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 is medically necessary care that can only be provided by or under the supervision of skilled or licensed medical personnel. Some examples of skilled care services are physical therapy, wound care, IV injections and catheter care. Skilled care is typically more costly than custodial care and can take place at home or in a skilled nursing facility. Medicare may cover a portion of skilled nursing care costs but the qualifications are quite strict and most people will not qualify for this limited benefit.