Nursing Care Services in Miami by Golden Health At Home

What qualifies a patient for skilled nursing care?

A patient qualifies for skilled nursing care based on medical necessity and specific criteria set by Medicare and other healthcare insurers. Key qualifying factors include:

Medical Condition: The patient must have a condition requiring skilled nursing or rehabilitation services. Common conditions include stroke recovery, post-surgical care, or severe illness needing specialized nursing.

Doctor’s Orders: A physician must certify the need for skilled care and create a care plan outlining the required services.

Hospital Stay: For Medicare coverage, the patient usually needs a qualifying hospital stay of at least three consecutive days before admission to a skilled nursing facility.

Required Services: The care must be medically necessary and can only be provided by or under the supervision of skilled nursing or therapy staff. Services may include:

• Intravenous injections and medications
• Complex wound care
• Physical therapy
• Speech-language pathology services
• Occupational therapy

Facility Certification: The skilled nursing facility must be Medicare-certified to provide the required level of care and services.

By meeting these criteria, patients can access skilled nursing care covered by Medicare or other insurance programs, ensuring they receive necessary medical and rehabilitative services.