Skilled nursing refers to the highest level of care provided by trained professionals in a licensed nursing facility. Skilled nursing facilities, alternatively referred to as nursing homes or convalescent homes, provide continuous medical care and oversight for individuals with intricate medical needs or those in need of rehabilitation services. Services offered within skilled nursing encompass wound care, medication administration, as well as physical therapy, occupational therapy, speech therapy, and various other specialized treatments and interventions.

Skilled nursing care is recommended for those with acute or chronic medical conditions, those recovering from surgery or hospitalization, and those requiring rehabilitation services to regain function and independence. Common reasons for needing skilled nursing care include stroke, heart attack, hip or knee replacement surgery, respiratory conditions, neurological disorders, and advanced illness or terminal conditions. Skilled nursing care is suitable for individuals with complex medical needs that cannot be safely addressed within a home setting or in other healthcare settings.

While both skilled nursing facilities and assisted living communities provide care and support for seniors and individuals with disabilities, there are key differences between the two. Skilled nursing facilities provide a higher level of medical care and oversight than assisted living communities, making them ideal for individuals with acute medical needs or those requiring specialized treatments such as wound care or rehabilitation therapy. Assisted living communities, on the other hand, offer assistance with activities of daily living (ADLs) like bathing, dressing, and medication management, but do not typically offer skilled nursing services.

Skilled nursing facilities provide various services and amenities to meet the needs of their residents. These may include:

24-hour nursing care and medical supervision

Rehabilitation services

Physical therapy

Occupational therapy

Speech therapy

Medication management and administration

Wound care and dressing changes

Nutritional support and dietary services

Social and recreational activities

Palliative care and end-of-life support for individuals with advanced illness or terminal conditions

Many health insurance plans, including Medicare, cover skilled nursing care, but there are specific eligibility criteria. For example, Medicare will cover skilled nursing care in a facility if it follows a qualifying hospital stay of at least three days. Home health care, including skilled nursing, is also covered by Medicare for homebound patients who require intermittent skilled care.

It’s important to review the specifics of your insurance plan to understand the coverage limits, including co-pays and duration of covered care, as long-term care often requires additional coverage beyond Medicare.

A skilled nursing facility provides 24/7 medical care in a structured environment, ideal for patients who need constant monitoring and rehabilitation. Home care allows patients to receive skilled nursing services in their own home, which is ideal for those who are well enough to stay at home but still need medical support.

physical and occupational therapy, medication management, and specialized care for chronic conditions like diabetes or heart disease. Nurses may also provide patient education and emotional support.

If your loved one has a complex medical condition, is recovering from surgery or an injury, or needs ongoing medical monitoring, they may need skilled nursing care. A healthcare provider can evaluate their condition and recommend whether skilled nursing services are necessary.

When selecting a skilled nursing provider, look for licensed professionals, read reviews, ask for referrals from healthcare providers, and ensure the facility or home care agency is accredited. Consider the provider’s reputation, the quality of care, and the specific services they offer to meet your loved one’s needs.