Senior Services

Medical care in the nursing home setting can be requested by:

• The nursing home resident.
• A resident's family member.
• Nursing home staff.

When you request medical care for yourself or a loved one, visits from advanced practice providers and physicians will include:

• Initial medical evaluation: Our advanced practice providers come for an initial visit within the first week of admission to a nursing home. A physician will visit within the first month.
• Ongoing medical care: In accordance with Medicaid and Medicare regulations, physicians or advanced practice providers will alternate visits. They see residents every 30 days for the first three months following admission. After that, they see residents every 60 days or according to their medical needs.

In addition to an initial evaluation, advanced practice providers offer ongoing, weekly medical care at skilled nursing facilities. They remain in regular contact with the primary care physician.

Advanced practice providers perform a variety of services, such as caring for a specialized medical condition, monitoring an ongoing chronic condition and addressing acute illnesses. These services may vary by location.

The care you receive from an advanced practice provider may include:

• Advance care planning.
• Anticoagulant (warfarin) management.
• Counseling.
• Dementia and behavioral management.
• Diagnosis and management of acute and chronic diseases.
• Discharge planning.
• End-of-life hospice care.
• Health histories.
• Medicare and Medicaid recertification visits.
• Medication prescriptions.
• Physical examinations.
• Preventive care.
• Wound care.