort and security. We could not do it without them, and we are so appreciative of the support they offer.
I’ve had a terrific experience with Interim. I used to have 3 agencies providing care for my dad. But once I found Interim they were able to provide coverage for ALL the hours I needed! All of the caregivers are kindhearted & have become family to us. The office staff is also easy to work with, helpful & kind. I cannot recommend them enough! Best agency around!
Hands down the most professional, compassionate, skilled, & caring healthcare agency. There is a strong culture of excellence in everything that they do. To have the Interim Healthcare team on our side advocating for my loved one brings such great relief & a sense of peace. Look no further than this agency for all of your in home healthcare needs.
Interim takes care of my father-in-law and my family and I are so blessed to have Interim and their caregivers apart of our lives. They’ve truly become family. Everyone we’ve come in contact with is very compassionate, professional and goes beyond what is asked. I would definitely recommend Interim HealthCare to anyone.
What’s Happening
Safe Discharge Planning in Macomb County
Jun. 2
Nobody Asked If Mom Would Be Safe When She Got Home
What Families Need to Know Before a Loved One Is Discharged from RehabBy Kristin Beckholt, RN | Interim Home & Healthcare of Macomb
If your mother just spent two weeks in a skilled nursing facility recovering from a hip replacement, or your father finished a short-term rehab stay after a cardiac event, you probably received a phone call that went something like this: "He is doing well and we are planning his discharge for Friday."
And maybe you thought, is he actually ready? Who assessed that? What does going home really look like for someone who was hospitalized four days ago?
If those questions crossed your mind, trust them. As a Registered Nurse who has operated a home care agency serving families across Macomb County for years, I can tell you with certainty: the discharge planning process at many skilled nursing and rehabilitation facilities is not designed to ask the hard questions. It is often designed to meet an insurance benchmark.
This blog post is for families who want to be smarter advocates. It is for adult children in Macomb Township, Sterling Heights, Shelby Township, Clinton Township, and Rochester Hills who are navigating a healthcare system that moves fast and does not always stop to ask, "But is she truly safe at home?"
That question is yours to ask. Let me help you ask it well.
The Discharge Clock Is Not About Your Loved One
Medicare, Medicaid, and most private insurance plans authorize skilled nursing facility stays based on clinical benchmarks: Is the patient medically stable? Are they meeting therapy milestones? Are they eating, ambulating, and following instructions?What those benchmarks do not capture is the real world waiting on the other side of that discharge. They do not account for a senior who lives alone in a two-story home in Shelby Township. They do not factor in a daughter who works full-time and cannot be there every morning. They do not consider whether a patient who says "I can manage" has ever actually tried to get up from a low toilet seat after a hip replacement.
Insurance authorization ends. The paperwork gets signed. And your loved one goes home.
Readmission rates tell the story. According to the Centers for Medicare and Medicaid Services, nearly one in five Medicare patients is readmitted to the hospital within 30 days of discharge. A significant portion of those readmissions are preventable. They happen because someone went home before adequate support was in place, because no one assessed the actual home environment, and because the plan of care was built around what the patient could do in a facility, not what they would face alone at 2 a.m. in their own home.
I have seen it happen in families throughout Macomb County. A patient does beautifully in rehab with two therapists and a nursing staff available. They go home on a Friday. By Sunday they have fallen. By Monday they are back in the emergency room.
That readmission was not inevitable. It was preventable. It just required someone asking a different set of questions before Friday.
What Discharge Planning Often Looks Like vs. What It Should Look Like?
In an ideal world, discharge planning begins the day a patient is admitted. A skilled social worker coordinates with the therapy team, the attending physician, and the family to build a transition plan that honestly addresses the home environment, available support systems, medication management, follow-up care, and ongoing safety needs.In the real world, discharge planning often begins when insurance signals that coverage is ending. A social worker hands the family a list of home health agencies. Someone asks the patient, "Do you feel ready to go home?" The patient, who wants nothing more than to sleep in their own bed, says yes. And the box gets checked.
No one asked whether there are grab bars in the bathroom. No one asked who fills the pill organizer. No one asked how far the bedroom is from the kitchen, or whether there are stairs, or whether the patient can realistically get up from their bed without assistance.
No one asked if they need extra help at home, because asking that question delays the discharge, and delaying the discharge means navigating insurance pushback.
That is the system as it functions. And families who do not know how to engage it often become its casualties.
"I have sat in discharge planning meetings where a patient confidently told the team they could manage independently, and I already knew from the home care assessment that their bathroom had no grab bars, their bedroom was upstairs, and their nearest family member was 45 minutes away. Confidence is not the same as safety. In my clinical experience, the families who fare best after discharge are not the ones with the most optimistic patients. They are the ones with someone in the room who knows what questions to ask and refuses to leave without honest answers."
Your Role in Discharge Planning: Show Up and Speak Up
You have a right to be present and engaged in every discharge planning conversation. If a facility holds a meeting without you, request one. If you receive a discharge notice and feel the timeline is premature, you can formally request a delay. Medicare beneficiaries have the right to appeal a discharge decision, and that right is protected.When you are in the room, here are the questions that matter most:
Is the home environment safe for this specific patient, with this specific diagnosis, right now? Not theoretically. Not eventually. Right now?
What does the therapy team see as the primary fall risk, and how is that being addressed at home?
Who is responsible for medication management, and has anyone verified the patient can manage their current regimen independently?
Is home health therapy being ordered, and for how long? What happens when those authorized visits end?
Has anyone from a home care agency conducted an in-home safety assessment prior to discharge?
That last question is the one most families never know to ask. A pre-discharge home assessment by a qualified home care provider allows the care team to see exactly what your loved one is returning to. It identifies hazards, evaluates the layout, and builds a realistic care plan based on the actual environment, not a clinical assumption about what home life looks like.
At Interim Home & Healthcare of Macomb, we conduct these assessments for families throughout Sterling Heights, Macomb Township, Clinton Township, Shelby Township, and Rochester Hills. They are not a formality. They are a clinical conversation that changes outcomes.
The Questions Nobody Asks (That We Ask Every Time)
When a family in our service area reaches out ahead of a discharge, we want to know things that rarely appear on a discharge checklist:
Where does your loved one sleep relative to the bathroom, and can they get there safely at night without turning on every light?
Does the patient have a history of getting up in the night, and is there a fall mat, a bed rail, or a motion sensor in place?
How many medications are they taking, and has anyone verified whether they can manage them without supervision after surgery or a hospital stay that may have altered their cognition temporarily?
Is there a step at the front door? A threshold they have to navigate? A rug that has not been moved in 15 years and has never been a problem until now?
Who is their primary support at home, and what does that person's schedule actually look like on a Tuesday morning?
These are not dramatic questions. They are basic safety questions that can prevent a readmission, a fall, or a crisis that sends your loved one back to the emergency room within 30 days. They are the questions we ask because years of home care nursing have made clear that what a patient describes at a discharge meeting and what we observe during an in-home assessment are often two very different pictures.
What Non-Medical Home Care Adds That Rehab Cannot
Skilled nursing facilities and rehabilitation centers are exceptional at what they are designed to do: stabilize, treat, and restore a patient to a baseline level of function. What they cannot do is prepare for the specific realities of your loved one's home.Non-medical home care fills that gap. A professional caregiver in your loved one's home in Sterling Heights or Macomb Township is not just there to help with a shower. They are the extra set of eyes that notices the patient is more fatigued than they are admitting. They are the steady presence that ensures medications are taken on time. They are the person who calls us when something is not right, so we can call you, so you can call the physician before a small problem becomes a hospital stay.
That continuity of oversight is what prevents readmission. Not paperwork. Not a discharge summary. A human being who shows up consistently and knows what they are looking for.
Home care aides working under our direction are trained in safety monitoring, mobility assistance, and early recognition of change in condition. When they see something that concerns them, they have a clinical team to call. That chain of communication is what we build for every client we serve across Macomb County.
When to Call Before the Discharge Happens
The single most effective thing a family can do is contact a home care agency before discharge, not after. Not when your loved one has been home for three days and you are already worried. Before.Families in Sterling Heights, Macomb Township, Shelby Township, Clinton Township, and Rochester Hills can reach us prior to discharge to schedule a pre-discharge consultation. We will review the plan of care, identify gaps, conduct or coordinate a home safety assessment, and ensure that when your loved one walks through their front door, there is a plan in place that was built around their life, not around an insurance calendar.
We also serve as a resource at the discharge planning meeting itself. If you want a knowledgeable advocate in the room, someone who understands both the clinical side and the home environment, that is something we can help facilitate.
The goal is not to slow down the discharge process. The goal is to make sure it lands well.
A Note to the Families Who Are Already in This Moment
If you are reading this because your loved one just came home and it is not going well, you are not alone and it is not too late. Call us. We will assess where things stand, build a care plan that addresses the immediate gaps, and put support in place quickly.If you are reading this because a discharge is coming and something feels off, trust that instinct. You are allowed to ask hard questions. You are allowed to request more time. You are allowed to say, "I am not satisfied that we have addressed whether my parent is truly safe," and keep saying it until you get a real answer.
Families across Macomb County do this every day with our support. The families who have the best outcomes after a hospital or rehab stay are not the ones with the healthiest patients. They are the ones who showed up informed, asked the right questions, and made sure the discharge plan was built on reality.
That is the kind of advocate your loved one needs. And you can be that person.
"In my years of nursing and home care operations, I have witnessed firsthand what happens when a family waits too long to ask for help, or when a discharge happens before the right support is in place. I have sat with seniors who were malnourished within weeks of leaving rehab because no one assessed what the kitchen actually looked like. I have watched preventable falls happen in the first 72 hours at home. And I have seen the tremendous difference that a thoughtful, proactive discharge plan makes when home care is part of it from the beginning. When we are involved early, we change the trajectory. The senior goes home with dignity, with safety, and with a support system that was built around their real life. That is not a luxury. That is what good care looks like, and every family in Macomb County deserves access to it."
Kristin Beckholt, RN | Interim Home & Healthcare of Macomb
Serving Families Across Macomb County and Southeast Michigan
Interim Home & Healthcare of Macomb provides professional non-medical home care and care coordination services to clients in Macomb Township, Sterling Heights, Shelby Township, Clinton Township, Rochester Hills, and the surrounding communities of Macomb and Oakland counties.
If your loved one is facing a discharge from a skilled nursing facility, rehabilitation center, or hospital, contact us now. Pre-discharge consultations are available. In-home safety assessments are available. And our clinical team is ready to be the voice in the room that makes sure your loved one goes home safely.
Raising the standard. One family at a time.
Discharge Questions to Ask: Know what to ask and why!
Mar. 15
When a loved one is discharged from rehab, families are often told they are “safe to go home,” but a quick cognitive screening doesn’t always reveal the real risks someone may face during a full day at home. In this video, we discuss why families should ask deeper questions about safety, cognitive decline, and daily living challenges before discharge decisions are finalized. Understanding issues like medication management, nighttime confusion, fall risk, and early dementia symptoms can help prevent avoidable crises and hospital readmissions. For families searching for guidance around dementia care in Sterling Heights MI, Rochester MI, and Shelby Township MI, knowing how to advocate during discharge planning can make a meaningful difference in keeping your loved one safe at home. Interim Healthcare is committed to helping families navigate dementia, aging, and caregiving with clarity, education, and compassionate support.
🎥 Q1 Focus: The Caregiver Reset
Jan. 15
Caregiver burnout is more than “just stress” - it can dysregulate your nervous system and keep your body stuck in survival mode. When you’re constantly managing responsibilities, emotions, and exhaustion, your brain and body may respond with heightened anxiety, irritability, poor sleep, brain fog, headaches, and even a weakened immune system. Over time, chronic stress can impact your ability to focus, feel joy, and stay emotionally resilient. If you’re feeling overwhelmed, you’re not failing - your nervous system is asking for support.
🎥 Q1 Focus: The Caregiver Reset
At Interim, our first quarter focus is The Caregiver Reset - because caregiving is demanding, and caregivers deserve support too. Our goal is to deliver practical resources, informative education, and realistic strategies that help prevent burnout and improve overall wellbeing. And this isn’t just for our professional CarePros - we’re committed to supporting every family caregiver who needs a helping hand. Because raising the standard of care in the home starts with empowering every caregiver through education, support, and the right tools to succeed.
Why Early Home Care Is One of the Smartest Decisions You Can Make for an Aging Parent
Dec. 31
Why Early Home Care Is One of the Smartest Decisions You Can Make for an Aging Parent
As a nurse and home care professional serving families throughout Sterling Heights and Macomb County, I often meet adult children at a breaking point—exhausted, worried, and wishing they had acted sooner. The most common phrase I hear is: “I didn’t realize how much had changed.”
When it comes to aging parents—especially those showing early signs of dementia—waiting until there’s a crisis is one of the most costly mistakes families make. Introducing home care early is not about taking independence away. It’s about protecting it.
The Quiet Progression of Dementia
Dementia rarely announces itself loudly in the beginning. It creeps in quietly: missed medications, unpaid bills, spoiled food in the refrigerator, subtle personality changes, or increased isolation. Adult children often chalk these up to “normal aging,” but clinically, these are early warning signs.
From a nursing standpoint, early intervention matters. Dementia is progressive, but how fast it progresses—and how safely someone lives with it—can be influenced by the right support at the right time. Home care provides eyes, structure, and consistency long before a fall, hospitalization, or unsafe situation forces a reaction.
Home Care Is Preventative, Not Reactive
There’s a misconception that home care is only for people who are “really bad off.” In reality, the most successful outcomes happen when home care is introduced early, while your parent is still relatively independent.
In Sterling Heights, we see families use home care proactively to:
- Establish safe daily routines
- Ensure medications are taken correctly
- Monitor cognitive and physical changes over time
- Reduce isolation and depression
- Prevent avoidable ER visits and hospitalizations
Familiar Environments Matter—Especially With Dementia
One of the most important principles in dementia care is consistency. The longer a senior can remain safely in their own home, the better their cognitive and emotional outcomes tend to be.
Home care allows aging parents in Macomb County to:
- Stay in a familiar environment
- Maintain dignity and routines
- Avoid the confusion that often comes with facility transitions
- Preserve their sense of identity and control
Relief for Adult Children—Without Guilt
Adult children often try to do everything themselves—managing careers, families, and caregiving until burnout sets in. I want to be very clear: you are not failing your parent by bringing in home care. You are protecting the relationship.
Home care allows you to shift from being the exhausted caregiver back to being a son or daughter. It reduces tension, prevents resentment, and ensures your parent’s needs are met consistently—even when you can’t be there.
A Nurse’s Bottom Line
In my professional experience, families who introduce home care early:
- Experience fewer emergencies
- Have better long-term dementia outcomes
- Make clearer, less emotional decisions later
- Preserve family relationships
- Feel confident—not reactive—about the future
Early home care isn’t about taking over. It’s about supporting independence, preserving dignity, and planning wisely—before a crisis forces your hand.
"And as a nurse, I can tell you with certainty: the families who act early never regret it."
– Kristin Beckholt, RN | Operations Owner of Interim Home and Healthcare, Macomb
Proudly Serving the Upper Macomb County Area
Areas we provide care:
- Washington MI
- Romeo MI
- Shelby Township MI
- Utica MI
- Macomb MI
- Armada MI
- Rochester MI
- New Haven MI
- Chesterfield MI
- New Baltimore MI
- Memphis MI
- Richmond MI
- Ray MI
- Sterling Heights MI
- Bruce Twp, MI
- Clinton Twp, MI
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