II. Definitions
- Longterm Care Facility
- Healthcare facility attending to patients and residents in need of ADL assistance
- May offer rehabilitation, skilled nursing care, and adjunctive health and social services
- Includes various levels of care from SNF and TCU to Nursing Homes and intermediate care
- Skilled Nursing Facility (SNF)
- Facility offering continuous 24 hour nursing, with medical supervision and adjunctive health and social services
- Provides a level of care below acute hospital care and above intermediate care and custodial care
- Intended for rehabilitation to greater functional capacity in ADLs and self care (often as a TCU stay after hospitalization)
- Tailored services based on patient needs include physical therapy, occupational therapy, speech therapy
- SNF in U.S. are typically Medicare certified to provide subacute care and rehabilitation services
- Transitional Care Unit (TCU)
- Short-term care (typically up to 21-28 days) in a Skilled Nursing Facility
- Intended for medically complex patients, typically recovering after hospitalization or surgery
- Intermediate Care Facility
- Facility offers 24 hours health-related care and services below the level of hospitals and skilled nursing facilities
- Intended for patients with physical, cognitive or mental health conditions requiring more than routine custodial care (room and board)
- Nursing Home
- Facility offering continuous, Longterm Care to patients unable to perform Activities of Daily Living
- Intended for patients with chronic, physical and mental health limitations, not requiring acute or subacute care
- Most U.S. Nursing Homes have 24 hour care with nursing assistants and nurse supervision, as well as dining services
- Most Nursing Homes also offer additional services, such as physical therapy, occupational therapy, speech therapy
III. Management: Dementia and Behavior
IV. Management: Infectious Disease
V. Management: Medications
VI. Prevention
- Fitness, Function and Fall Prevention
-
Vaccination
- Influenza Vaccine for all residents and staff annually
- Covid Vaccine
- Pneumococcal Conjugate Vaccine (e.g. PCV21)
- Herpes Zoster Vaccine (Zostavax)
- Prevent Methicillin Resistant Staphylococcal Aureus (MRSA)
- Strict Handwashing practices by residents, guests, staff
- Barrier precautions for wounds and medical devices
- No routine screening, isolation, or aggressive housekeeping
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Related Studies
| Definition (NCI_CDISC) | The patient will be admitted into a medical center that provides care 24 hours per day. |
| Definition (NCI) | A medical center that provides care 24 hours per day. (ACC) |
| Definition (MSH) | Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board. |
| Concepts | Health Care Related Organization (T093) , Manufactured Object (T073) |
| MSH | D007380 |
| English | Care Facilities, Intermediate, Care Facility, Intermediate, Facilities, Intermediate Care, Facility, Intermediate Care, Intermediate Care Facilities, intermediate care facility, Intermediate Care Facility |
| Swedish | Intermediär vård |
| Czech | pečovatelské domovy se zprostředkovatelskou péčí |
| Finnish | Välimuotoiset hoitolaitokset |
| Russian | MEDITSINSKOI POMOSHCHI PROMEZHUTOCHNOI UCHREZHDENIIA, MEDITSINSKOI PROMEZHUTOCHNOI POMOSHCHI UCHREZHDENIIA, МЕДИЦИНСКОЙ ПОМОЩИ ПРОМЕЖУТОЧНОЙ УЧРЕЖДЕНИЯ, МЕДИЦИНСКОЙ ПРОМЕЖУТОЧНОЙ ПОМОЩИ УЧРЕЖДЕНИЯ |
| French | Centres de soins de suite, Établissements de soins de suite, Centres de soins continus, Établissements de soins courants, Établissements de soins continus |
| Polish | Opieka pośrednia nad pacjentem, Domy opieki pośredniej |
| Norwegian | Midlertidig opphold i institusjoner, Intermediære helseinstitusjoner |
| German | Stationäre Nachsorgeeinrichtungen |
| Italian | Strutture di assistenza intermedia |
| Dutch | Nazorginrichting, Nazorginrichtingen |
| Portuguese | Instituições para Cuidados Intermediários |
| Spanish | Instituciones de Cuidados Intermedios |
Ontology: Nursing Homes (C0028688)
| Definition (HL7V3.0) | <p>Nursing Home</p> |
| Definition (MEDLINEPLUS) |
A nursing home is a place for people who don't need to be in a hospital but can't be cared for at home. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day. Some nursing homes are set up like a hospital. The staff provides medical care, as well as physical, speech and occupational therapy. There might be a nurses' station on each floor. Other nursing homes try to be more like home. They try to have a neighborhood feel. Often, they don't have a fixed day-to-day schedule, and kitchens might be open to residents. Staff members are encouraged to develop relationships with residents. Some nursing homes have special care units for people with serious memory problems such as Alzheimer's disease. Some will let couples live together. Nursing homes are not only for the elderly, but for anyone who requires 24-hour care. NIH: National Institute on Aging |
| Definition (NCI_NCI-GLOSS) | A place that gives care to people who have physical or mental disabilities and need help with activities of daily living (such as taking a bath, getting dressed, and going to the bathroom) but do not need to be in the hospital. |
| Definition (NCI) | A residential health care facility for persons with chronic illness or disability. |
| Definition (MSH) | Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization. |
| Definition (PSY) | Establishments where maintenance and personal or nursing care are provided for persons (as the aged or chronically ill) who are unable to care for themselves. |
| Definition (CSP) | facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization. |
| Concepts | Health Care Related Organization (T093) , Manufactured Object (T073) |
| MSH | D009735 |
| SnomedCT | 393287008, 394237009, 42665001 |
| HL7 | N |
| LNC | LA27-8, LA18066-3 |
| English | Home, Nursing, Homes, Nursing, Nursing Homes, Nursing Home, NURS HOMES, HOMES NURS, nursing homes, nursing home, Nursing home (qualifier value), Nursing homes, NURSING HOME, Long term care facility, Nursing home, Long-term care facility, NH - Nursing home, Nursing home (environment), Nursing home, NOS |
| Swedish | Vårdhem |
| Czech | domovy ošetřovatelské péče, pečovatelské domovy, ošetřovatelské ústavy |
| Finnish | Hoitokodit |
| Russian | UKHOD ZA NENUZHDAIUSHCHIMISIA V GOSPITALIZATSII, UCHREZHDENIIA, UKHOD ZA LITSAMI NE NUZHDAIUSHCHIMISIA V GOSPITALIZATSII, UCHREZHDENIIA, UCHREZHDENIIA, OBESPECHIVAIUSHCHIE UKHOD ZA NE NUZHDAIUSHCHIMISIA V GOSPITALIZATSII, УХОД ЗА ЛИЦАМИ НЕ НУЖДАЮЩИМИСЯ В ГОСПИТАЛИЗАЦИИ, УЧРЕЖДЕНИЯ, УХОД ЗА НЕНУЖДАЮЩИМИСЯ В ГОСПИТАЛИЗАЦИИ, УЧРЕЖДЕНИЯ, УЧРЕЖДЕНИЯ, ОБЕСПЕЧИВАЮЩИЕ УХОД ЗА НЕ НУЖДАЮЩИМИСЯ В ГОСПИТАЛИЗАЦИИ |
| Japanese | ナーシングホーム |
| Spanish | institución geriátrica (medio ambiente), establecimiento geriátrico, centro de cuidados de pacientes crónicos con atención de enfermería, centro de cuidados de pacientes crónicos con atención de enfermería (medio ambiente), institución geriátrica, Sanatorio, institución geriátrica (centro de atención médica) (medio ambiente), institución geriátrica (entorno ambiental), Casas de Salud |
| French | Maisons de repos |
| Polish | Zakłady pielęgnacyjno-opiekuńcze, Domy pielęgnacyjno-opiekuńcze |
| Norwegian | Pleiehjem, Sykehjem |
| German | Krankenpflegeheime |
| Italian | Residenze sanitarie assistite |
| Dutch | Verplegingstehuis, Verplegingstehuizen |
| Portuguese | Casas de Saúde |
Ontology: skilled nursing facility (C0037265)
| Definition (HL7V3.0) | <p>Extended care facility</p> |
| Definition (HL7V3.0) | <p>(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.</p> |
| Definition (MSH) | Extended care facilities which provide skilled nursing care or rehabilitation services for inpatients on a daily basis. |
| Definition (CSP) | medical institution that provides prolonged, skilled nursing care or rehabilitation services for inpatients on a daily basis, as in cases of prolonged illness or rehabilitation from acute illness. |
| Concepts | Health Care Related Organization (T093) , Manufactured Object (T073) |
| MSH | D012866 |
| SnomedCT | 45618002 |
| HL7 | 314000000X, X |
| LNC | LP93379-3, LP135588-4, MTHU042191, LA6376-3 |
| English | Care Facilities, Extended, Care Facility, Extended, Extended Care Facilities, Extended Care Facility, Facilities, Extended Care, Facilities, Skilled Nursing, Facility, Extended Care, Facility, Skilled Nursing, Nursing Facilities, Skilled, Nursing Facility, Skilled, Skilled Nursing Facilities, extended care facility, NURS FACILITIES SKILLED, FACILITES SKILLED NURS, SKILLED NURS FACILITIES, care extended facilities, extended care facilities, facilities nursing skilled, care facilities skilled, skilled nursing facilities, Skilled Nursing Facility, Skilled care facility, Skilled nursing facility (environment), Skilled nursing facility, Skilled nursing facility, NOS, Extended care facility, skilled nursing facility |
| Swedish | Faciliteter för avancerad omvårdnad |
| Czech | pečovatelské domovy s kvalifikovanou péčí |
| Finnish | Päiväsairaalat |
| Russian | MEDITSINSKIE UCHREZHDENIIA S KVALIFITSIROVANNOI MEDSESTRINSKOI POMOSHCH'IU, МЕДИЦИНСКИЕ УЧРЕЖДЕНИЯ С КВАЛИФИЦИРОВАННОЙ МЕДСЕСТРИНСКОЙ ПОМОЩЬЮ |
| French | Établissements de soins infirmiers qualifiés, Établissements de soins qualifiés, Skilled Nursing Facilities (USA), Établissements de soins infirmiers spécialisés |
| Polish | Ośrodki opieki specjalistycznej, Domy opieki specjalistycznej, Wyspecjalizowane domy opieki |
| Norwegian | Institusjoner med spesialisert pleiepersonell |
| Spanish | Servicios de Enfermeras Especializadas, unidad de enfermería profesional (centro de atención médica) (medio ambiente), unidad de enfermería profesional (entorno ambiental), unidad de enfermería profesional (medio ambiente), unidad de enfermería profesional, Instituciones de Atención Extensa, Instituciones de Cuidados Especializados de Enfermería |
| German | Spezialisierte Pflegeeinrichtungen, Spezialpflegeeinrichtungen |
| Italian | Assistenza domiciliare integrata |
| Dutch | Gespecialiseerde verpleeginrichting, Gespecialiseerde verpleeginrichtingen, Gespecialiseerde zorginrichtingen |
| Portuguese | Instalações de Cuidados Extensivos, Instituições de Cuidados Especializados de Enfermagem |
Ontology: Long-Term Care Facility (C1708733)
| Definition (NCI) | A healthcare facility that provides rehabilitative, restorative, and/or ongoing skilled nursing care to patients or residents in need of assistance with activities of daily living. |
| Concepts | Health Care Related Organization (T093) |
| LNC | LP66709-4, MTHU027991 |
| English | Long-Term Care Facility, Long term care facility, Long-term care facilities, LONG-TERM CARE FACILITY |
