For more information about the author, click to view their website: Larchwood Inns
What is Post-Acute Rehabilitation? It is an
inpatient center that provides therapies and/or Skilled Nursing. Adults go there to recover from illness,
injury, surgery, or other medical conditions following treatment in an Acute
Care Hospital. Post-Acute Rehabilitation is a term used interchangeably with
Short Term Rehab, Transitional Care Unit and Skilled Nursing Rehab Facility
(SNF). These facilities offer similar services, such as: Physical Therapy,
Occupational Therapy, Speech Therapy and Skilled Nursing Services. All centers
have a Physician directing care and follow the same rules and regulations
governed by Medicare. Not all Post-Acute Centers accept Medicaid and/or private
insurance.
An individual’s Medicare benefits begin after a qualifying Acute Hospital stay if skilled services (Therapy and/or Nursing) are needed to regain physical health to go home safely. The first 20 days of Post-Acute Rehab is paid for by Medicare without a co-payment. Starting on day 21 there is a co-payment, and, depending on the individual’s circumstance, the co-payment is that person’s responsibility and may be paid by secondary insurance, by Medicaid, or by themselves. It is important to remember that not all Post-Acute Rehabilitations Centers are licensed to take Medicaid. Bearing this in mind, when co-payments begin, they may have to transfer to another Rehab facility to continue their skilled rehab services. (In extreme circumstances, Medicare stays can be as long as 100 days if the individual continues to qualify for skilled services.) Medicare Advantage plans must give pre-authorization for skilled services and will require re-authorization usually every 7 days throughout the Rehabilitation stay. One important consideration between traditional Medicare and Medicare Advantage Plans is the decision that a person no longer needs skilled services based on Medicare regulations and their Rehab benefit will end. Traditional Medicare, the Rehab facility and their therapy and nursing team makes the determination and Medicare Advantage Plans after consideration of chart review will determine when it is no longer necessary.
Questions to ask:
·
Tour the facilities and take a family
member and/or trusted friend with you. Look at the room, dining area, community
rooms, and Therapy Facilities.
·
What insurances does the facility
accept, and will the facility bill your private insurance?
·
Does the facility accept Medicaid? Very
important if you may need extended Rehab.
·
Does the facility offer Physical,
Occupational, and Speech Therapy? Do they have specialized equipment or
services?
·
Ask about dining services and whether
the facility is able to meet your individualized preferences. Ask to view a
menu and you may even want to arrange to eat a meal.
·
What is the facilities Medicare quality
(CMS) star rating?
·
Can the facility provide 1st
medication dosing on site?
·
Do they bill secondary insurance?
·
What does the facility do to provide an
individual plan of care that meets your discharge goals?
Editor’s note: This article was submitted by Melisa
Latham, RN, NHA. Melissa is the Administrator at Larchwood Inns and the PARC
and may be reached at 970-245-0022 or by email at MelissaL@LarchwoodInn.com.
The main difference between assisted living and nursing care (also known as skilled nursing care) lies in the level of care and support provided, as well as the residents needs and independence. Heres a breakdown of the differences:Level of CareAssisted Living:Assistance with Daily Activities: Assisted living is designed for people who need some help with activities of daily living (ADLs) such as bathing, dressing, grooming, eating, and mobility. However, residents are generally still independent and can manage many aspects of their daily routine without intensive medical care.Non-Medical Care: The care provided in assisted living typically focuses on personal care services like help with medication management, meal preparation, housekeeping, and transportation. However, it doesnt provide skilled medical care.Staffing: The staff in assisted living facilities are usually trained in personal care but are not licensed healthcare professionals (e.g., registered nurses, or certified nursing assistants) in most cases.Resident Independence: Assisted living communities are suited for people who can still live relatively independently but require help with certain daily tasks.Nursing Care (Skilled Nursing Care):Medical Care & Supervision: Nursing care is more intensive and focused on providing medical care and rehabilitative services. It is for individuals who need round-the-clock care, often due to chronic illnesses, complex medical conditions, or significant physical or cognitive impairments.Skilled Nursing Services: In addition to help with basic personal care, skilled nursing facilities offer nursing care, such as wound care, IV treatments, catheter care, physical therapy, and help with more complex medical needs. Residents often require frequent or constant attention from healthcare professionals.Registered Nurses (RNs): Nursing homes have licensed nurses on staff, including registered nurses (RNs) and licensed practical nurses (LPNs), who are trained to handle medical treatments and provide direct healthcare.Medical Oversight: Residents in nursing homes typically have ongoing medical oversight from doctors or specialists, and they may have a care team that includes nurses, physical therapists, occupational therapists, and speech therapists.Type of ResidentsAssisted Living:Residents are usually elderly adults who have some physical or cognitive limitations but can live relatively independently with minimal help. They may need assistance with basic activities but dont require continuous medical monitoring.People who move into assisted living may have mild cognitive impairment (e.g., early stages of dementia or Alzheimers) or physical issues that prevent them from living entirely on their own, but they still have a good level of independence.Nursing Care:Residents are typically those with serious medical conditions, severe cognitive impairment (e.g., advanced Alzheimers disease or dementia), or those recovering from surgery or an injury and in need of ongoing medical attention.Nursing homes provide care for people who are no longer able to live independently, even with assistance, and require skilled medical or rehabilitative services.Medical and Health ServicesAssisted Living:Limited Medical Care: Assisted living facilities do not provide 24/7 medical care. They can help with basic health-related services like medication reminders and minor assistance with mobility, but they do not have medical staff available at all hours.Non-medical Support: The staff focuses on assisting with ADLs, maintaining a social and active lifestyle, and providing light housekeeping, meals, and transportation.Nursing Care:Comprehensive Medical Care: Nursing homes offer around-the-clock medical care and have licensed healthcare professionals like nurses on-site. They handle more complex medical issues, including the management of chronic illnesses, medication administration, wound care, physical therapy, and other medical treatments.Specialized Services: Nursing homes also provide specialized services for residents who need rehabilitative care, such as physical therapy or speech therapy.CostAssisted Living:Generally less expensive than nursing care, as the level of care is lower and more focused on personal assistance rather than medical care. Costs can range from $2,000 to $6,000 per month or more, depending on location, the type of services, and the level of assistance needed.Many facilities also have a variety of room options, such as private or shared apartments, which can affect pricing.Nursing Care:Nursing homes tend to be more expensive due to the higher level of medical care provided. Costs can range from $5,000 to $10,000 or more per month, depending on the level of care needed and the facilitys location.The costs are often covered by Medicare (for short-term stays), Medicaid (for long-term stays, based on financial eligibility), or private insurance (if applicable).Length of StayAssisted Living:Many people move to assisted living as a long-term solution to maintain their independence while receiving help with daily tasks. Its designed for those who plan to live there for an extended period, though some may eventually transition to nursing care if their needs increase.Nursing Care:Nursing care is typically a long-term solution for individuals who require ongoing medical supervision. Some residents may stay in nursing homes permanently, especially if they have chronic medical conditions, while others may only stay temporarily for rehabilitation or recovery after surgery, illness, or injury before returning home or transitioning to a less intensive care setting.Socialization and ActivitiesAssisted Living:Assisted living communities often focus on providing an active lifestyle for residents. Many offer social and recreational activities, fitness programs, outings, and other events to help residents stay engaged, mentally and physically active.Residents often have more independence, with private apartments or rooms, and can go out and socialize freely within or outside the community.Nursing Care:Nursing homes also provide activities for residents, but the focus is more on well-being and rehabilitation. The social activities tend to be more limited compared to assisted living, and residents may not have the same level of independence due to their medical or cognitive needs.Nursing homes may offer therapy programs, entertainment, or light recreation, but the primary focus is on medical care and patient recovery.Summary of Key DifferencesFeatureAssisted LivingNursing Care (Skilled Nursing)Level of CareBasic assistance with daily activities (ADLs)Round-the-clock medical and nursing careType of CarePersonal care, medication management, social activitiesMedical care, physical therapy, rehabilitationStaffingPersonal caregivers, no medical staff on-siteRegistered nurses (RNs), licensed practical nurses (LPNs), physical therapistsIndependenceHigher independence, semi-private or private living spacesLittle to no independence, often in shared roomsCostGenerally less expensive ($2,000 to $6,000/month)Generally more expensive ($5,000 to $10,000/month)Social ActivitiesActive lifestyle, outings, fitness programsLimited activities, focus on well-being and therapyLength of StayLong-term for independent residents needing helpLong-term for those needing continuous medical careConclusion:Assisted Living is ideal for individuals who need help with daily activities but do not require extensive medical care or supervision. It allows for more independence and is suitable for people who are mostly mobile and mentally alert.Nursing Care (Skilled Nursing) is best suited for individuals who need more intensive medical support, ongoing supervision, and care from licensed healthcare professionals. It is often appropriate for people with serious medical conditions or recovery needs.Your choice depends on the level of medical care and assistance you need, as well as your personal preferences for independence and lifestyle. If your needs are likely to increase over time, assisted living communities may provide an easier transition into a higher level of care, while nursing homes are meant for individuals with more complex needs.For more information, go to: www.seniorhousingsolutions.net
Rehabilitation Services Provided in Skilled Nursing FacilitiesRehabilitation services are a cornerstone of skilled nursing facilities (SNFs), designed to help individuals recover from illnesses, injuries, or surgeries and regain their independence. Heres a closer look at the rehabilitation services offered in skilled nursing facilities and their benefits.1. Physical TherapyPhysical therapy is a critical component of rehabilitation in skilled nursing facilities. It focuses on helping residents restore strength, mobility, and physical function after surgery, injury, or a medical event such as a stroke. Key aspects of physical therapy include: Strength Training: Exercises to rebuild muscle strength and endurance. Balance and Coordination: Techniques to prevent falls and improve stability. Mobility Exercises: Activities designed to improve range of motion, walking ability, and the use of mobility aids such as walkers or wheelchairs. By working closely with licensed physical therapists, residents can achieve improved independence and a better quality of life.2. Occupational TherapyOccupational therapy in SNFs is designed to help residents regain the skills needed for daily living. This therapy focuses on enhancing a persons ability to perform activities of daily living (ADLs) such as dressing, grooming, eating, and bathing. Specific interventions include: Adaptive Techniques: Teaching residents how to use assistive devices or modify tasks to suit their abilities. Fine Motor Skills Training: Improving dexterity for tasks like buttoning clothes or holding utensils. Energy Conservation Strategies: Helping residents manage fatigue and perform tasks more efficiently. Occupational therapists work with residents to restore independence and adapt to new physical or cognitive limitations.3. Speech TherapySpeech therapy addresses communication and swallowing difficulties that may result from strokes, neurological disorders, or other medical conditions. Speech-language pathologists (SLPs) in skilled nursing facilities focus on: Swallowing Therapy: Treating dysphagia (difficulty swallowing) to prevent complications like choking or aspiration pneumonia. Communication Training: Helping residents regain or improve their ability to speak, understand language, or use alternative communication methods. Cognitive Therapy: Assisting residents with memory, problem-solving, and organizational skills. Speech therapy improves both safety and quality of life by enabling residents to eat, communicate, and engage with others effectively.4. Specialized Rehabilitation ProgramsSkilled nursing facilities often provide rehabilitation programs tailored to specific conditions, including: Post-Stroke Rehabilitation: Combining physical, occupational, and speech therapies to address the multifaceted challenges of stroke recovery. Orthopedic Recovery: Rehabilitation for individuals recovering from joint replacement surgeries, fractures, or other musculoskeletal injuries. Cardiac Rehabilitation: Programs focused on improving heart health and endurance following heart attacks or surgeries. Neurological Rehabilitation: Care for residents with conditions such as Parkinsons disease, multiple sclerosis, or traumatic brain injuries. These specialized programs ensure that residents receive targeted care to address their unique recovery goals.5. Benefits of Rehabilitation Services in Skilled Nursing FacilitiesRehabilitation services in skilled nursing facilities offer numerous benefits, including: Faster Recovery: Access to expert care and tailored therapies helps residents recover more quickly. Enhanced Mobility and Independence: Therapy restores physical function and confidence, enabling residents to perform tasks on their own. Improved Quality of Life: Rehabilitation helps residents regain their abilities, reducing frustration and fostering a sense of accomplishment. Preventing Complications: Therapies such as swallowing training and balance exercises minimize risks like choking, falls, and re-hospitalization.
Choosing the right skilled nursing facility is an important decision that can significantly impact the quality of care and quality of life. Below is a guide to the key elements to look for when selecting a skilled nursing facility.1. Accreditation and LicensingThe first step in evaluating a skilled nursing facility is verifying its licensing and accreditation. Ensure the facility is: Licensed by the state and meets local regulations. Medicare- and Medicaid-certified if you plan to use these programs. Accredited by reputable organizations such as The Joint Commission, which indicates a commitment to high standards of care. These credentials reflect the facilitys adherence to quality and safety standards.2. Quality of CareThe quality of care provided is the most critical factor. To assess this, consider: Staff Qualifications: Are there licensed nurses and certified nursing assistants on duty 24/7? Staff-to-Resident Ratio: Facilities with lower ratios can provide more personalized care. Specialized Services: Does the facility offer care tailored to specific needs, such as memory care, post-stroke rehabilitation, or palliative care? Inspection Reports: Request state inspection reports to review any past deficiencies or complaints. You can also read online reviews and speak with current residents or their families for firsthand feedback.3. Medical and Rehabilitation ServicesEnsure the facility offers the medical and rehabilitation services required for your or your loved ones needs, including: On-site access to physicians and therapists. Physical, occupational, and speech therapy programs. Advanced care for chronic conditions, such as diabetes, heart disease, or dementia. Post-surgical or wound care management. The availability of specialized services can make a significant difference in recovery and comfort.4. Cleanliness and SafetyA well-maintained facility promotes better health outcomes and reduces the risk of infection or injury. During your visit, take note of: General cleanliness in resident rooms, common areas, and bathrooms. Safety features such as handrails, wheelchair-accessible spaces, and emergency call systems. Infection control measures, including protocols for managing contagious illnesses. A clean and safe environment is essential for both physical and emotional well-being.5. Resident Engagement and ActivitiesSocial and emotional well-being are crucial to a residents overall quality of life. Look for facilities that offer: A variety of activities, such as group exercises, arts and crafts, and outings. Opportunities for social interaction and community engagement. Access to spiritual or religious support. Facilities with a strong focus on enrichment can help residents stay mentally stimulated and emotionally fulfilled.6. Meals and NutritionProper nutrition is a key component of recovery and health maintenance. Evaluate the facilitys dining services: Are meals nutritious, balanced, and tailored to dietary restrictions? Does the facility accommodate special diets, such as diabetic or low-sodium options? Is assistance available for residents who need help eating? Request to sample a meal during your visit to experience the quality firsthand.7. Staff Attitude and CultureThe demeanor of the staff can have a profound impact on a residents experience. Observe interactions between staff and residents: Are staff members respectful, patient, and caring? Do they communicate clearly and listen to residents needs? Is there a sense of warmth and professionalism? A positive, compassionate staff culture can make a facility feel like home.8. Options Cost and PaymentUnderstanding the cost of care is essential for making an informed decision. When evaluating a facility: Request a detailed breakdown of costs, including room rates, medical services, and additional fees. Ask about accepted payment options, such as private insurance, Medicare, or Medicaid. Inquire about financial assistance programs if affordability is a concern. Having a clear understanding of costs helps families plan for long-term care.
At Larchwood Inns our goal is to encourage and motivate each person to achieve and maintain their highest level of independence in a caring and warm environment. We offer skilled rehabilitation with the latest cutting-edge equipment bringing a new type of rehabilitation and skilled care to Grand Junction, Colorado. Our caring staff is here to ensure the highest level of support to our guests. At Larchwood Inns we provide many opportunities for individuals to make choices, to stay active, and to interact with residents, families, staff, and the community.
At Larchwood Inns our goal is to encourage and motivate each person to achieve and maintain their highest level of independence in a caring and warm environment. We offer skilled rehabilitation with the latest cutting-edge equipment bringing a new type of rehabilitation and skilled care to Grand Junction, Colorado. Our caring staff is here to ensure the highest level of support to our guests. At Larchwood Inns we provide many opportunities for individuals to make choices, to stay active, and to interact with residents, families, staff, and the community.
At Larchwood Inns our goal is to encourage and motivate each person to achieve and maintain their highest level of independence in a caring and warm environment. We offer skilled rehabilitation with the latest cutting-edge equipment bringing a new type of rehabilitation and skilled care to Grand Junction, Colorado. Our caring staff is here to ensure the highest level of support to our guests. At Larchwood Inns we provide many opportunities for individuals to make choices, to stay active, and to interact with residents, families, staff, and the community.