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d as a nursing home by its state, certified as a nursing facility under Medicare or Medicaid, identified as a nursing unit in a retirement center, or determined to provide nursing or medical care” (Giacalone, 2001). There are other terminologies that are employed to define the nursing home industry such as extended care family, intermediate care family etc.
Various policies have been passed in relation to the nursing home industry. This is mainly because healthcare costs and related debates are a major area of concern for regulatory bodies as health takes up a major proportion of the budget in developed countries all over the world. The nursing home industry falls under the jurisdiction of both the federal and state governments. According to Giacalone (2001), each state has the authority to license nursing homes. Moreover the states are allowed to set their own conditions for licensing requirements, reimbursement policies, regulations, classification systems, and terminologies, although the essence of the structure remains the same. The state departments also have an impact on the health policies that are present about nursing homes as they are allowed to enact their own set of requirements if the nursing homes have adult day care facilities and AL units (Giacalone, 2001).
Nursing homes are characteristic of covering for the costs of acute care rehabilitation in an economical way. They allow the patients to recover post-operatively in an environment that not only caters to their healthcare needs as dispensed by their health condition but also usually provides them a sanctuary to recover outside the typical hospital environment (Day, 2010). Nursing homes also care for people who have end-of-life or chronic needs. The fraction of people who are discharged from the nursing home amounts to about one-third. Private institutions for long-term care were set up for the first time in 1935 as the Old Age Assistance program, which was a public aid for the aged
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