Skilled Nursing Services

Skilled Observation & Assessment: Reasonable and necessary to the treatment of any illness or injury. If likelihood of future complication or acute exacerbation of illness. Specifically targeting:

  • IV therapy of antibiotics, TPN, hydration
  • Aftercare for surgical patients
  • Aftercare for orthopedic patients
  • CHF, CABG, cardiac, pneumonia, COPD, HTN, care follow-up with telehealth monitoring component
  • CVA, venous insufficiency, peripheral vascular disease and multiple sclerosis care and follow-up
  • Failure to thrive
  • Symptom management for patients with cancer and receiving treatment
  • Pediatric care (Pediatric NP on staff for consultation)

Management & Evaluation of Patient Plan of Care: Case management and coordination, including management of chronic conditions.

Teaching & Training Activities: Teaching patient/caregiver(s) how to manage treatment regimen.

  • Diabetic management and instructions
  • Medication reconciliation and management
  • Self-injectibles teaching and training (Lovenox, insulin)
  • Self-care for recent ostomy or reinforcement ostomy care
  • Simple wound care
  • Self-management of health conditions, especially chronic conditions

Other Skilled Nursing Care

  • Monthly B-12 injections
  • Incontinence care management (including catheters)
  • Wound care (WOCN on staff for consultation)
  • Ostomy care
  • Nutritional assessment and instruction

Home Health Aide Services (in presence of a skilled need)

Personal Care as Delegated by the RN or Therapist

  • Bathing, dressing, grooming, hair/nail care, oral hygiene
  • Feeding, assistance with elimination, incontinence care
  • Skin care, foot care, simple wound care
  • Routine catheter and colostomy care
  • Assistance with ambulation, positioning, transfers and ROM
  • Specialized exercise programs as delegated by therapist
  • Assistance with medications ordinarily self-administered
  • Routine care of prosthetic or orthotic device