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Skilled Nursing Facilities vs. Nursing Homes: What's the Difference?

7 minute readLast updated October 3, 2025
Written by Stacey Burke
Reviewed by Saul Chapnick, MSWAssisted living executive Saul Chapnick has extensive experience revitalizing distressed facilities and ensuring new ones start strong.
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There are some key differences between skilled nursing facilities and nursing homes, though the services these facilities provide are similar and often overlap. A skilled nursing facility is ideal for short-term support, such as after an illness, injury, or surgery. Nursing homes offer long-term residential care for people who have complex medical needs. Both nursing homes and stand-alone skilled nursing facilities offer round-the-clock care for seniors who need 24-hour medical supervision but don’t require hospitalization.

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Key Takeaways

  1. Services provided by staff in skilled nursing facilities and nursing homes are similar, but there are some key differences.
  2. Skilled nursing facilities focus on rehabilitation after an illness, surgery, or accident.
  3. Nursing homes provide high-level medical care in a long-term residential setting.

What is skilled nursing care?

Skilled nursing care is the highest level of medical care you can receive outside of a hospital. It’s provided by registered nurses (RNs) or other trained, licensed professionals under the supervision of a doctor.

Common examples of skilled nursing care services include:

  • Post-surgical care
  • Pain management
  • Wound care and cleaning
  • Feeding tube and catheter management
  • Respiratory aspiration
  • Injections
  • Heart rate and blood pressure monitoring
  • Intravenous (IV) delivery of fluids, nutrients, blood, or medication
  • Access to 24-hour emergency services

Skilled nursing care can be provided in many settings, including:

  • Skilled nursing facilities
  • Nursing homes
  • Senior rehab facilities
  • A patient’s own home

What is a skilled nursing facility?

SNFs are designed for people who are:

  • Transitioning out of the hospital
  • Recovering from a serious condition or injury
  • In need of constant supervision and assistance for medical reasons

The goal is to help patients recover enough to care for themselves or to be able to transition to a less intensive care option. Thus, care teams in skilled nursing facilities also commonly include:

  • Physical therapists
  • Occupational therapists
  • Speech therapists

Care teams at skilled nursing facilities also help with:

Stand-alone facilities that provide exclusively short-term skilled nursing care are residential, but they aren’t designed for long-term inhabitants. The average stay at a skilled nursing facility is about 28 days.[01]

What is a nursing home?

Nursing homes provide care for seniors who have medical needs that affect their ability to live independently. The typical nursing home resident has a serious health condition that requires regular or frequent specialized medical care. Services provided in nursing homes typically include:

  • Time-sensitive medication management
  • 24-hour monitoring
  • Help with ADLs and transfers
  • Dietary counseling
  • Social and recreational activities

The average length of a nursing home stay is 485 days.[02]

Most nursing homes also have skilled nursing units that provide 24-hour services and care when long-term residents need extra medical attention.

Is a nursing home the right fit?

Let our free assessment guide you to the best senior care options, tailored to your needs.

Key differences: SNF vs. nursing homes

Skilled nursing facilities are primarily for people who need high-level but short-term medical care while they recover. Nursing homes, on the other hand, are long-term residential facilities for people who have complex medical needs.

SNFNursing Home
Typical care goalsRecover from illness, injury, or surgeryMaintain or improve health condition
StaffNurses, nursing aides, and skilled professional therapists, such as physical, occupational, or speechNurses, nurse aides
Average length of stay28 days485 days

Skilled nursing facility vs. nursing home: Which is right for my loved one?

The best place for your loved one to receive skilled nursing care will depend on several factors, including their condition, the type of care they need, and how long they’re expected to need care.

Admission requirements

To receive skilled nursing care in a nursing home or stand-alone rehab facility, your loved one will need a doctor’s order. This order, much like a prescription, documents a senior’s medical needs, including level of care and length of stay required, and confirms that they meet state requirements for admission. Once an individual has a doctor’s recommendation, they’re generally free to choose a nursing home or skilled nursing facility.

Cost of skilled nursing care

Skilled nursing care, whether it’s provided in a nursing home or a skilled nursing facility, is more expensive than other types of care. In 2025, the national median monthly cost of a nursing home is $9,277 for a semi-private room and $10,646 for a private room. Skilled nursing facility costs are similar.[03]

Payment

Federal or state programs that can help pay for care include Medicare for short-term stays and, if eligible, Medicaid or veterans benefits for long-term care.

Finding skilled nursing care

Once you understand your loved one’s needs, it’s time to find a facility in your area that can meet those needs. A Place for Mom doesn’t make referrals to nursing homes, but provides an easy-to-use, national directory of nursing homes at NursingHomes.com. Our directory has listings for over 15,000 nursing homes across the country.

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What happens after skilled nursing care?

After your loved one has recovered from their illness or injury and no longer needs a skilled nursing level of care, you may consider longer-term senior living options that also offer care services on-site to keep your loved one safe in the event of another illness or injury. Reach out to one of A Place for Mom’s Senior Living Advisors for more information about long-term senior care types. They can guide you through the senior living search process, discuss budget and needs, and even schedule tours with local communities at no cost to your family.

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  1. Centers for Medicare and Medicaid Services. (2022, January). Nursing homes including rehab services.

  2. U.S. Department of Health and Human Services. (2019, February). Long-term care providers and services users in the United States.

  3. Genworth. (2025). Cost of Care Survey.

Leah Hallstrom is a former copywriter and editor at A Place for Mom, where she crafted articles on senior living topics like home health, memory care, and hospice services. Previously, she worked as a communications professional in academia. Leah holds bachelor’s degrees in communication studies and psychology from the University of Kansas.
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Assisted living executive Saul Chapnick has extensive experience revitalizing distressed facilities and ensuring new ones start strong.
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