Skilled Care

At Fillmore County Hospital, we understand there are times when a patient no longer needs the acute care they first received in the hospital – yet they may not feel strong enough to return home. For those patients, we offer our Skilled Services Program.

What is the Skilled Services Program?

Skilled Services is a level of care that provides patients with skilled nursing services or skilled rehabilitation services. Both levels of care are performed under the supervision of a registered nurse, and a licensed physical, occupational, or speech therapist. Daily skilled services are provided on an inpatient basis.

Our Skilled program is certified in accordance with federal, state, and local regulations. Patients may only be admitted through a recommendation from their attending physician.

The goal of the program is to provide a therapeutic atmosphere that assists patients with self-care and helps them with independent functioning.

Why use Skilled care?

Skilled Care offers patients, family members, and care providers a unique opportunity to enhance and strengthen the healing process. Skilled beds allow improvements to the quality of care for patients in rural areas as rural patients can return home for continued treatments.


  • Skilled Beds allow family and friends to be closely involved in the rehabilitative process and recovery periods.
  • Psychologically and emotionally, Skilled Bed admissions are less traumatic and threatening to patients.
  • Skilled Beds allow the patient to return to the community, people, and support systems to which they are comfortable.
  • Skilled Bed admissions offer hope for each patients’ continued recovery and return to independent and functional living.

What services are covered?

  • Nursing care 24 hours a day is provided to assist, encourage, and plan toward restoring as much independence as possible.
  • Room and board.
  • Services of a registered dietitian in providing special diets as ordered by the physician, and supervising menu selections.
  • Rehabilitation services such as physical, occupational, respiratory, and speech therapy when ordered by a physician.
  • Drugs, medical supplies, blood transfusions, laboratory services, and the use of appliances furnished by the program during the stay.
  • Services of the hospital’s activity director and discharge planning coordinator.
  • Wound care and IV therapy.

Social Work

Our social work team will help individuals, couples, and families by providing emotional support, linking of resources, and discharge planning. A social worker will meet with the patient during their stay to make sure that their needs are being met, discharge planning concerns are identified, and resources are readily available to those who are in need. This may include: setting up follow up appointments, making sure that all patients have medical equipment necessary to be successful at home, and providing in home services that may be necessary for patients and families. This could also include looking for placement at an Assisted Living or Nursing Home, if needed. When in a Skilled Level of Care at FCH, it will also be a recommendation that Care Plan Meetings be completed to ensure that the patient and providers are on the same page regarding continuation of care, treatment goals, and discharge planning needs.


Deb Uldrich, RN

Case Manager/Utilization Review

(402) 759 – 3167 ext 260