Which care setting requires Medicare certification and provides 24-hour nursing coverage with availability of PT, OT, and SLT?

• A. Acute Rehab Hospital
• B. Ambulatory Care
• C. Sub-Acute Care
• D. Skilled Nursing Facility (Extended Care)

Answer: (D)

Medicare-certified settings that offer around-the-clock nursing and access to rehabilitation therapies are Skilled Nursing Facilities. A SNF is certified to receive Medicare Part A benefits and provides 24-hour licensed nursing care, with easy access to physical therapy, occupational therapy, and speech-language pathology as part of skilled rehab and medical management. This combination—Medicare certification plus continuous nursing coverage and comprehensive therapy services—is what distinguishes a SNF from outpatient ambulatory care (which is not 24-hour), sub-acute care (often less intense or housed in different settings), or an acute rehab hospital (which is hospital-based and has its own admission and funding structure).