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Nursing Homes and Skilled Nursing 

A nursing home is a place for people who do not need to be in a hospital but cannot be cared for at home. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.

 

People often confuse nursing homes and skilled nursing facilities. Skilled nursing facilities are a source of transitional care between a hospital, and a personal residence. More often than not, a stay in a skilled nursing facility is defined and short-term in nature. Specialized services such as pathologists, hearing specialists, rehabilitationists, dietary aides, occupational therapists, and others, can all be offered at a skilled nursing facility.

 

Examples of skilled nursing services include wound care, intravenous (IV) therapy, injections, catheter care, physical therapy, and monitoring of vital signs and medical equipment. Skilled nursing care provided in any setting for any duration must be ordered by a doctor to be covered by Medicare, Medicaid, the VA, or private health insurance.

 

A nursing home is classified as custodial care, and involves many non-medical support activities like bathing, grooming, medication monitoring, social and recreation activities, among others. A patient at a nursing home requires non-medical care which is above the care an assisted living facility is permitted to provide.

 

In a nursing home, it is typically a non-medical worker providing custodial care, whereas in a skilled nursing facility, any of the following can provide care: Registered nurses (RNs), Speech pathologists, Vocational nurses, Audiologists, Medical doctors, Rehabilitation specialists.

 

The average monthly cost of nursing homes is around $6,000. Medicare does not pay for long-term or permanent stays in nursing homes. Medicaid does cover extended stays in skilled nursing facilities for seniors with limited assets and low income who have a medical need for this high level of care, but details of this coverage vary by state.

 

Medicare Part A provides payment for post-hospital care in skilled nursing facilities (SNFs) for up to 100 days during each spell of illness.  A “spell of illness” begins on the first day a patient receives Medicare-covered inpatient hospital or skilled nursing facility care and ends when the patient has spent 60 consecutive days outside the institution, or remains in the institution but does not receive care covered by Medicare for 60 consecutive days.

If Medicare coverage requirements are met, the patient is entitled to full coverage of the first 20 days of SNF care.  From the 21st through the 100th day, Medicare pays for all covered services except for a daily, co-insurance amount, which is adjusted annually.

Medicaid may pay for a stay in a nursing home if the individual meets nursing home functional eligibility criteria and has income and assets below certain guidelines. A large number of Medicaid certified nursing homes and SNFs are available in each state. Unlike Medicare, Medicaid has strict eligibility requirements.

In situations when costs are not covered through other means, paying via private funds is an option.

Nursing Home Services

 

  • Room and board

  • Monitoring of medication

  • 24-hour emergency care

  • Social and recreational activities

  • Specialized memory care

  • 3 meals a day in a group dining room

  • Personal care services (help with bathing, dressing, toileting, etc.)

  • Supervision and assistance for persons with Alzheimer’s, dementia, and other disabilities

  • Recreational activities

  • Exercise and wellness programs

  • Laundry and linen service

  • Housekeeping and maintenance

  • Arrangements for transportation

Skilled Nursing Facility Services

 

  • All the above services

 

  • Planning, managing, and evaluating patient care

 

  • Giving injections

  • Inserting catheters and feeding lines

  • Using aspiration devices

  • Treating skin diseases

  • Therapy (physical, occupational, speech)

  • Applying dressings for wound care

All Nursing Homes in our network are vetted, clean and affordable Contact us to speak to a care coordinator>>