Who Qualifies for Skilled Nursing?

A nurse is helping an elderly woman in a wheelchair.

Skilled nursing is designed for individuals who need medical care or rehabilitation services that can only be provided by licensed professionals. To qualify, a person must typically have a documented medical condition requiring daily skilled care—such as wound treatment, IV therapy, physical therapy, or medication management.


A physician’s referral is usually required, along with a care plan that outlines specific services. Common candidates include individuals recovering from surgery, stroke, or serious illness who are not yet ready to return home safely.


Medicare or insurance often requires a hospital stay prior to admission and may cover services for a limited time if eligibility is met.


Heisinger Bluffs provides high-quality skilled nursing care tailored to individual medical and rehabilitation needs in a supportive environment.


Frequently Asked Questions

  • Does Medicare cover skilled nursing care?

    Yes, if certain conditions are met, including a recent hospital stay and medical need.

  • How long can someone stay in skilled nursing?

    Stays may be short-term or long-term, depending on recovery progress and insurance coverage.

  • Is skilled nursing the same as a nursing home?

    Not exactly. Skilled nursing provides medical care, while nursing homes offer more general long-term care.


Sources:

  • https://health.usnews.com/best-nursing-homes/articles/what-qualifies-a-patient-for-skilled-nursing-care
  • https://medlineplus.gov/ency/patientinstructions/000436.htm
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