To qualify for admission at Exceptional Care for Children, a child must have a specified need that requires a skilled nursing intervention. Newborns to those up to 20 years are eligible. Examples of conditions and needs that can be treated and attended to at Exceptional Care for Children include:

  • Digestive Disorders
  • Gastrostomy
  • Failure to Thrive
  • Cardiac Anomalies
  • Seizure Disorders
  • Peritoneal Dialysis
  • Chronic Lung Disease
  • Congenial Anomalies
  • Central Lines
  • IV Antibiotics


  • A referral is made through telephone or fax by a parent, guardian, or medical professional. Once the referral is received, our Assessment team will contact the referral source to coordinate a visit.
  • Our Assessment Team will visit the child at home or where they are being cared for to complete a full medical assessment and gather necessary information including:
    • Diagnosis List
    • Medication List
    • Child’s Likes and Dislikes
    • Education Information
    • Current Medical Status and Plan of Care
    • Parent/Guardian’s Expectation of Admission


  • Our Admissions Committee then meets to review the pre-admission information and will determine if the child meets the skilled criteria to be admitted:
    • Gastrostomy
    • Tracheostomy
    • Ventilator
  • The child must not require one-on-one care as we have to ensure the safety and care for our other children
  • If a child is 18 years or older, there must be a defined discharge plan in place for transition into adult services at the age of 21

Our Assessment Team acts as a liaison between ECC, families and outside agencies, ensuring that there is an open line of communication and that the child’s needs are being met holistically.


  • Family Meetings: These are meetings that are held at least quarterly to review the current care plan of each child. It provides an opportunity for the social services, nursing, and therapy teams to collaborate with families on care, therapeutic goals, and discharge.
  • Psycho-Social-Emotional Support: We recognize that having a child with complex medical needs can be demanding. We are happy to provide additional support and recommendations for community assistance programs to help connect individuals and families with beneficial resources
  • Outside Agencies: Social Services will make appropriate referrals inclusive of early intervention education, deaf/blind services, and disabilities services.
  • Discharge Planning: If a transition to home is possible, the social worker will coordinate with the Staff and Family Educator to initiate family training, set up home care nursing, schedule medical equipment delivery, transition medical services, and complete a home assessment. Following these steps, a discharge date will be chosen and the transition home will take place!