Skilled Nursing Facility

DEFINITION of 'Skilled Nursing Facility'

A special facility or part of a hospital that provides medically necessary professional services from nurses, physical and occupational therapists, speech pathologists and audiologists. Skilled nursing facilities provide round-the-clock assistance with healthcare and activities of daily living. There are numerous federal regulations regarding what skilled nursing facilities must and must not do.

BREAKING DOWN 'Skilled Nursing Facility'

Skilled nursing facilities, including nursing homes, may not discriminate against residents on the basis of race, color, ethnicity, religion, age, sex and other protected characteristics. These facilities cannot charge a buy-in fee, as some assisted living communities do, and are required to put their services and fees in writing and give these details to the patient – or the patient's caregiver, on the patient's behalf – so he or she can make an informed decision before moving in.

Any patient entering a skilled nursing facility must receive an initial health assessment as well as ongoing health assessments to evaluate his or her physical and mental health, medications, ability to handle activities of daily living such as bathing and getting dressed, and ability to speak and make decisions. The facility and Medicare, which covers skilled nursing care, use these assessments to determine whether Medicare will pay for the patient’s stay in the facility or whether the patient will be responsible for the cost.

Skilled nursing facilities that violate the rules can be reported to authorities, such as the local long-term care ombudsmen and state nursing home regulatory agencies. For example, a woman who suspects her mother was denied entry to a particular nursing home in California because of her race could report the incident to the California Department of Public Health. If her mom doesn’t have any other care options, she might take up the matter with the nursing home and try to get her mom admitted. If there are other equally good options, she could also consider choosing a facility that feels more welcoming. For more information, see Things Nursing Homes Are Not Allowed to Do and A Quick Guide to Medicaid and Nursing Home Rules.