How to Choose a Hospital Bed for Home Use - Rehabmart.com

09 Jun.,2025

 

How to Choose a Hospital Bed for Home Use - Rehabmart.com

Sleep is critical in maintaining energy balance, cognitive function, and overall health. For those using a hospital bed at home due to illness, disability, or pain, finding the right bed is essential for achieving restorative sleep. This guide explores the key differences between hospital beds, offers honest customer feedback, answers frequently asked questions, and highlights important features to consider before purchasing.

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Things to Consider

Sleep is essential for your overall well-being, so your sleep space should be tailored to help you get the best rest possible! While you sleep, your brain recovers from the stresses of the day, and the quality and quantity of sleep directly impact your performance and decision-making. A good night's sleep leaves you feeling more alert, positive, and better equipped to ward off illness and tackle medical challenges. It also helps you get along with others and improves your overall physical and mental health.

Temporary vs Permanent 

If a person spends more than 15 hours daily in bed or requires long-term care, a full-electric home hospital bed offers the best comfort and durability while reducing physical strain on caregivers. However, these beds are also the most expensive. Manual and semi-electric beds are more affordable and may be suitable for short-term use, but they require more effort from caregivers and offer less independence for the patient.

Mobility of Patient

Patient mobility plays a crucial role in selecting the right home hospital bed. A highly adjustable electric or semi-electric bed is ideal for those who are unsteady or at risk of falling. It’s also a great choice for individuals who cannot reposition themselves or safely get in and out of bed without height adjustments. However, if a patient can get in and out of bed independently and stand steadily a manually adjusted bed may be a more cost-effective option.

Strength of Caregiver

Caregiver needs should be considered to ensure the proper level of care can be provided. For a patient requiring many position changes, a manual bed wouldn’t be the best choice. An electric bed will take the most strain off a caregiver. A caregiver’s strength and stamina should be considered when deciding which home hospital bed is best.

Size of the Patient

A bariatric bed is wider than a standard bed, providing greater comfort for heavier users. Pediatric patients will be safer and more comfortable in a child-sized bed. Beds can also be customized for taller patients. No matter the size needed, the right bed can be found!

Positioning

For patients who spend most of their time in bed, especially if mobility challenges prevent them from regularly self-repositioning, a hospital bed’s positioning features can significantly impact comfort and quality of sleep. The number of sections, position options, and height adjustability contribute to the user experience. Here are the most popular positioning options:

  • Trendelenburg: The patient is supine, with the head below the feet. This position is used in a clinical setting to reverse hypotension, treat low cardiac output, insert central IV catheters, increase postural drainage, reduce leg swelling, and help move heavy patients up in bed. It also allows better access to insert venous catheters.
  • Reverse Trendelenburg: The patient is supine while the head is raised above the heart and the legs. It is used in surgeries of the head and neck to decrease blood loss and can also help decrease blood pressure.
  • Comfort Chair: A hospital bed that can move a patient from a flat position to a seated position at a controlled rate with minimal patient movement helps relieve the lungs and supports circulation. Requiring a 4-function bed, the chair position uses sections that support the patient's back, bottom, arms, and legs.
  • Fowler's Position: a standard position where the patient is seated in a semi-upright position at an angle between 30 and 90 degrees, with legs either bent or straight. It helps expand the chest as the top of the bed is raised and is often used to promote respiration and oxygenation.

Assembly Service

Optional assembly services simplify setting up a hospital bed at home, removing the guesswork and effort. During a stressful time, having professionals correctly assemble the bed can reduce anxiety and help create a calmer, more comfortable environment.

Rehabmart has a large selection of hospital beds and other products that offer assembly services.

Why Do I Need a Hospital Bed at Home?

A hospital bed at home can be a valuable tool for promoting rest and healing. Whether recovering from an injury, adjusting to mobility limitations, or transitioning from an in-patient stay, a home hospital bed can enhance health, independence, and overall quality of life. 

The adjustable knee and head sections improve incontinence support, and easy sanitization helps maintain a healthy environment. Repositioning options reduce the risk of pressure ulcers and provide comfortable postural support. Safety features like side rails, bolstered mattresses, and height adjustability further minimize the risk of falling out of bed.

What Is the Most Comfortable Hospital Bed?

This answer is different for everyone, but there are options to fit any needs. Beds that have multiple positions to correctly and comfortably support the body, mattresses that range in firmness, and available therapeutic features all impact the user's comfort.

What Is A Full-Electric Hospital Bed?

A full-electric hospital bed electrically adjusts the height, head, and foot positions with the press of a button. Benefits include fostering patient independence and safety features to ensure maximum user comfort and safety while minimizing the physical strain on a caregiver.

Can I Get a Hospital Bed for Home Use?

Yes, we have a wide selection of hospital and home care beds!

What Is a Semi-Electric Hospital Bed?

A semi-electric bed combines manual and electric adjustments. The head and foot sections are typically adjusted electrically, while a hand crank manually adjusts the bed’s height. This style is ideal for users who need to adjust the head and foot sections for comfort but don’t require frequent height adjustments when getting in and out of bed.

What Is a Bariatric Hospital Bed?

A bariatric hospital bed is designed to meet larger-framed users' size and support needs, handling more weight than standard hospital beds. Some models can support up to 1,000 pounds, while others are suited for patients weighing 350-450 pounds, filling the gap where standard beds fall short. With heavy-duty construction, these beds are durable and feature height adjustability, safety rails, and extra width to cater specifically to bariatric patients.

Does Medicare Cover Hospital Beds?

Medicare will cover home hospital beds if they are prescribed by a doctor as medically necessary durable medical equipment.

How Much Does a Fully Electric Hospital Bed Cost?

A fully electric home hospital bed can range from $500 to $, and the mattress isn’t always included, so consumers need to ensure they are also getting all the appropriate accessories when purchasing a bed.

What's the Difference Between an Electric Hospital Bed and an Adjustable Bed?

The primary purpose of a hospital bed is to provide effective care and treatment while ensuring patient safety and comfort. Adjustable beds are designed with a focus on maximizing user comfort and support for activities like sleeping, reading, eating, watching TV, or relaxing. They resemble standard beds more closely, while home hospital beds are geared toward treatment and often have a more institutional design and feel

What is a Hospital Bed For Home Care? 

A hospital bed for home care has features that cater to the needs of people recovering from an injury or who have to spend a lot of time in bed. Their adjustability makes them more appropriate than a standard bed for providing comfortable support and enabling caregivers to deliver quality care.

What are the Different Types of Hospital Beds?

There are three main types of hospital beds: manual, semi-electric, and full-electric. Below, we break down each bed and our top-recommended product.

Manual Hospital Beds

Drive Hospital Bed - Adjustable Height with Manual Bed Cranks by Drive Medical

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Manual hospital beds are the least expensive models, with fewer features than semi-electric or full-electric options. A manual hospital bed requires a caregiver to make adjustments via a hand crank, making them most appropriate when frequent adjustments are unnecessary.

Pros

  • Least expensive type
  • Good choice if frequent adjustments aren’t necessary

Cons

  • Potential caregiver strain from making manual adjustments
  • Not as many position choices as electric beds
Best Manual Hospital Bed: Multi-Height Manual Adjustable Beds by Drive Medical

Semi-Electric Hospital Beds

Competitor II Semi-Electric Hospital Bed by Drive Medical

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A semi-electric hospital bed is a good choice for someone who has good enough balance to not need to adjust the height of the bed to transfer on and off. This bed style uses electric and manual adjustments, with the head and foot sections usually adjusted electrically while the height is adjusted with a manual crank. 

Pros

  • Easy to make heat and foot positioning adjustments
  • Lower cost for the feature of head and foot adjustability than a full-electric home hospital bed
  • User confidence and independence are supported with user-adjustability

Cons

  • Must rely on a caregiver to make height adjustments
  • Using a hand crank puts a strain on caregivers

Best Semi-Electric Hospital Bed: Competitor II Semi-Electric Hospital Bed by Drive Medical

Full Electric Hospital Beds

The height, head, and feet adjustments are made with the push of a button on a full-electric hospital bed. If a patient can control the bed positioning, it decreases reliance on caregiver assistance and increases independence and confidence. If a caregiver isn’t close by, most full-electric beds have a feature that locks the bed in position so a patient can’t accidentally move it into a position that could be dangerous.

Pros

  • No strain on caregivers to adjust the bed
  • When allowed, the user can adjust the bed without assistance
  • Addresses multiple conditions and positioning needs: sleep, circulation, skin issues, aches and pains

Cons

  • Highest price point due to the many electrical components

Best Full Electric Hospital Bed: Lumina Medical Electric Hospital Bed with 5 Functions

What Are Specialty Beds?

Adjustable Lift Bed with Sleep-to-Stand Feature - Envyy by Platinum Health

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Specialty hospital beds are specialized beds that are designed to meet very specific patient needs. Some specialty beds address fall risks, bariatric patient weight, and non-clinical designs. 

Although not hospital beds, sleep-to-stand beds have some of the exact positioning options as hospital beds. Sometimes, they are referred to as sit-to-stand beds or adjustable beds. They provide comfortable support for many things a person would use a home hospital bed for, like sleeping, reading, watching TV, or relaxing. They look more like standard beds and can be ordered in larger sizes to accommodate two sleepers. The less-institutional feel is attractive to many users. There are a few basic models with manually adjustable frames, but they are not used in caregiving settings. By far, most adjustable beds are fully electric, and some can take users from lying down to standing up for easy transfers. They are a good choice for people who seek some of the features of a hospital bed but want a traditional bed's look, feel, and size options.

Pros

  • Adjustability can prevent falls during transfers
  • Comfortable and supportive, with positioning customized for the user
  • Choice of sizes

Cons

  • Need to buy special mattress

Best Sleep to Stand Bed: Envyy EZ Out Sleep to Stand Electric Lift Bed - Twin Sized - Fixed Height - by Platinum Health

Low Bed

Accora Floor Bed High Low Hospital Bed

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Low beds are ideal for people with a higher risk of falling because they reduce the distance between the bed and the floor, decreasing the risk of injury from a fall. These beds make it easier for users to get in and out of bed, which helps minimize the strain on a caregiver during transfers. Usually, the height is adjusted electrically, and positioning adjustability includes elevating and reclining the head and feet sections and allowing for ergonomic lying down and sitting.

Pros

  • Reduces caregiver strain
  • Minimizes the risk of an injury from a fall
  • Electric height adjustability
  • Positions can be adjusted in several models

Cons

  • Most low beds have an institutional look and feel

Best Low Bed: FloorBed by Accora, Floor Level Fall Prevention, Height-Adjustable, Ultra-Low Bed with Bariatric Option

Bariatric Hospital Bed

Lincoln Expandable Five Function Bariatric Electric Bed with Trendelenburg

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Standard hospital beds have a weight capacity of 350 to 450 pounds. Bariatric hospital beds, also called heavy-duty beds, can accommodate users weighing up to 1,000 pounds. Along with heavy-duty construction and larger sizes, with widths as wide as 54 inches, bariatric hospital beds feature height adjustability and can be ordered with safety rails. A bariatric bed, especially for someone who can’t independently reposition in a smaller bed, will support a larger patient in comfort and dignity.

Pros

  • Electric adjustability allows the patient to reposition independently without straining a caregiver
  • Created specifically for patients who would not be safe or comfortable in a standard-sized bed
  • Durable, heavy-duty construction

Cons

  • Beds don’t always come with a mattress, so a special bariatric mattress will need to be ordered
  • Bariatric beds are cumbersome to move

Best Bariatric Hospital Bed: Lincoln Expandable Five Function Bariatric Electric Bed with Trendelenburg

Deluxe Hospital Bed

Full Electric Hospital Bed with 500 Pounds Weight Capacity - Advantage by Span America

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Deluxe hospital beds are built for long-term, heavy-duty use, meeting the needs of acute-care patients and caregivers. Side rails, mitigated entrapment risk, and exit alarms focus on patient safety. User-friendly controls include a nurse panel, and patients can adjust the bed position without assistance. Benefits of a deluxe bed include ease of treatment delivery provided by the maneuverability, electric height adjustability, and the list of accessories available with this type of bed.

Pros 

  • User-friendly patient controls
  • Safety features reduce the risk of unsafe exit and patient entrapment
  • Constructed for heavy-duty, long-term use
  • Highly adjustable to facilitate care and treatment

Cons

  • High price point
  • Look and feel of clinical medical equipment

Best Deluxe Hospital Bed: Span America Advantage Hospital Bed

Residential Design Bed

Adjustable Lift Bed with Sleep-to-Stand Feature - Envyy by Platinum Health

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Although not technically a hospital bed, residential design beds have hospital bed functionality in a bed you’d find at home. The ability to adjust this bed’s height and the option to install side rails make it easier for users to get out of bed than with a standard bed. The electric adjustability helps relieve pressure points and combat the development of bed sores, while the ergonomic positioning provides support and comfort. They can be ordered with waterproof mattress covers that contribute to a clinically sanitized environment at home. 

Pros

  • Styled like furniture rather than medical equipment
  • Functionality of a hospital bed
  • Decreases fall risk, allows for more user independence
  • Adjustable for individualized comfort

Cons

  • Heavier than a regular bed
  • Usually, does not accommodate standard mattress

Best Residential-Looking Hospital Bed: Adjustable Lift Bed with Sleep-to-Stand Feature - Envyy by Platinum Health

Fully-Enclosed Safety Bed

Beds by George - Haven Series Safety Bed

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Although not hospital beds, safety beds offer features that address special needs and medical conditions and support sleep in a secure space. Enclosed by walls, fabric, or rails, in sizes appropriate for children and adults. Safety beds protect from falls, prevent unassisted exits, provide easy caregiver access, and protect from entrapment or entanglement. They have features like padding to protect users who have seizures, access ports for medical equipment, and support for those with sensory processing disorders who benefit from a completely enclosed space. They come in fixed heights or with manual or powered height adjustability, and mattresses range from air to gel to articulating. Some portable models are easy to take along while traveling. 

Pros

  • Provide caregiver peace of mind by preventing wandering and bed falls
  • Access to supportive medical equipment
  • Many models to choose from to fit individual needs
  • Users with sensory processing disorders appreciate the calming, enclosed space

Cons

  • Can take up a lot of room, so measuring the available room space is important
  • Not all models are conducive to smooth wheelchair transfers
Best Safety Bed: Haven Full Enclosure Safety Bed with High Side Mesh Sides and Ceiling

Final Thoughts

When choosing a home hospital bed, select the options that best meet your needs for comfort and care to ensure the most restorative and healing sleep possible. We've reviewed the types of hospital beds available, and since not all beds come with dedicated mattresses, it's important to carefully consider your mattress needs as well.

How to Choose and Safely Use A Hospital Bed - Pukang Medical

Why do I need to know about hospital beds?

A hospital bed may be needed if you or a family member is ill or recovering from an illness at home. You can buy or rent a hospital bed at medical supply stores. Most hospital beds look like a twin bed made of heavy metal parts. The bed has moveable side rails. Hand cranks or electricity may be used to change positions of the bed. Talk to your healthcare provider about what kind of bed is best for you or your family member.

What types of hospital beds are available?

Manual hospital beds need to be moved or adjusted by using hand cranks. This may be difficult if you have limited hand or arm strength. If you are unable to do this, you will need to ask someone to help you. The cranks are located at the foot or head of the bed. Manual beds may not move to as many positions as electric beds.

Electric hospital beds can be moved or adjusted by pushing buttons. These beds may be easier to use. An electric bed has a motor and a cord to plug into an electrical outlet. There is a hand control pad hooked to the bed that may look like a television remote control. Each button on the hand control may have a picture showing how the bed will move when you push the button. Many people like an electric bed because the positions of the bed can be changed easily. These beds may also have a built in scale.

What type of mattress should I use?

There are foam, air, and gel mattresses available for a hospital bed. Some mattresses can reduce pressure on certain areas of the body and help prevent pressure sores. You can buy or rent the mattress at the same supply store where you buy or rent the bed. The mattress usually comes with a waterproof cover. You may need other pads or bed attachments.

How can I safely use a hospital bed?

Keep the wheels of the bed locked at all times. Unlock the wheels only if the bed needs to be moved. Once the bed is moved into place, lock the wheels again.

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Put a bell and a within reach of the bed. These should be available so you can call for help when needed.

Keep the side rails up at all times except when you get in and out of bed. You may need a footstool next to the bed. Use a night light if you need to get out of bed at night.

Put the hand control pad within easy reach to adjust positions. Learn to use the hand control and practice moving the bed into different positions. Test the bed's hand and panel controls to be sure the bed is working correctly. You may be able to lock the positions so the bed cannot be adjusted.

Follow the specific manufacturer's instructions for using the bed. Check for cracks and damage to the bed controls. Call the bed manufacturer or another professional if you smell burning or hear unusual sounds coming from the bed. Do not use the bed if there is a burning smell coming from it. Call if the bed controls are not working correctly to change positions of the bed.

When you adjust any part of the bed, it should move freely. The bed should extend to its full length and adjust to any position. Do not place the hand control or power cords through the bed rails.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© Copyright Merative Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Choosing the Right Hospital Bed for Home Care: Features and Options.

Choosing the Right Hospital Bed for Home Care: Features and Options

Jan 01,

Heritage Home Medical Equipment

In the realm of home care, selecting the right hospital bed is a crucial decision that can significantly impact the comfort and well-being of patients. As a trusted medical supply retail store located in Wichita Falls, we understand the importance of providing quality products to our walk-in customers. In this article, we will guide you through the essential features and options to consider when choosing a hospital bed for home care.

Adjustability and Positioning: One of the key features to consider is the bed's adjustability. Home care patients often spend extended periods in bed, and an adjustable bed can enhance their comfort and support various healthcare needs. Look for beds with options for height adjustment, backrest inclination, and knee elevation. These features can help alleviate pressure points, enhance circulation, and provide optimal positioning for specific medical conditions.
 

Mattress Selection: The right mattress is vital for ensuring both comfort and health. Different patients may have varying needs, such as pressure redistribution, moisture control, or temperature regulation. Consider options like alternating-pressure mattresses for pressure ulcer prevention or foam mattresses for overall comfort. Offering a variety of mattress choices can cater to the diverse needs of your customers.
 

Safety Features: Safety is paramount, especially for those with limited mobility. Hospital beds should come equipped with safety features like bed rails, locking mechanisms, and emergency controls. Bed rails provide support for repositioning and prevent accidental falls while locking mechanisms secure the bed in place during transfers. Emergency controls ensure quick adjustments in case of emergencies.
 

Mobility and Ease of Use: Consider the mobility features of the hospital bed, especially if the patient requires frequent repositioning or transfers. Beds with wheels should have a locking system to ensure stability when needed. Additionally, user-friendly controls and intuitive mechanisms make it easier for both caregivers and patients to operate the bed efficiently.
 

Durability and Maintenance: Investing in a durable hospital bed is essential for long-term use. Beds constructed with sturdy materials withstand daily wear and tear, ensuring longevity. Additionally, opt for models that are easy to clean and maintain, promoting a hygienic environment for the patient.
 

Weight Capacity: Ensure the chosen hospital bed has a weight capacity that meets the specific needs of the patient. Different models come with varying weight limits, so it's crucial to assess the individual requirements to provide optimal support and safety.
 

Budget Considerations: While it's essential to prioritize quality and functionality, budget considerations play a role in the decision-making process. Offering a range of hospital bed options at different price points allows customers to find a suitable solution that aligns with their financial constraints without compromising on quality.
 

Additional Accessories: Consider offering a variety of accessories that can enhance the overall functionality and comfort of the hospital bed. Accessories such as overbed tables, bedside commodes, and trapeze bars can provide additional convenience and support for both patients and caregivers. 

Choosing the right hospital bed for home care involves a thoughtful consideration of various features and options. As a medical supply retail store in Wichita Falls, our commitment is to assist our walk-in customers in making informed decisions that positively impact the well-being of their loved ones. By providing a diverse selection of hospital beds with adjustable features, safety measures, and durability, we aim to meet the unique needs of each individual seeking home care solutions. Visit our store and let our knowledgeable staff guide you in selecting the perfect hospital bed that combines comfort, functionality, and affordability for your specific requirements. Your loved one's health and comfort are our top priorities, and we are here to ensure you find the ideal solution for your home care needs.

Hospital Bed Dimensions & Measurement Guide for Colorado

It's important to understand hospital bed widths and dimensions if you are considering purchasing or renting a hospital bed for home use. The length and width of a hospital bed will determine where or if you can fit the hospital bed in your bedroom or if you will need to put it in a different room.

Hospital beds are a great option for patients who spend a lot of time in bed, have trouble getting in and out of bed, are recovering from illness or surgery, or have a condition that affects being comfortable in a standard bed. While regular measurements may be sufficient for most patients, there are different hospital bed sizes for patients who are especially tall or heavy.

Standard Hospital Bed Dimensions

The standard dimensions for a hospital bed for home use are 36″ (wide) x 80″ (long). A hospital bed will typically occupy the same space a regular mattress occupies. To measure a hospital bed's dimensions, measure the length from the headboard to the footboard and the width from side to side.

A general rise in average BMI means hospital beds come in alternative widths. When considering hospital bed rentals, check whether the specifications of a given model are appropriate for the intended user.

Things to Keep in Mind

Apart from the standard width and length of a hospital bed, there are other considerations to take into account when choosing a home hospital bed:

Hospital Bed or Adjustable Bed?

Hospital beds for home differ from adjustable beds in that a patient or caregiver can raise or lower the height of a hospital bed as well as the position of the mattress. Adjusting the height of the bed makes it easier for the patient to get in and out of bed. For additional differences, check out our article comparing hospital beds vs adjustable beds.

Larger Patient Beds Are Available

Due to a patient's size or condition, they may need a larger bed. Being able to change positions in a hospital bed is important, and people must be able to turn from supine to side-lying positions to be comfortable and receive treatment. If a patient isn't able to move easily in their bed, there's an increased risk of pressure injuries and it can impact the ability of the caregiver to administer treatment.

For these reasons, hospital beds come in basic size and extra-wide 39" options. Tall patients can easily add extensions to a standard hospital bed to increase the length.

Patient Size and Weight Limits

Check the size and weight limits of your bed before committing to rental or purchase. The importance of a patient's weight and BMI was noted by Wiggermann et al., who reported the significance of choosing a bed that’s big enough to ensure the safety of both the patient and their caregiver. As a rule:

A patient with a BMI of 45 or less will fit into a standard 36" width bed.

If the patient's BMI is over 45, they will probably need a 39" model.

Mattresses for Hospital Beds

Patients will need a special mattress, as ordinary mattresses don't bend and can’t endure the strict requirements of a hospital bed. Patients need:

A pressure redistributing mattress that's built to contour to the bed.

A mattress that adheres to the requirements of their condition. Make sure the hospital bed mattress comes with features that allow them to eat and drink and support medical equipment, as needed.

A mattress that’s thick enough to be comfortable. The standard thickness of hospital bed mattresses is 6" but some can go up to 7".

Please note that when you rent a hospital bed, an appropriate mattress is typically provided with the frame. 

Bed Clothes for Hospital Beds

Properly sized bed linens are important when renting or purchasing a hospital bed. Because beds come in multiple sizes, make sure you buy sheets that are large enough to cover the mattress comfortably and are easy to wash.

Where to Get a Hospital Bed for Home Use

There are many medical equipment supply stores that rent out and sell hospital beds for home use. We offer hospital bed rentals for residents of Denver and the state of Colorado.

For short-term use (up to 20 weeks), it’s generally best to rent a hospital bed. Ensure that the supplier disinfects each bed thoroughly between rentals. For long-term use (over 20 weeks), it’s generally more cost-effective to buy.

Increase Comfort and Safety With a Hospital Bed

Home hospital beds are a great solution for patients with short-term or long-term care needs. When selecting a hospital bed, check the length and width, “ideal user” specifications, mattress thickness, and additional features such as an over-bed table if required.

While most patients will be fine with a standard bed, wider beds and bed extensions are available for patients who need them. To ensure the best fit, consult with a medical supply professional and have the patient try out the bed (if possible) before signing on the dotted line.

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