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.
Skilled Care in a Skilled Nursing Facility. Medicare provides 100 percent of expenses for the first 20 days of skilled nursing care after three consecutive days of hospitalization - not including the day of discharge. This nursing care must be physician-prescribed to be covered by Medicare.