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What Is a Skilled Nursing Facility?

When it comes to making healthcare decisions for yourself or a loved one, understanding the options available is crucial. One such option is a Skilled Nursing Facility (SNF). In this article, we'll delve into what a Skilled Nursing Facility is, how it operates, and how it differs from a Nursing Home.

What Is a Skilled Nursing Facility?

A Skilled Nursing Facility is an in-patient rehabilitation and medical treatment center that boasts a dedicated staff of trained medical professionals. These professionals include licensed nurses, physical and occupational therapists, speech pathologists, and audiologists. The primary purpose of an SNF is to provide medically-necessary services to patients who require round-the-clock care.

Patients at Skilled Nursing Facilities receive assistance not only with their healthcare needs but also with Activities of Daily Living (ADLs). These ADLs encompass tasks like bathing, dressing, and mobility. Importantly, Skilled Nursing Facilities must adhere to stringent federal regulations, defining what they can and cannot do, ensuring patients receive appropriate care and protection.

Skilled Nursing Facility vs. Nursing Home

One common source of confusion is the distinction between Skilled Nursing Facilities and Nursing Homes. Typically, an SNF serves as a temporary residence for patients requiring medically-necessary rehabilitation. In contrast, a Nursing Home tends to be a more permanent residence for individuals in need of 24/7 custodial care.

How a Skilled Nursing Facility Works

When a patient enters an SNF, they undergo an initial health assessment, followed by ongoing assessments to evaluate physical and mental health, medication management, and the ability to handle ADLs. These assessments ensure that patients receive tailored care to aid in their recovery.

It's also crucial to note that Skilled Nursing Facilities, like Nursing Homes, are prohibited from discriminating against residents based on factors such as race, ethnicity, religion, age, or sex. Violations of these rules can be reported to local long-term care ombudsmen and state nursing home regulatory agencies, safeguarding the rights of residents.

Paying for a Skilled Nursing Facility

The cost of Skilled Nursing Facilities can be a concern for many. For patients needing post-hospital care and enrolled in Medicare, up to 100 days in a Medicare-certified SNF can be covered if they meet Medicare's requirements. After the initial 100 days, patients become responsible for all costs, which can be partially or fully covered by private insurance or Medicaid for eligible individuals.

Skilled Nursing Facilities are prohibited from charging buy-in fees, a common practice in some assisted living communities. They are also legally obligated to provide a written description of a patient's legal rights, which can vary by state.

It's essential to acknowledge that long-term stays in Skilled Nursing Facilities can be quite expensive. In 2019, the average cost of a private room in an SNF or Nursing Home was approximately $102,200 annually, according to a report by Genworth on long-term care costs.

In conclusion, Skilled Nursing Facilities play a crucial role in the continuum of care, providing essential medical and rehabilitation services for patients in need. Understanding the differences between SNFs and Nursing Homes, as well as the financial aspects involved, can help individuals and families make informed decisions about their healthcare needs. When faced with the choice of an SNF, it's vital to consult with healthcare professionals and explore the available options to ensure the best possible care for your specific situation.

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