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Skilled nursing or rehabilitation facilities

When you no longer need the amount of care provided in the hospital, the hospital will begin the process to discharge you.

Most people hope to go directly home from the hospital. Even if you and your doctor planned for you to go home, your recovery may be slower than expected. As a result, you may need to be transferred to a skilled nursing or rehabilitation facility.

Who Needs to go to a Skilled Nursing or Rehabilitation Facility?

Your health care provider may determine that you no longer need the amount of care provided in the hospital, but you need more care than you and your loved ones can manage at home.

Before you can go home from the hospital, you should be able to:

  • Safely use your cane, walker, crutches, or wheelchair.
  • Get in and out of a chair or bed without needing much help.
  • Move safely between your sleeping area, bathroom, and kitchen.
  • Go up and down stairs, if there is no other way to avoid them in your home.

Other factors may also prevent you from going directly home from the hospital, such as:

  • Not enough help at home
  • Because of where you live, you need to be stronger or more mobile before going home
  • Medical problems, such as diabetes, lung problems, and heart problems, that are not well controlled
  • Medicines that cannot safely be given at home
  • Surgical wounds that need frequent care

Common medical problems that often lead to skilled nursing or rehabilitation facility care include:

  • Joint replacement surgery, such as for the knees, hips, or shoulders
  • Long stays in the hospital for any medical problem
  • Stroke or other brain injury

If you can, plan ahead and learn how to choose the best facility for you.

What Happens During Your Stay?

At the skilled nursing facility, a doctor will supervise your care. Other trained health care providers will help you regain your strength:

  • Registered nurses will care for your wound, give you the right medicines, and monitor other medical problems.
  • Physical therapists will teach you how to make your muscles stronger. They may help you learn how to get up and sit down safely from a chair, toilet, or bed. They may also help you relearn to climb steps, keep your balance. You may be taught to use a walker, cane, or crutches.
  • Occupational therapists will teach you the skills you need to do everyday tasks at home.
  • Speech and language therapists will evaluate and treat problems with swallowing, speaking, and understanding.

References

Centers for Medicare and Medicaid Services website. Medicare coverage of skilled nursing facility care. www.medicare.gov/Pubs/pdf/10153.pdf. Updated January 2015. Accessed August 2, 2017.

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Review Date: 7/15/2017

Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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