Skilled nursing at home
Skilled nursing at home is medically necessary nursing care provided by a registered nurse (RN) or licensed practical nurse (LPN) in a patient's residence under a physician's plan of care. Medicare Part A and Part B cover skilled nursing for homebound patients who need part-time intermittent care that is "reasonable and necessary" per CMS guidelines.
What our skilled nurses do
- Wound care — post-surgical, pressure injury, and complex chronic wounds
- IV antibiotic and infusion therapy
- Medication management and reconciliation
- Disease education — diabetes, CHF, COPD, post-stroke
- Catheter and ostomy care
- Injections — insulin, B12, anticoagulants
- Lab draws and specimen collection
- Vital sign monitoring and disease-specific assessment
Who qualifies for Medicare-covered skilled nursing at home?
A patient qualifies if all of the following apply:
Source: 42 CFR § 409.42 — Beneficiary qualifications for coverage of services.
What does a skilled nursing visit look like?
A typical visit lasts 45 to 75 minutes. The nurse arrives at a scheduled window, performs the ordered care, documents the visit electronically, and updates the physician on any changes in condition. Family members are encouraged to be present for education-focused visits.
Every Kassy Health patient has one primary case manager — the nurse who knows your history, coordinates your care team, and is your first call with questions between visits.
How often will a nurse visit?
Visit frequency is set by the physician's plan of care. Common patterns:
Post-surgical wound care
2–3 visits per week for 2–4 weeks
IV antibiotic course
Daily visits for the duration of therapy
CHF education & monitoring
1–2 visits per week, tapering as patient stabilizes
Diabetes initiation
Daily for 3–7 days, then weekly
What does skilled nursing cost?
For patients who meet the eligibility criteria above, Medicare Part A covers 100% of approved skilled nursing visits — no copay, no deductible. There is a 20% coinsurance for durable medical equipment (DME) such as wound vacs or infusion pumps.
Kassy Health verifies coverage during intake and confirms any out-of-pocket costs before care begins — no surprises. We accept traditional Medicare and most Medicare Advantage plans in Central Florida.
Common questions
A physician's order is required for Medicare-covered home health. However, you can call Kassy Health directly and we will contact the physician's office or hospital discharge planner to initiate the referral on your behalf. You do not need to navigate that process alone.
Skilled nursing at home brings a licensed nurse to the patient's residence for intermittent visits — typically 45 to 75 minutes, several times per week. The patient remains at home. A skilled nursing facility (SNF) is a residential care setting where patients stay around the clock. For appropriate diagnoses, home health is equally effective clinically and strongly preferred by most patients and families.
Kassy Health assigns a primary case manager to every patient — that nurse is your consistent clinical contact. While scheduling occasionally requires a backup clinician, continuity is a core commitment. Your primary case manager coordinates every visit and stays current on your status whether or not they personally attend each one.
Routine skilled nursing visits are scheduled Monday–Friday during standard business hours. Visits can be scheduled on weekends and evenings when medically necessary per the physician's plan of care. Kassy Health maintains a 24/7 on-call clinical line for current patients with urgent questions between visits.