Facilities provide 24/7 care for residents and offer full assistance with ADLs. Daily rates typically include a furnished bedroom and a private or shared bath, meals, activities, transportation, phone service, cable television, and all personal/nursing care. Payor sources usually accepted are Medicare, Medicaid, VA, some insurance plans, and private sources.
Many skilled nursing facilities offer restorative and rehabilitative physical and occupational therapy, and speech-language pathology services. Short-term rehabilitation services may be provided to individuals with diagnoses such as joint replacements, stroke, etc. Long-term rehab may also be provided for permanent residents of the facility who have chronic or progressive illnesses. Occupational therapy services in this setting are generally reimbursed by Medicare Part A for short-term, acute care clients; Medicare Part B for long-term residents who require skilled services and have medically necessary need for rehab; and often by private insurance, Medicaid, or private pay for younger clients.