Case Scenario
Your favorite seventy-two-year-old Uncle Bob recently slipped on the ice and broke his left hip. After surgery and a four-day hospital stay, the hospital is ready to discharge him. His physician believes Uncle Bob would benefit from a stay at a skilled nursing facility where he would receive skilled nursing, physical therapy and occupational therapy. The physician writes the order. Your Uncle Bob has Medicare A and Medicare B.
Questions
1. Will Medicare cover his skilled nursing facility stay?Why or Why not? Be specific.
Because the social workers cannot recommend a facility, Uncle Bob asks you, the future healthcare administrator, for your advice. He wants to stay in within 10 miles of the State College area so family and friends can visit during his stay.
2. Using the data compiled in Nursing Home Compare (Links to an external site.)Links to an external site., which facility do you recommend and why?
Compare facility information to state and national standards, speaking specifically to (a) health inspections, (b) quality and (c) staffing in your response.
3. Based on your assessment of the facility data, is the Five-Star Quality Rating System helpful to potential residents and their families in making decisions about nursing home care?
Why or why not?
4. If a facility receives a five-star rating in one period and then is downgraded to a lower rating in a later period, does it face any financial consequences? Explain.
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