Skilled nursing required today to titrate O₂ within the ordered parameters, assess bronchodilator response, and correct inhaler technique to manage a resolving pneumonia, resulting in RR 26→18 and SpO₂ 88→94% on 2 L — daily titration and airway assessment available only in this SNF.
Cardiac / HF
Skilled nursing required today to assess volume status against the ordered dry weight and apply the parameter-based diuretic order, resulting in edema 3+→2+ and weight down 4 lb over 48 h — daily skilled monitoring and titration required at SNF level.
Wound
Skilled nursing required today to perform the ordered sterile dressing change and assess the healing trajectory of a Stage 3 sacral pressure injury, resulting in wound bed 60→75% granulation and no new infection signs — a covered skilled procedure needed daily.
Rehab-nursing
Skilled nursing required today to manage and evaluate the restorative ambulation program and train the CNA on safe carryover, resulting in 25→75 ft ambulated with contact-guard — management/evaluation of the functional plan at SNF level.
