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I recently found myself having to decide between a skilled nursing facility or inpatient rehabilitation center when it was time for my 104-year-old grandmother to be discharged from the hospital. Here she was doing well, and ready to transfer out of the hospital setting, but not strong enough to go back to her apartment in independent living.
How does one make the decision to go to one over the other? What are the pros/cons? Where will your loved one be the safest and get the care needed to regain strength and make it back home? These are questions that run through one’s mind and need to be answered when making this type of decision. While it is best to work on prevention to avoid a hospital stay in the first place, it’s good to know that there are options available that can help one transition between the hospital and home.
Remember that the number one cause of injury for seniors is due to falls. (CDC.gov) See our blog for information on How to Prevent Falling How to Prevent Fallin... (rubycaresenior.com)
Skilled Nursing Facilities and Rehabilitation Centers are great transition options. Medicare often required a min 3 day hospital stay before qualifying to stay at a Skilled Nursing Facilities and Independent Rehabilitation Centers. (cms.gov)
Skilled Nursing Facility (SNF)
Definition: Skilled nursing is a term that refers to a patient's need for care or treatment that can only be done by licensed nurses. Skilled nursing is mostly regulated by the U.S. Department of Health and Centers for Medicare & Medicaid Services (CMS). To be certified by CMS, skilled nursing communities must meet strict criteria and are subject to periodic inspections to ensure quality standards are being met. Often referred to as a nursing home although that actually refers to the actual building that skilled nursing is provided. (verywellhealth.com and harrogatelifecare.org)
The focus of care in SNF’s is on 24/7 medical care, assistance with activities of daily living (ADLs), and rehabilitation for those who require ongoing medical care.
Types of patients that go to SNFs typically require ongoing medical care, such as those needing wound care, healing from surgery, or chronic medical conditions.
One will typically have a longer stay, often a few weeks to months, when in a skilled nursing facility. Rehabilitation therapy is required 5 days a week, but not as intense.
Services covered by Medicare:
· Meals
· 24/7 Nursing available
· Activities of Daily Living (ADL) assistance
· physical, occupational therapy, speech therapy
· medication management
· social services
· medical equipment (DME)
· ambulance transportation to a medical facility for additional services needed when not available at the skilled nursing facility
Services NOT covered by Medicare:
· palliative or hospice care services or long-term care needs.
(Hospice care services are covered once rehabilitation is no longer an option and end of life is needed).
Inpatient Rehabilitation Center (IRF)
Definition: Inpatient Rehabilitation Facilities (IRFs) are freestanding rehabilitation hospitals and rehabilitation units in acute care hospitals. They provide an intensive rehabilitation program and patients who are admitted must be able to tolerate three hours of intense rehabilitation services per day. (cms.gov)
The focus of care in an inpatient rehabilitation facility is on rehabilitation and helping patients regain independence and mobility.
Types of patients that typically go to an IRF are those who have had a recent injury, illness, or surgery that requires intense rehabilitation to regain their ability to function independently.
One typically has a shorter stay of days up to several weeks and is required by Medicare to participate in a min of 3 hours a day or min of 15 hours per week of therapy (Physical/Occupational/Speech).
Who helps me decide where to go?
The Hospitalist – This is the internal Medicine doctor that oversees patient care while staying in the hospital. They will often make a recommendation.
Case Manager (Hospital) – Assigned to the patient to aid in navigation the transition from the hospital to SNF, Rehab Center, or home. If going directly home, they would also assist with Home Care options and DME.
Terms
· Rehabilitation – Short or Long-term inpatient rehabilitation is often covered under insurance after a serious surgery or injury. This can help not only provide daily therapy, but also provide a family caregiver some respite or allow for the injured party to gain some strength and mobility back before returning home.
· Physical Therapy - Often covered by insurance. One can receive physical therapy to help build overall strength and mobility of the area that was impacted. Services can be given in the hospital, skilled nursing, rehab, outpatient setting, or through Home Health.
· Occupational Therapy – This type of therapy is great for helping to discover new ways to do everyday activities that have become more challenging since an injury or fall. Typically covered by Insurance. Services can be given in the hospital, skilled nursing, rehab, outpatient setting, or through Home Health.
· Speech Therapy – This type of therapy is great for making sure swallowing, eating, drinking, and talking are all in good working order after surgery, injury, or serious illness. Is often covered by insurance, and services can be given in in the hospital, skilled nursing, rehab, outpatient setting, or through Home Health.
Care Assistance
· Home Care – Bringing in some assistance temporarily while recovering can help take the load off the day-to-day chores and assist with Activities of Daily Living (ADLs), allowing you to focus on healing and getting stronger. This is often private pay unless you have long-term care insurance or qualify for VA benefits.
While both SNFs and IRFs provide 24/7 medical care and rehabilitation services, they differ in what they focus on regarding the patients that they admit and the intensity of the rehabilitation services they offer.
What happened to grandma? Based on her level of energy and weakness due to her illness and the fact that it would take another week for her to start getting some energy back, it was decided the best choice would be a Skilled Nursing Facility. The 3 hours a day therapy requirement would have been too much at the time for her to endure. Happy to report she is truly remarkable and making good strides toward a full recovery. Go grandma go!
Britt Hemsell – Ruby Care Senior Living Advisor & Blog Contributor
As we age, the need for specialized care can often arise, particularly for those with chronic conditions or recovery needs. Skilled nursing facilities play a crucial role in providing comprehensive care and support for seniors in Boulder, Colorado. This blog aims to inform you about skilled nursing services, their benefits, and how to choose the right facility for your needs. What is Skilled Nursing? Skilled nursing refers to a level of care that is provided by trained professionals, including nurses and therapists, to individuals requiring medical attention and rehabilitation. These services are typically offered in skilled nursing facilities (SNFs), which are designed to cater to seniors with varying health needs. Services may include: 24-hour nursing care Medication management Physical, occupational, and speech therapy Assistance with daily activities (ADLs) such as bathing, dressing, and eating Rehabilitation services following surgery or illness The Benefits of Skilled Nursing Professional Care: Skilled nursing facilities in Boulder are staffed with licensed medical professionals who are trained to provide high-quality care and monitor the health of residents around the clock. Personalized Care Plans: Each resident receives an individualized care plan tailored to their specific medical and personal needs, ensuring that they receive the most effective care possible. Therapeutic Services: Many skilled nursing facilities offer therapeutic services that help seniors regain independence and improve their quality of life after an illness or injury. Social Engagement: Living in a skilled nursing facility provides opportunities for social interaction, helping to reduce feelings of loneliness and isolation among seniors. Family Peace of Mind: Knowing that a loved one is receiving professional care can ease family members worries and allow them to focus on spending quality time together. Choosing the Right Skilled Nursing Facility in Boulder Selecting a skilled nursing facility can feel overwhelming, but there are several factors to consider ensuring you make the right choice: Location: Consider the proximity of the facility to family and friends. This can make visits easier and bolster emotional support. State Licensing and Accreditation: Verify that the facility is licensed by the state of Colorado and check for any certifications, such as Medicare certification. Staff-to-Resident Ratio: A lower staff-to-resident ratio often means better care and attention for each resident. Reputation and Reviews: Look for online reviews and testimonials from current and former residents and their families to gain insights into the facility's quality of care. Tour the Facility: Schedule a visit to tour the facility, meet the staff, and observe the environment to ensure it aligns with your expectations. Skilled Nursing Resources in Boulder For seniors and their families seeking skilled nursing options in Boulder, the Seniors Blue Book offers a comprehensive directory and valuable resources. Visit our page here to explore skilled nursing facilities in your area or learn more about other senior housing options here. Conclusion Skilled nursing facilities provide essential services that cater to the unique needs of seniors in Boulder, Colorado. By understanding what skilled nursing entails, the benefits it offers, and how to choose the right facility, you can make informed decisions that enhance the quality of life for yourself or your loved ones.
Thinking about a move can stir up all kinds of emotionsexcitement, uncertainty, even a little stress. Maybe your home feels too large now. Maybe the upkeep is getting harder. Or maybe its simply time for a fresh start in a place that suits your needs todaynot 10 or 20 years ago. Navigating the real estate market, preparing your home to sell , and making decisions about relocating to a new place to live is a big processbut with the right support, it can also be empowering. Its about choosing what comes next on your terms and stepping into a lifestyle thats simpler, safer, and more aligned with how you want to live. Understanding the Marketand Your OptionsIn the first half of 2025, the DallasFort Worth housing market is shifting toward more balance. That means sellers are still seeing solid value, while buyers have more time and options to make thoughtful choices. If youre thinking about downsizing, this could be a great moment to take the leap.According to Karen Young, a Seniors Real Estate Specialist (SRES), the DFW housing market is especially active among adults 55 and older who are looking for the ideal place to relocate or invest in their retirement future. Texas consistently appeals to seniors, she explains, with its favorable tax climate, reasonable cost of living, and diverse options in senior-focused communities.Karen also notes a rising demand for homes in active adult neighborhoods offering amenities like fitness centers, social activities, and maintenance-free living. Im personally seeing senior executives moving toward retirement increasingly consider these communities, she says, either as a current lifestyle choice or a strategic investment for their future.With DFWs competitive real estate landscape, Karen encourages seniors to be proactive and to work with real estate professionals experienced in senior relocation. This is especially important when navigating tax strategies related to capital gains and understanding senior property tax exemption status, she adds.Whether you plan to move to a smaller home or to an active adult or retirement community, understanding your real estate options is key. That includes knowing what your current home is worth, what kind of living space fits your lifestyle, and what steps are needed to get from where you are now to where you want to be.Thats where professionalslike real estate agents, organizers, and senior relocation specialistscan make all the difference.Your Moving Preparation ChecklistHaving an outline or list of where to begin the process can help you put everything in perspective and alleviate the overwhelm of it all. Here are a few guidelines to help you feel in control once things get going:Start Early Give yourself plenty of time to make decisions without feeling rushed.List Your Priorities What matters most in your next home? Proximity to family? Less maintenance? Community living?Get a Home Evaluation Understanding your homes market value is a great first step.Purge with Purpose Begin sorting what to keep, donate, or let go ofwith help if needed.Meet with Professionals A move manager, real estate agent, or financial advisor can offer personalized insight.Keep it all Together Store your notes, contact info, and paperwork all in one place.Be Kind to Yourself Downsizing can be emotional. Dont shy away from taking time to reflect and recharge.Look to the Future Remind yourself why youre making this moveits about ease, safety, joy, and freedom.You Dont Have to Do It AlonePlanning a move can feel like a lotbut it doesnt have to be something you tackle on your own. There are experienced professionals who specialize in making this kind of transition smoother, more organized, and a lot less stressful.Thats exactly what we do at WellRive.Our senior relocation specialists are here to support you through every step of the journey. From connecting you with a knowledgeable real estate agent and helping you explore new living options, to organizing, downsizing, and packingwere by your side through it all. And once youve moved, well even help set up your new home so it feels just right from the moment you walk in.Contact WellRive today at 469-526-4201 to learn how we can help make your move easier, more organized, and fully supported - from start to finish.
As we get older, life naturally starts to feel a bit different. What once felt like the perfect family home can start to feel like a LOT of work. Cleaning empty bedrooms, climbing stairs, keeping up the yardsometimes it all adds up to more stress than comfort.If youve been thinking, Do I really need all this space?youre not alone. More and more older adults across the country, including here in the DallasFort Worth (DFW) area, are choosing to downsize (or as we like to say, rightsize) to something that better fits their current lifestyle. In fact, a 2024 report by the North Texas Real Estate Information Systems (NTREIS) showed that DFW homeowners aged 60+ accounted for nearly 1 in 4 home sales, many of whom were selling larger homes to move into smaller, more manageable properties or senior living communities. Whether it's relocating to a smaller home, a condo, or a retirement community, the decision can lead to less upkeep, more freedom, and a boost to your financesespecially in todays housing market. But with interest rates, housing prices, and inflation all playing a part, how do you know whats right for you?Lets break it down.Whats Happening with Interest Rates in 2025?As of April 2025, interest rates are still relatively high, with the average 30-year mortgage hovering around 6.7%7%. That might seem like a reason to waitbut for seniors who are selling a large, mortgage-free home, downsizing still makes strong financial sense.Why? Because many retirees are cash buyersmeaning you may not need a mortgage at all when purchasing a smaller home, condo, or moving into a retirement community.You can sell your current home (often at a high price, since real estate values have remained strong in many parts of the country) and use the equity to pay outright for a smaller propertyor invest it for future needs.Whats the Smarter Move: Smaller Home or Retirement Community?Before you start packing boxes or browsing condo listings, take a moment to reflect. Ask yourself: Do I want to cut monthly costs and free up some equity? Do I crave more social opportunities, built-in amenities, and less responsibility when it comes to maintaining a home?If you're nodding yes, downsizing may be the right next step. But the type of move depends on your lifestyle: A smaller home or condo may be perfect if you still want independence, privacy, and flexibility. A senior or retirement community is ideal if you value connection, convenience, and amenities like fitness classes, dining services, and on-site healthcare. Lets Talk Numbers: Is Downsizing Worth It?Heres a snapshot of the financial perks of downsizing in todays market:Lower Monthly Costs Housing payments: Based on a 2024 study from StorageCafe.com, downsizing from a 4-bedroom to a 2-bedroom home can save up to $200,000$500,000 depending on your location. Utilities: Smaller spaces mean lower bills. According to a survey conducted by Texas-based pre-paid electric company, Payless Power, nearly 20% of Americans downsize to cut energy costs. Property taxes & insurance: Historically, both of these usually decrease with a smaller, lower-valued home. Unlocking Equity Selling your current home can free up hundreds of thousands of dollars in equity. That money can be used to: Invest in income-generating accounts or annuities Pay for healthcare, travel, or family support Cover future long-term care or in-home support services Lower Maintenance = Less Stress Repairs, yard work, and home maintenance costs all shrink with smaller properties or move-in-ready communities. If you move into a retirement community, things like snow shoveling, lawn care, and even housekeeping may be included. But What About the Costs of Moving?Its a great question. Moving can come with its own expensesbut many of those are one-time costs, and theyre often far outweighed by long-term savings and improved quality of life.Partnering with a senior relocation company like WellRive takes the stress out of downsizing by handling every detaildecluttering, packing, staging, coordinating the home sale, and getting you comfortably settled into your new space. Having dedicated, experienced support during a major life transition isnt just helpfulits truly invaluable.Lets Make This Your Best Move YetDownsizing isnt about giving upits about gaining more. More time, more freedom, and more peace of mind when it comes to your finances. Whether you're exploring smaller homes or considering a senior community, were here to support you. Contact WellRive today at 469-526-4201 and discover how downsizing can open up a wealth of possibilities!
When Its Time for Senior Living, We Help You Find the Perfect Community for You! With over 900 senior living options in the DFW area, Ruby Care helps families make informed decisions. We provide complimentary assistance to find the most appropriate living community including Indepenent Living, Assisted Living, Residential Care Homes, Memory Care & Nursing Home. Our ExperienceIf you've been searching for senior housing for you or your loved one, you know there are hundreds of senior living communities in the Dallas/Fort Worth area. Let Ruby Care help you. We do the legwork at no cost to you and help you find the place that is perfect for you and your family.Our professionals are well-known in the communities they serve. In order to help you best, they network with health care providers, such as home health, hospice, rehabilitation facilities, hospitals, physicians and other senior service providers.Collectively, our team has over 50 years of experience in healthcare and we are trained to listen to your needs so that we can work to find the best options for you...at no cost! Why Us?We know this can be a stressful time for you as you choose your next home. When you work with us, you will be assigned a Senior Living Advisor (SLA) who knows the community and has first-hand knowledge of the communities you are considering. Your SLA will meet with you in person and will listen to your wishes, wants and needs in order to help guide your next steps. Your SLA will also help you with senior living community tours and preparation to help guide you through the selection process. We serve as your advocate and help make this a smooth, seamless transition. Once you have selected a community, we continue to follow up for at least the next thirty days to make sure things are going well and there are no outstanding concerns. possibilities. placement. peace of mind.