When a loved one comes home from the hospital still needing clinical care, wound care, disease management, or physical, occupational, and speech therapy, A-Team delivers Medicare-certified, RN-led skilled nursing at home. For qualifying patients, it may be 100% covered by Medicare.
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While A-Team’s nurses handle the clinical care, an adult family member providing the daily personal care may qualify to be paid as the caregiver through A-Team’s Family Caregiver Program.
CLINICAL CARE AT HOME
Physician-ordered clinical care delivered at home by registered nurses and licensed therapists, Medicare-certified.
A-Team skilled nursing · Medicare-certified, RN-led, physician-directed
WHO SKILLED NURSING IS FOR
Most A-Team skilled nursing patients come home in one of these four clinical situations.
Discharged home but not fully healed after a joint replacement, cardiac, or abdominal surgery. An RN manages the incision and watches for infection.
Newly insulin-dependent, uncontrolled A1C, or diabetic wounds. Skilled nursing brings monitoring, teaching, and wound care to the home.
Returning home from the hospital or inpatient rehab. A-Team’s coordinated PT, OT, and speech therapy continue the recovery at home.
When a patient is moving toward comfort-focused care, skilled nursing at home provides clinical comfort care and family support.
THE HOME ADVANTAGE
The difference between home-based skilled nursing and institutional care is not just location. At home, the RN visit is one-on-one with the patient and family, no ward rounds, no shared rooms, no strangers in the next bed. Family members learn what to watch for. The physician gets direct reports from the nurse who has actually been in the home. A-Team RNs are not moving patient to patient down a hospital hallway; they are in your loved one’s home, with their complete history and full attention.
HOW IT WORKS
From the physician’s order to your first skilled visit, coordinated with the hospital and your doctor.
A hospital discharge planner, primary care physician, or specialist places the home-health order. A-Team accepts referrals from all major local systems.
A registered nurse reviews the discharge summary, assesses the patient, and builds a comprehensive plan of care. No charge.
The RN and therapy team schedule visits by clinical need, typically 2 to 5 skilled visits per week in the first episode.
A-Team RNs communicate directly with the ordering physician, send progress notes, and adjust the plan at each 60-day review.
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WHY A-TEAM FOR SKILLED NURSING
Medicare certification, all three therapies in-house, and RN-led care focused on keeping patients out of the hospital.
A Medicare-certified home-health agency; skilled nursing, therapy, and aide services covered at 100% for qualifying patients.
Hospital-grade home-health accreditation applied to every patient, every visit.
Every skilled nursing episode is directed by a registered nurse, not delegated to aides or techs.
Physical, occupational, and speech therapy provided under the same home-health episode, coordinated with nursing.
A structured protocol focused on the 30-day readmission window: early-warning monitoring and fast physician communication.
When skilled needs resolve, A-Team transitions clients to personal or companion care, same agency, no new intake.
A-Team accepts referrals from all major Philadelphia and Bucks County hospital systems and physician practices.
Skilled nursing visits available across all 10 Pennsylvania counties A-Team serves.
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ONE AGENCY, TWO LEVELS OF CARE
Many skilled nursing patients also need daily personal care, bathing, dressing, transfers, and meals, between RN visits. A-Team provides both under the same plan of care. The RN supervises the home-health aide so the hands-on care stays aligned with the clinical picture. No handoffs, no duplicate intakes, and where possible the same aide before and after the Medicare episode ends.
QUICK REFERENCE
Everything a discharge planner, physician, or family member needs to know about A-Team skilled nursing, at a glance.
| Skilled Nursing | Physician-ordered clinical care delivered at home by a registered nurse, covered primarily by Medicare Part A. |
| Home Health | The Medicare benefit that bundles nursing, therapy, social work, and aide services under one plan of care. |
| Plan of Care | The physician-signed document that authorizes home health and defines the nursing and therapy visits. |
| Homebound | A Medicare status meaning leaving home is a considerable, taxing effort. Required to qualify for the benefit. |
| Skilled Nursing | Wound care, medication management, vital-sign monitoring, and disease management. |
| Therapy | Physical, occupational, and speech therapy to restore strength, function, and communication. |
| Care Coordination | RN communication with the ordering physician, progress notes, and discharge planning. |
| Aide Support | Home-health-aide help with bathing and ADLs alongside the skilled plan of care. |
| Post-Surgical | Patients discharged with wounds, drains, or recovery needs. |
| Chronic / Diabetic | Patients needing monitoring and teaching for diabetes, CHF, or COPD. |
| Post-Stroke | Patients needing coordinated PT, OT, and speech therapy at home. |
| Homebound | Patients with a documented skilled need and a physician order. |
| Medicare Part A | Covers 100% of nursing and therapy under a physician-signed plan. No deductible, no copay. |
| PA Medicaid (CHC) | Keystone First, UPMC, and PA Health & Wellness. A-Team is in-network with all three. |
| Veterans Benefits | VA Aid & Attendance and VetAssist for eligible veterans and surviving spouses. |
| Private Pay | Flexible options for care that falls outside covered benefits. |
The most common questions Greater Philadelphia and Bucks County patients and families ask about Medicare-certified skilled nursing at home.
A-Team provides skilled nursing across all 10 Pennsylvania counties: Philadelphia, Bucks, Montgomery, Delaware, Chester, Berks, Carbon, Lehigh, Northampton, and Schuylkill. Local intake, local care coordinators, local RN supervision.
2751 N. 5th Street
Philadelphia, PA 19133
(215) 490-9994
2 Park Lane, Suite 106
Feasterville-Trevose, PA 19053
(215) 490-9994
Medical disclaimer: The information on this page is general guidance about home care services. It is not medical advice and is not a substitute for consultation with your physician, nurse, or licensed care coordinator. A-Team Home Care’s clinical decisions are made by RN-supervised care teams under physician orders where applicable. Always consult your healthcare provider for advice specific to you or your loved one’s medical situation. ACHC-accredited · PA Department of Health licensed · Medicare-certified.
Call us today at 215-490-9994 to book a free in-home consultation with a member of our dedicated staff and discover all the ways in which we can help you or your loved ones!
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Medicare-certified. ACHC-accredited. RN-led. All three therapies in-house. PA Medicaid CHC, VetAssist, and private pay. Care often begins within 48 hours of discharge.
A-Team Home Care is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind in all matters involving patients and employees. Employee benefits are provided as part of a bona fide employment compensation package structured consistent with applicable fraud and abuse laws, including the federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b)) and OIG Advisory Opinion 25-12. By contacting A-Team Home Care Inc. you agree to receive calls, text messages, and e-mails. *Must meet eligibility requirements for the Quality Care Program. Contact the office at (215) 490-9994 for details.