Longterm care (LTC) came about in the 18th and 19th century, poorhouses became homes for the indigent elderly. Initially, "paupers" were given cash payments called "outdoor relief", which was paid for by the taxpayers of the city or county. As the cost of outdoor relief increased, governments decided to create a more cost-effective system, called "indoor relief". They built poorhouses, almshouses, poor farms, county infirmaries, asylums, or county homes to house people who were too expensive to support with outside relief, and required welfare recipients to go to these facilities if they wanted assistance. In some states, the state owned and operated some or all of the poorhouses, in others, counties or cities ran them (Eldercare.com). Since …show more content…
SNFs provides 24-hour skilled nursing care and medical supervision for the more acute (critically ill) patients that are one step below hospital acute care. SNFs Payment Payments covered by out-of-pocket private pay, private health insurance or long-term care insurance policies. Medicare or Medicaid may also pay for nursing home care under certain circumstances. Costs depends on the level of care and services one receives. Assisted living and nursing homes have their best features, great benefits and unpleasant drawbacks. The key is finding the best level of care to meet an aging relative's required needs for as long as possible. A skilled nursing home is a clinical care provider providing 24/7 licensed skilled nursing care. Nursing home offers medical services, therapy services, rehabilitation services and nursing care for residents. A physician supervises each resident's care, while a RN is on-site at all times. Other occupational or physical therapists are available to give physical therapy, occupational and speech rehabilitation, intravenous therapy, post-surgical stabilization, pulmonary management, and wound