Skilled Nursing in Miami, FL

Skilled Nursing in Miami, Florida: Search Near You, How to Pay, Licensing, Local Resources, and Questions to Ask

Skilled nursing in Miami, Florida, provides comprehensive medical care and rehabilitation services for seniors recovering from surgery or managing chronic health conditions. Florida ranks 20th in the nation for assisted living, reflecting its commitment to high-quality senior care. Skilled nursing facilities in Miami offer 24/7 nursing care, physical therapy, and personalized care plans, ensuring optimal health and well-being for residents.

About Skilled Nursing in Miami, FL

In Miami, Florida, skilled nursing is defined as a high level of medical care provided by licensed healthcare professionals, including registered nurses, physical therapists, and occupational therapists, for seniors with serious health conditions or those recovering from surgery. These facilities offer 24/7 nursing care, comprehensive rehabilitation services, and assistance with activities of daily living. Skilled nursing also includes medical management, medication administration, and specialized care plans tailored to each resident’s specific needs. The goal is to ensure the best possible health outcomes and enhance the quality of life for seniors by providing continuous and personalized medical care.

Considerations when looking for Senior housing in Miami, FL

There are 10 skilled nursing facilities in Miami, Florida. The estimated population of Miami is 455,924 with 16.3% of that number being those ages 65 and older. In Miami, the summers are hot, oppressive, wet, and mostly cloudy and the winters are short, comfortable, humid, windy, and mostly clear. Over the course of the year, the temperature typically varies from 62°F to 90°F and is rarely below 50°F or above 92°F.

Cities Near Miami, FL

• Hialeah, FL – 11 miles northwest
• Miami Beach, FL – 10 miles east
• Coral Gables, FL – 6 miles southwest
• North Miami, FL – 10 miles north
• South Miami, FL – 10 miles southwest

Pricing and How to Pay for Skilled Nursing

Paying for senior care depends on several factors. On average, residents can expect to pay $9,977 per month for skilled nursing services. These fees encompass personalized care, engaging activities, and comfortable accommodations, ensuring a fulfilling retirement experience. Keep in mind these costs may fluctuate depending on factors such as location and facility amenities.

Paying for Senior Living and Care will vary depending on a few factors. For instance, the level of care needed; the income and savings of the resident; the state and location of the community; or if the resident is a veteran. In the United States there are over 400 programs that may offer some monetary relief for senior care, but often the majority of costs are covered by private funds and family assistance. These funds come from our Federal, State, and Local Governments. 

It is important to take your time when exploring payment and coverage options.

Private pay – YES:

• Many families pay for assisted living with private funds.
• Private pay can be a combination of retirement funds, personal savings, and pension payments.
• Family members may contribute funds to pay for assisted living or other senior housing and care.

Medicare -MAYBE:

Medicare will TYPICALLY cover Skilled Nursing (SNF) care ONLY under these factors: 

• People 65 years and older and individuals with end stage renal disease are eligible for Medicare benefits, no matter their income.
• Coverage is meant for people in need of short-term care.
• The person has Medicare Part A, and has available days left in their benefit period. The person has a qualified hospital stay. (3 consecutive midnights or more) 
• The individual must enter SNF within 30 days of leaving the hospital. 
• The person’s doctor has ordered inpatient services at a skilled nursing facility. 
• The individual must need and receive the skilled care daily. The care provided must be care that the person can only receive in a SNF. 
• The person needs skilled services because of an ongoing condition or a new condition that started while in a SNF for treatment of an ongoing condition. 
• The skilled services must be reasonable and necessary for the treatment of the condition.  
• You must receive the care in a Medicare certified SNF.

Medicaid – MAYBE:

Medicaid can be a payer source if the patient needs both care and has a financial hardship based on the individual state criteria. Eligible participants include: low-income adults, elderly adults and people with disabilities. The program is funded jointly by each state and the federal government; and national guidelines are in place do decipher how states must spend Medicaid money, but with allowances toward the guidelines. Every state has their own individual Medicaid assistance program. Each state determines what levels of care will be covered by Medicaid, who is eligible, and how much the state will reimburse the care community.

• Skilled nursing falls under Medicaid’s Nursing Facility Services. 
• People who are eligible for Medicaid must meet the state criteria for skilled nursing care. 
• The state of residency must abide by federal law and regulations when setting their skilled nursing care requirements.  
• The patient meets the state guidelines for income and asset limits.

If you are unsure whether you qualify for Medicaid, you should apply. You may be eligible depending on your household income, family size, age, disability and other factors.For a clearer understanding on coverage contact your State Health Insurance Assistance Program.

Long-term Care Insurance – MAYBE:

Long term care insurance is a great way to pay for assisted living, and planning ahead is important when considering how to pay for senior housing and care. Nearly 75% of people over the age of 65 will require long-term care services at some point, so naturally, buying into long-term care insurance when a person is in their 50s and 60s is the most common time to do so.

• Long-term care insurance helps cover the costs of chronic medical conditions.
• Individuals and couples with the ability to pay into long-term care insurance have the advantage of a head start in allocating funds for senior care.

Veteran Aid and Assistance – MAYBE:

This benefit is available to some military veterans and surviving spouses who live in an assisted living community and those who have in-home care.

• There are specific guidelines, but a veteran may qualify for as much as $2,050 each month.
• A veteran with a sick spouse may be eligible for $1,600 per month.
• If a veteran has passed, their surviving spouse can qualify for $1,300 per month.

Local Hospitals and Healthcare Providers in Miami, FL

Jackson Memorial Hospital

• Address: 1611 NW 12th Ave, Miami, FL 33136
• Phone Number: (305) 585-1111

University of Miami Hospital

• Address: 1400 NW 12th Ave, Miami, FL 33136
• Phone Number: (305) 689-5511

Mercy Hospital

• Address: 3663 S Miami Ave, Miami, FL 33133
• Phone Number: (305) 854-4400

Baptist Hospital of Miami

• Address: 8900 N Kendall Dr, Miami, FL 33176
• Phone Number: (786) 596-1960

Mount Sinai Medical Center

• Address: 4300 Alton Rd, Miami Beach, FL 33140
• Phone Number: (305) 674-2121

Questions to ask a skilled nursing facility

• Is the facility licensed?
• Has the facility’s license ever been revoked?
• Is the facility Medicare/Medicaid certified?
• What types of insurance is accepted?
• Are all specific medical needs able to be met?
• What services are offered?
• What is the rate for basic care?
• Are any reviews available to be seen by the public?
• Are protocols in place to ensure healthy, balanced meals?
• What if an individual has specific dietary restrictions, can they be met at the facility?

Additional questions and inquiries to ask skilled nursing facilities

• What should a new resident (patient) bring with them?
• What is the difference between skilled nursing and assisted living?
• What happens in case of an emergency?
• Can the family pet visit the resident?
• What is the level of privacy?
• What are the available social activities?
• What is the hours for family visits?
• Can patients request special meals for dietary needs?
• Are skilled nursing facilities connected to hospitals?
• How big are the rooms?
• What are the training requirements of skilled nurses?

Resources and Links – Florida

Florida Department of Elder Affairs Administers human service and long term care programs for Florida’s elders age 60 and older and their caregivers. Services include Home Care Program, Nutrition Programs, Home Delivered Meals, Congregate Meals, Nutritional Counseling, Family Caregiver Support Program, Adult Family Care, Personal Care Management Program, Money Management Program Financial Assistance, Congregate and Supportive Housing, Nursing Home Ombudsman Program, transportation, home repairs and employment.

Department of Children and Families Florida Abuse Hotline The Florida Abuse Hotline serves as the central reporting center for allegations of abuse, neglect, and or exploitation for all children and vulnerable adults in Florida. Confidential reports.

American Indian Tribes and Tribal Organizations is a Care Giver Program, Case Management, Home Health Services, Adult Protective Services, Emergency Response Systems, Employment Services, Financial Services, Legal Assistance, Home Repair, Home Modification, Information and Referral/Assistance, Home Delivered Meals, Congregate Meals, Personal Care, Sr. Center Programs

Eldercare Locator This is a great resource to search for specific care in specific counties and cities. This database is a nationwide resource that connects older Americans and their caregivers with trustworthy local support resources. Connect with services such as meals, home care or transportation, or a caregiver education or respite from caregiving responsibilities. The Eldercare Locator is a public service of the Administration on Aging (AoA), an agency of the U.S. Administration for Community Living.

Medicare provides a search feature to find & compare providers near you, most senior housing and care providers are included on CareAvailability.com. Find & compare plans in your area. Determine if you qualify for premium savings

Medicaid offers information on how to apply for Medicaid, eligibility criteria, links to local state offices, and additional resources.

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support and research. Whether you are living with Alzheimer’s or caring for someone with the disease, information and resources are available.

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