Skilled nursing or rehabilitation facilities

I Would Like to Learn About:

Description

When you no longer need the amount or type of care provided in a 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 health care provider 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 provider may determine that you no longer need the amount or type of care provided in the hospital, but you need more or different 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, or more help than you would have available
Move safely between your sleeping area, bathroom, and kitchen.
Go up and downstairs, if there is no 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 provider will supervise your care. Other trained providers will help you regain your strength and ability to care for yourself:

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 from and sit down safely onto a chair, toilet, or bed. They may also help you relearn to climb steps and 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. Skilled nursing facility (SNF) care. www.medicare.gov/coverage/skilled-nursing-facility-snf-care. Accessed July 8, 2023.

Gadbois EA, Tyler DA, Mor V. Selecting a skilled nursing facility for postacute care: individual and family perspectives. J Am Geriatr Soc. 2017;65(11):2459-2465. PMID: 28682444 pubmed.ncbi.nlm.nih.gov/28682444/.

Review Date: 7/8/2023

Reviewed By: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

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. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.