Skilled nursing care is health care given when a person needs skilled nursing staff (Registered Nurse-RN or Licensed Practical Nurse-LPN) to manage, observe, and evaluate care.
Guardian Healthcare is a Medicare and Medicaid certified agency. Guardian’s services are also covered by MassHealth and most commercial insurance agencies. Guardian Speaks Your Language English / Spanish / French / Haitian / Portuguese Phone: 1-888-943-1976 8 a.m. to 8 p.m., Eastern Standard Time
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Skilled nursing care is health care given when a person needs skilled nursing staff (Registered Nurse-RN or Licensed Practical Nurse-LPN) to manage, observe, and evaluate care. Skilled nursing care requires the involvement of skilled nursing staff in order to be given safely and effectively. Care that can be given by non-professional staff is not considered skilled nursing care. The goal of skilled nursing care is to help improve the patient’s condition or to maintain the patient’s condition and prevent it from getting worse.
Skilled Care Services Provided by Guardian:
- Acute Illness Recovery
- Anticoagulant Management
- COPD Management
- Diabetes Management
- IV Therapy
- Medication Coaching
- Post-Surgical Care
- Psychiatric Nursing
- Wound and Ostomy Care
Guardian Healthcare considers skilled home health nursing services medically necessary when all of the following criteria are met: 1. The member is homebound because of illness or injury (i.e., the patient leaves home only with considerable and taxing effort and absences from home are infrequent, or of short duration, or to receive medical care). 2. The nursing services provided are not primarily for the comfort or convenience of the member or custodial in nature. 3. The services are ordered by a physician and are directly related to an active treatment plan of care established by the physician. 4. The services are provided in lieu of a continued hospitalization, confinement in a skilled nursing facility (SNF), or receiving outpatient services outside of the home. 5. The skilled nursing care is appropriate for the active treatment of a condition, illness, disease, or injury to avoid placing the member at risk for serious medical complications 6. The skilled nursing care is intermittent or hourly in nature. 7. The treatment provided is appropriate for the member’s condition including the amount of time spent providing the service as well as the frequency and duration of the services.