Nursing Home & Rehab
Rehab - 24-hour skilled nursing care for seniors on a short term basis with a focus on Physical Therapy, Occupational Therapy or Speech Therapy.
Nursing Home - 24-hour skilled nursing care for seniors on a long-term basis.
Nursing Homes, also referred to as rehab, skilled nursing facilities (SNF), sub-acute rehab (SAR), long-term acute care (LTAC), is a clinical setting with residents who are under 24-hour care of licensed or registered nursing staff. Seniors who require a great deal of help with activities of daily living (ADLs), such as getting in and out of bed, and providing assistance with feeding, bathing and dressing, or suffer from debilitating complex medical problems, may need the level of care available to them in these skilled nursing facilities. Facilities serve between 30 to 200 residents and typically offer private rooms with a single bed, as well as shared rooms with two to four beds. Normally the highest level of care for older adults outside of a hospital. A nursing home is the highest care environment for today’s seniors that require skilled nursing services of a physician, nurse (RN, LPN, CNA), social worker, physical therapist, occupational therapist or a respiratory therapist on the premises. A nursing home is usually used more for a short term rehabilitation stay vs. as a long term care facility option unless the senior is on a Medicaid program.
Medicare only covers limited stays in nursing homes when certain conditions are met. Skilled nursing or rehabilitation services are covered for a limited short period after a hospitalization. Medicare does not cover custodial care (such as assistance with feeding, bathing and dressing) if that is the only care needed. Most seniors will never need a nursing home due to the increased services that assisted living communities now perform.
Pricing & How it is covered:
Medicare, Medicaid, Private Pay or Long Term Care Insurance. Covered by Medicare 1-20 at 100%, 21-100 at 80%, the rest covered by a secondary insurance or co-pay. After 100 days the patient is discharged and stays longer it becomes private pay ranging from $6000-$9000 per month, or by Medicaid, LTC. If the income and assets are limited under $2199, the patient may be eligible for Medicaid, which covers most of the costs of nursing home care. However, not all nursing homes accept Medicaid. If you suspect that you may need extended nursing home care in the future, you may want to contact an elder law attorney to learn more about which assets are protected and to what extent.
Services Typically Include:
- 24-hour staffing
- 3 restaurant-style meals served in a community dining room or your room
- Alzheimer's care, secured communities
- Assistance with activities of daily living (ADL’s), such as eating, bathing, dressing, using the restroom, and walking
- Beauty and barber salon
- Caregiver support & groups
- Emergency call systems in the apartments
- Exercise & wellness programs
- Health and medical services, such as physical therapy, occupational therapy, speech therapy
- Housekeeping services
- Incontinence care
- Laundry services
- Medication management
- On-site physicians: dentist, in-house doctor, and podiatrist
- Social & activity programs
- Special diets