Skilled Nursing Facilities vs. Nursing Homes: What's the Difference?

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Entrusted Legacy Law

Posted on

Feb 24, 2023

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Pennsylvania - Greater Pittsburgh Area

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Many use the terms “skilled nursing facility” and “nursing home” interchangeably. However, they're separate care facilities. Although skilled nursing facilities and nursing homes sound similar, they have fundamental differences, including the level of medical care they provide.

Whereas nursing homes are long-term residential facilities that serve people with chronic conditions, skilled nursing facilities are rehabilitation and treatment centers. Nursing homes are appropriate for long-term residents, while skilled nursing facilities support short-term recovery from acute medical issues.


Duration of Stay

How long a person needs to stay at a facility can determine whether they go to a nursing home or a skilled nursing facility. People usually remain in nursing homes for longer durations than in skilled nursing facilities. Many older adults move into nursing homes permanently. Those in skilled nursing facilities tend to stay for shorter periods of time and then move back home or into long-term care.

According to the National Care Planning Council, people who enter nursing homes stay for an average of more than two years. The average stay in a skilled nursing facility is about a month.


Skilled Nursing

In addition to the length of stay, a significant difference between skilled nursing facilities and nursing homes is the type of care available. Skilled nursing facilities specialize in addressing residents’ unique medical needs.

Skilled nursing requires qualified practitioners with advanced training and specific certifications. Licensed health professionals work at skilled nursing facilities, including:

  • Registered nurses (RNs)

  • Licensed practical nurses (LPNs)

  • Speech and language pathologists

  • Physical and occupational therapists

Depending on the type of care you need, note that you can obtain skilled nursing services in other settings as well, including your home and nursing homes.


Types of Care Available in Skilled Nursing Facilities

Individuals who have severe accidents, such as falls, might need short-term care in a skilled nursing facility. Others may go to skilled nursing facilities to receive treatment for severe illnesses like cancer. People might also need to stay in a skilled nursing facility when recovering from surgery.

Types of care available at skilled nursing facilities include:

  • Physical therapy

  • Occupational therapy

  • Speech therapy

  • Wound care

  • Intravenous therapy

  • Injections

  • Catheter care

  • Medical monitoring

As part of medical care, specialized medical equipment is available at skilled nursing facilities.


Nursing Homes

When individuals can no longer live in their homes safely and need assistance with daily living, they may choose to move into a nursing home. Nursing homes also offer activities to residents, such as social events, shopping excursions, and access to religious services. Day and night, residents have access to nursing services.

However, unlike skilled nursing facilities, nursing homes don't offer medical care that meets all residents’ specific needs. Residents at nursing homes with specific medical needs often travel to healthcare facilities to receive care. Family members can drive residents to appointments, or they may use transportation services to access medical care that meets their unique needs.


In addition, while registered nurses work in nursing homes, fewer licensed professionals might be available to residents in this type of facility.


Learn more about choosing and evaluating nursing homes.


Assistance With Daily Living

Both skilled nursing facilities and nursing homes provide round-the-clock activities of daily living (ADLs), including:
  • Showering and bathing

  • Getting dressed

  • Cooking and meals

  • Personal hygiene

  • Walking

  • Mobility

  • Getting in and out of bed

  • Moving in and out of a wheelchair

This article is a service of Sharek Law Office, LLC. We don’t just draft documents; we ensure you make informed and empowered decisions about life and death, for yourself and the people you love. That's why we offer a Life and Legacy Planning Session, during which you will get more financially organized than you’ve ever been before, and make all the best choices for the people you love. You can begin by calling our office today to schedule a Life and Legacy Planning Session and mention this article to find out how to get this $750 session at no charge. Please note this is educational content only and is not intended to act as legal advice.

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Elder Law 100 Pinewood Lane Suite #303, Warrendale, Pennsylvania, 15086

Our Firm Prepares You for Life What makes our firm different is that we were built with the needs of growing families in mind. We understand you are BUSY, you are growing, you are planning for a life of prosperity and you value ease, convenience and efficiency. You are raising children, and caring for elderly parents, while also working hard to build your own nest egg for a lifetime of support. You want to know youve made the best decisions for your family and that your plan will work when your loved ones need it most. You want to make sure your minor children would be raised by the people you choose, and never by anyone you wouldnt want, and that your teens and adult children are properly prepared to care for you and what you leave behind.  You want to feel confident that youve made the right choices, and handled everything so that you arent leaving behind a mess, when something happens. That is our focus as well. Weve developed unique systems to give you the same access to a Personal Family Lawyer as was previously only available to the super-wealthy, so you can have the guidance you need to build and maintain a life of prosperity and wealth. And, to keep your family out of court and out of conflict, which is the greatest risk to the people you love and all you have created, even if youve already worked with a traditional lawyer or created documents online. Our Team Is Here for You We encourage communication with our clients. In fact, weve thrown out the time clocks so you never have to be afraid to call with a quick question. Everything we do is billed on a flat-fee basis, agreed to in advance, so there are never any surprises. We have a whole team to serve you. When you call our office to ask your quick question, you wont have to wait hours or days for a phone call back. Youll get your question answered, right away. And, if you need to schedule a more in-depth legal or strategic call with your Personal Family Lawyer, a call will be scheduled when you're both available and ready for the call so we can make the very best use of your time and not waste your time by leaving voicemail after voicemail back and forth. And, we ensure the most important details of your planning are followed through on and your plan continues to work throughout your lifetime. We have a funding coordinator to ensure your assets are owned the right way throughout your lifetime and none of your assets will end up going through a long, expensive court process or being lost to the state because they were missed after your death. Weve created unique membership programs to keep your plan up to date year in and year out as well as give you access to our Trusted Team of Legal Experts for guidance on ANY legal or financial matter. One day you will need a lawyer. I dont know why and I dont know when, but when you do, you will be grateful you can call on us and well be here to advise you or get you out of a jam. We Help You Transfer Your Life and Legacy Lastly, we believe your financial wealth is only a small part of your overall Life and Legacy Planning which is made up of your far more valuable and most often lost upon incapacity or death intellectual, spiritual and human assets. These assets are what make you who you are, and sum up whats most important to you. And, a survey of inheritors has revealed that what they care about even more than inheriting your money, is inheriting these intangible assets.   Most estate plans only focus on the transfer of your financial wealth to the next generation. Most people have such great intentions of passing on the intangible, but very few ever get around to it. Its just not a priority, until its too late. How much do you know about your grandparents values? Their most prized personal possessions? How they felt about you? What they had learned during their lifetime? If you are like most people, you know very little. Thats why we build the capture and passage of these most valuable assets into every estate plan we create. Not only will we help you pass on your money, but also your values, your insights, your stories and your experience the truly valuable assets your loved ones care about the most.  Weve developed a tool that allows us to capture and pass on your whole family wealth, including your Intellectual, Spiritual and Human assets.  I cant go into all of the details here, but well definitely talk about it when you come in for your Life and Legacy Planning Session.