Your HSR is your main point of contact regarding health and safety matters, so make sure you inform them of any concerns or safety issues. Having your HSR represent your work group can help because: 1  A HSR is likely to understand your views and concerns.
The State has the responsibility for certifying a skilled nursing facilityâs or nursing facilityâs compliance or noncompliance, except in the case of State-operated facilities. However, the Stateâs certification for a skilled nursing facility is subject to CMSâ approval.
Long-term Care Services â Skilled Nursing. Medicare does not pay the largest part of long-term care services or personal care âsuch as help with bathing, or for supervision often called custodial care. Medicare will help pay for a short stay in a skilled nursing facility, for hospice care, or for home health care if you meet the following conditions: 1  You have had a recent prior hospital stay of at least three days. 2  You are admitted to a Medicare-certified nursing facility within 30 days of your prior hospital stay.