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Skilled nursing is appropriate when someone requires 24-hour medical supervision, complex wound care, IV therapy, rehabilitation after a stroke or surgery, or management of chronic conditions like advanced dementia or Parkinson's disease. A physician's assessment typically determines the level of care needed.

The Centers for Medicare & Medicaid Services (CMS) rates nursing homes on a 1-5 star scale based on health inspections, staffing levels, and quality measures. You can look up any Medicare-certified facility on Medicare.gov's Care Compare tool. State health departments also publish inspection reports.

Medicare covers up to 100 days of skilled nursing facility care following a qualifying hospital stay of at least 3 days. The first 20 days are fully covered; days 21–100 require a daily copay. Medicare does not cover long-term custodial care. Medicaid may cover long-term nursing home stays for those who qualify financially.

Los centros de enfermería ofrecen cuidados de enfermería especializados las 24 horas y servicios de rehabilitación para mayores con necesidades médicas compleja

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