What Is the Difference Between Skilled Nursing and a Nursing Home, and How to Choose the Right Care
                     What Is the Difference Between Skilled Nursing and a 
Nursing Home, and How to Choose the Right Care
As we age, we may find ourselves or our loved ones in need of extra help with daily activities and 
medical care. The process of choosing the right care can feel overwhelming, especially with so many 
options available. One of the most common points of confusion is the difference between skilled 
nursing and a nursing home. Both provide critical services, but each caters to a different set of needs.
In this blog, we will guide you through the distinction between these two care options and help you 
make an informed decision based on what’s best for your loved one.
By the end of this post, you’ll have a clearer understanding of the differences between skilled 
nursing and nursing homes, and you’ll know how to select the right care based on your family’s 
needs.
What is Skilled Nursing?
Skilled nursing refers to a level of care provided by medical professionals, such as registered nurses 
and therapists. This type of care is often necessary for individuals who need ongoing medical 
attention, such as post-surgery recovery, stroke rehabilitation, or wound care. Skilled nursing facilities
(SNFs) provide medical support for a range of services, including medication management, physical 
therapy, and assistance with complex health conditions.
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Skilled nursing is more than just help with daily activities; it’s the medical expertise required to help 
someone recover or manage their health condition. The focus is on providing advanced care that 
requires professional intervention, but without the need for a hospital setting.
When is Skilled Nursing Necessary?
Skilled nursing is essential for individuals who need specialized care, such as after a major surgery, 
following a stroke, or when managing chronic health conditions. If a person requires more than basic 
assistance with daily activities, but their condition does not require hospitalization, skilled nursing is 
the right choice. This type of care ensures they receive the necessary medical attention to support 
their recovery and well-being.
The Role of Skilled Nursing Facilities (SNFs)
Skilled nursing facilities are designed for individuals who need continuous medical care or 
rehabilitation. These facilities offer a combination of healthcare services and rehabilitation programs,
making them ideal for short-term recovery or long-term medical management. Whether someone is 
recovering from surgery or needs ongoing care for a chronic illness, SNFs provide the specialized 
attention necessary for their health.
What is a Nursing Home?
Understanding Nursing Homes
A nursing home, also known as a long-term care facility, provides a more comprehensive range of 
services than assisted living but may not focus on intensive medical care. These homes are primarily 
for individuals who require constant assistance with daily activities, such as eating, dressing, bathing,
and moving around. Nursing homes also provide healthcare services, but the care is generally less 
specialized than that offered in a skilled nursing facility.
Nursing homes cater to people who cannot live independently due to chronic illness, cognitive 
decline, or disability, and they provide both custodial care and health services to meet the needs of 
residents.
The Scope of Services in Nursing Homes
Nursing homes offer a wide range of services, including 24-hour care, help with personal activities, 
medication management, and social and recreational activities. These facilities are designed to 
support people who need help with daily living tasks but do not require the intensive medical care 
found in skilled nursing facilities. Activities and social engagement are an important aspect of nursing
homes, helping residents maintain a sense of purpose and connection.
When to Consider a Nursing Home
If a loved one’s cognitive or physical abilities have declined to the point where they need round-the-
clock care and assistance with daily activities, a nursing home might be the right option. Nursing 
homes are ideal for individuals who need long-term care, such as those experiencing progressive 
dementia, mobility limitations, or severe chronic illness. These facilities provide the level of care that 
allows residents to maintain their comfort and dignity while receiving necessary health support.
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Key Differences Between Skilled Nursing and Nursing Homes
Level of Care
The main distinction between skilled nursing and nursing homes lies in the level of care provided. 
Skilled nursing facilities focus on specialized medical care, such as rehabilitation, therapy, and 
complex medical treatments. Nursing homes, on the other hand, provide custodial care, focusing on 
daily activities and general health maintenance. While both types of facilities offer medical attention,
skilled nursing is specifically tailored for people requiring advanced medical care, while nursing 
homes offer support for residents who need help with living activities.
Duration of Stay
Skilled nursing is often short-term, designed to help individuals recover from surgery or an illness. It’s
a temporary option to aid in rehabilitation. In contrast, nursing homes are typically a long-term 
solution for individuals with chronic conditions or disabilities. Some individuals may start in a skilled 
nursing facility and transition to a nursing home if their health needs change over time.
Type of Medical Staff
In skilled nursing facilities, you’ll find specialized medical staff, including registered nurses and 
physical therapists, who provide high-level care. Nursing homes typically have nursing aides and 
licensed practical nurses (LPNs), but not necessarily specialists unless required. This difference in 
staffing reflects the medical focus in skilled nursing and the broader, day-to-day care provided in 
nursing homes.
Cost Considerations
The financial differences between skilled nursing and nursing homes can be significant. Skilled 
nursing tends to be more expensive because of the higher level of medical care provided. Nursing 
homes may be more affordable as they focus more on personal assistance and less intensive medical 
care. However, both options can vary greatly depending on the level of services provided and 
geographic location.
How to Choose the Right Care for Your Loved One
Assessing Medical Needs
When choosing between skilled nursing and a nursing home, it’s essential to assess your loved one’s 
medical needs. Does the person require ongoing physical therapy or specialized treatments, or do 
they need help with daily activities? If their needs are primarily medical, skilled nursing is likely the 
best choice. If they need help with daily living but their health is relatively stable, a nursing home 
may be more appropriate.
Considering the Duration of Care
Another important factor is how long care will be required. Short-term recovery, such as after 
surgery, may be best served by skilled nursing care. For long-term assistance, particularly for those 
with chronic conditions, a nursing home offers more sustained support. Keep in mind that some 
individuals may transition between these two options as their needs evolve.
Location and Accessibility
The location of the facility is also a critical consideration. It’s important to choose a care facility that 
is easily accessible for family members who want to visit often. Some skilled nursing facilities are part
of larger nursing homes, offering both types of care in one location, making it easier to transition if 
necessary.
Evaluating Quality of Care
Take the time to assess the quality of care provided by any facility you’re considering. Read reviews, 
visit the facility in person, and talk to staff members. It’s crucial to ensure that your loved one will be 
treated with compassion and respect, as this can greatly impact their quality of life.
Financial Considerations
Before making a decision, carefully consider the financial aspects of both options. Insurance, 
Medicare, Medicaid, and private pay options can all play a role in covering costs. Be sure to ask about
payment plans, coverage options, and any hidden fees to ensure that you understand the financial 
commitment.
Making the Decision Together
Involving Family in the Decision-Making Process
This decision should involve open discussions among family members. Understand your loved one’s 
preferences and consult with medical professionals to get expert guidance. Working together as a 
family ensures that the decision aligns with everyone’s expectations.
Visiting Facilities
Visiting different facilities is one of the best ways to understand the environment and quality of care. 
Pay attention to how the staff interacts with residents and whether the facility feels like a place your 
loved one would be comfortable in.
Trusting Your Instincts
Finally, trust your instincts. Choosing the right care facility is not just about logistics or costs, but 
ensuring that your loved one will feel valued and comfortable. Choose the facility that feels like the 
best fit for their health, comfort, and happiness.
Conclusion: Providing Dignified Care for Your Loved One
Choosing between skilled nursing and a nursing home ultimately comes down to understanding your 
loved one’s unique needs. Whether short-term medical care or long-term assistance with daily 
activities is required, each option provides a pathway to ensure dignity, comfort, and quality of life.
At Solheim Senior Community, we offer compassionate care that meets the physical, mental, and 
spiritual needs of older adults. We invite you to visit our website or reach out to learn more about 
how we can help provide the best care for your loved one. Together, we can ensure that every person
we serve is treated with love, respect, and care, because at Solheim, it’s not just about providing 
care, it’s about creating a supportive community for all. Visit    Solheim Senior Community  today to 
discover more.