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Skilled Nursing · Medicare-Certified · ACHC-Accredited

Skilled Nursing & Home Health at Home — Medicare-Certified

Medicare-certified RN visits, wound care, IV administration, vital monitoring, plus PT/OT/Speech therapy at home — for clients who need clinical care but want to stay out of the nursing facility. Medicare Part A covered when eligibility is met.

MedicarePart A — 100% Coverage When Eligible
5PA Counties Served
ACHCAccredited · RN-Led Care
Medicare Part A Coverage

Skilled Nursing at Home May Be 100% Covered by Medicare.

When a patient is homebound, a physician orders skilled care, and there's a documented clinical need — Medicare Part A covers skilled nursing, wound care, IV therapy, PT, OT, and speech therapy at home. No copay. No deductible for qualifying visits.

Homebound status required Physician order required Skilled need must be documented A-Team is Medicare-certified Free eligibility verification on first call
Verify Medicare Coverage → Free · No obligation · (215) 490-9994

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8 Skilled Services

What A-Team Skilled Nursing & Home Health Includes

Clinical care delivered in the home by licensed registered nurses and credentialed therapists — under physician order, coordinated with your treatment team.

RN Skilled Visits

Registered nurse in-home visits for clinical assessment, patient education, medication management, and care coordination with the ordering physician.

Wound Care

RN assessment and treatment for patients requiring wound care at home after surgery or hospitalization — including surgical wounds, diabetic ulcers, pressure injuries, and complex dressing changes with infection monitoring.

IV Therapy

Home IV antibiotic administration, hydration therapy, and other physician-ordered infusion services — reducing inpatient length of stay.

Vital Sign Monitoring

Systematic blood pressure, oxygen saturation, weight, temperature, and pulse monitoring — with structured reporting to the physician for CHF, COPD, and diabetes management.

Physical Therapy

Physical therapy at home for mobility restoration, strength rebuilding, balance training, and fall prevention after surgery or neurological event.

Occupational Therapy

Occupational therapy for activities of daily living retraining, adaptive equipment recommendation, home safety evaluation, and fine motor rehabilitation.

Speech Therapy

Speech therapy for swallowing disorders (dysphagia), aphasia, cognitive-communication deficits, and voice disorders following stroke or neurological injury.

Disease Management

Structured in-home programs for diabetes, CHF, COPD, and chronic conditions — including medication education, symptom tracking, and hospital re-admission prevention.

Who Skilled Nursing Is For

4 Clinical Situations That Most Often Lead to A-Team Skilled Nursing

Skilled nursing is the right fit when the care need requires a licensed clinician — not an aide or companion.

Post-surgical wound care — discharged home but not fully healed

After joint replacement, cardiac surgery, abdominal surgery, or any procedure that leaves a wound requiring clinical monitoring — home is safer and more comfortable than a skilled nursing facility. A-Team's RN manages the wound dressing, monitors for infection, and reports to the surgeon on schedule. Medicare Part A typically covers these visits in full.

Diabetic management at home — uncontrolled or newly diagnosed

Newly insulin-dependent diabetics, patients with uncontrolled A1C, and those with diabetic wounds need structured skilled nursing intervention at home — not just a reminder to take their pills. A-Team RNs provide insulin education, blood glucose monitoring protocols, dietary counseling coordination, and diabetic wound care in the home.

Stroke rehab — returning home from the hospital or inpatient rehab facility

After a stroke, the rehab doesn't stop at discharge. A-Team's coordinated home health team — RN, physical therapist, occupational therapist, and speech therapist — continues the rehab program at home. This is a Medicare-covered benefit when the patient is homebound and meets the skilled need criteria.

Hospice transition support — clinical comfort care at home

When a patient is transitioning toward comfort-focused care, skilled nursing at home provides the clinical framework: pain assessment, medication management, symptom control, and family education. A-Team coordinates with hospice programs and the patient's care team. For families also needing personal care or respite care alongside skilled visits, A-Team provides integrated support.

A-Team registered nurse preparing medication for home administration — skilled nursing at home in Greater Philadelphia and Bucks County PA
A-Team skilled nursing · RN-administered medication in the home — Medicare-certified
How It Works

How A-Team Skilled Nursing & Home Health Works

From physician order to first RN visit — a streamlined intake that reduces gaps in post-acute care.

Physician Order & Referral

A hospital discharge planner, primary care physician, or specialist places the home health order. A-Team accepts referrals by fax, phone, or electronic health record. Families can also call (215) 490-9994 — we coordinate the order directly.

Free RN Home Assessment

A registered nurse comes to the home, reviews the discharge summary, assesses the patient, and develops a comprehensive care plan aligned with the physician's orders. Medicare documentation completed at this visit.

Skilled Visit Schedule

The RN and therapy team schedule visits based on clinical need — typically 2–5 skilled visits per week in the first episode. The patient and family know the schedule in advance and receive RN contact information.

Coordinated Care & Discharge Planning

A-Team RNs communicate directly with the ordering physician, provide progress notes, and adjust the care plan at 60-day certification periods. When skilled needs resolve, A-Team transitions the client to ongoing personal care or companion care as needed.

A-Team in Action

See A-Team Home Health in Greater Philadelphia

A 90-second look at why Greater Philadelphia and Bucks County families and physicians trust A-Team for home health and skilled nursing.

A-Team Home Care · Greater Philadelphia & Bucks County · 90-second overview

Caregiver holding patient's hand bedside — A-Team skilled nursing at home provides compassionate clinical care in Greater Philadelphia

Clinical Care With the Human Element Intact

The difference between home-based skilled nursing and institutional care isn't 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 traveling from patient to patient in a facility — they are in your loved one's home, with your loved one's complete medical history and care plan in hand. That is a fundamentally different standard of clinical attention.

Request a Free RN Assessment →
A-Team home care support — personal care alongside skilled nursing in Greater Philadelphia and Bucks County

Skilled Nursing + Personal Care — Same Agency, No Gaps

Many skilled nursing clients also need daily personal care — bathing, dressing, transfers, and meal prep — between RN visits. A-Team provides both under the same care plan. The RN supervises the home health aide, ensuring that hands-on care stays aligned with the clinical picture. No handoffs. No duplicate intakes. One agency, two levels of care.

Learn About Personal Care →
Quick Reference · 4 Tabs

Skilled Nursing at Home — Service Snapshot

Everything a family member, hospital discharge planner, or referral partner needs to know — at a glance.

TermDefinition · Reference
Skilled NursingLicensed registered nurse (RN) or licensed practical nurse (LPN) services — wound care, IV therapy, medication management, and patient education. Learn more
Medicare Part A (Home Health)Covers medically necessary skilled nursing and therapy in the home for homebound patients — 100% covered when criteria are met. Learn more
Wound CareDebridement, dressing changes, negative pressure wound therapy, and infection monitoring performed by a licensed RN. Learn more
IV Therapy / InfusionIntravenous antibiotic administration, hydration therapy, and other infusion services at home — avoiding hospital readmission. Learn more
Physical TherapyTherapeutic exercises and functional rehabilitation to restore mobility, strength, and balance. Learn more
Home Health AgencyA Medicare-certified organization delivering skilled nursing and therapy in the home — A-Team is ACHC-accredited and Medicare-certified. Learn more
TaskWhat A-Team Skilled Nursing at Home Includes
Wound Care & Dressing ChangesAssessment, irrigation, debridement, dressing application, NPWT management, surgical wound monitoring
IV Therapy & InfusionPeripheral IV insertion, antibiotic infusion, hydration therapy, PICC line monitoring
Medication ManagementMedication reconciliation, compliance monitoring, IV-to-oral transition, patient and family education
Post-Surgical CareIncision care, drain management, surgical site monitoring, orthopedic precaution instruction
Cardiac & CHF MonitoringDaily weight monitoring, fluid status, vital signs, symptom education, dietary compliance coaching
Diabetes ManagementBlood glucose monitoring, insulin instruction, foot care assessment, dietary education
Physical / Occupational / Speech TherapyPT, OT, and SLP services under the same home health episode — no external referrals needed
Care CoordinationPhysician communication, hospital liaison, discharge planning support, referral to personal care for ongoing needs
AudienceWhen Skilled Nursing at Home Is the Right Fit
Hospital DischargePatient being discharged after surgery or hospitalization who still has skilled needs at home
Wound or Post-Surgical CarePatient with a surgical wound, pressure injury, or chronic wound requiring licensed RN management
IV Antibiotic TherapyPatient prescribed IV antibiotics who can avoid hospitalization with home infusion and monitoring
Cardiac / CHF PatientCongestive heart failure patient whose readmission risk is highest in the 30 days post-discharge
Diabetic with Complex NeedsDiabetic patient needing insulin instruction, glucose management, and foot care assessment at home
Homebound PatientPatient who cannot safely leave home without considerable effort and meets Medicare homebound criteria
Payer / SourceSkilled Nursing at Home Coverage Details
PA Medicaid (CHC)Pennsylvania Community HealthChoices via Keystone First, UPMC, and PA Health & Wellness — covers care for eligible adults
Medicare Part AHome health aide visits when patient is also receiving skilled nursing or therapy and is homebound — short-term only
Long-Term Care InsuranceMost LTC policies reimburse home care · A-Team intake handles verification, claim submission, and care logs
VetAssist (VA Aid & Attendance)Wartime veterans & surviving spouses — A-Team is an authorized VetAssist provider
JFCS EnrollmentJewish Family and Children's Service partnership — open to all faiths · sliding fee available
Family Caregiver ProgramAdult family members (not spouses or POA holders) can be paid as Direct Care Workers if loved one is on PA Medicaid
Private PayAvailable · rate provided at free in-home assessment · no long-term contract
Why A-Team for Skilled Nursing

Why Greater Philadelphia & Bucks Families Choose A-Team for Skilled Nursing

Medicare-certified, ACHC-accredited, RN-led home health that prevents hospital readmissions and keeps patients at home.

Medicare-Certified

A-Team is Medicare-certified for home health services — enabling 100% Medicare Part A coverage for qualifying skilled nursing, wound care, IV therapy, and PT/OT/Speech visits.

ACHC Accredited

Hospital-grade home health accreditation — every skilled nursing client receives the same quality standard that ACHC applies to the best inpatient facilities.

RN-Led Care Plans

Every skilled nursing episode is directed by a registered nurse — not delegated to aides or techs for clinical decisions. RN is the primary point of contact with the physician.

All Three Therapies In-House

Physical therapy, occupational therapy, and speech therapy provided under the same home health episode — no external referrals, no coordination gaps between disciplines.

Hospital Readmission Prevention

A-Team's structured skilled nursing protocol focuses on the 30-day readmission window — early warning signs, medication compliance monitoring, physician communication, and family education.

Seamless Transition to Personal Care

When skilled needs resolve, A-Team transitions clients to personal care or companion care — same agency, same relationship, no disruption to the client.

Physician & Hospital Relationships

A-Team accepts referrals from all major Philadelphia and Bucks County hospital systems and physician groups. Direct fax and EHR referral options available for discharge planners.

5-County Service Area

Skilled nursing visits available across Philadelphia, Bucks, Montgomery, Delaware, and Chester counties — 7 days a week.

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Skilled Nursing FAQ

The most common questions from Greater Philadelphia and Bucks County patients and families about Medicare-certified skilled nursing at home.

What is skilled nursing at home?
Skilled nursing at home is clinical care delivered in the patient's residence by a registered nurse (RN) — under a physician order. It includes wound care, IV administration, vital sign monitoring, medication management, disease management, and patient education. Skilled nursing requires a licensed nurse; it cannot be delegated to a home health aide or companion.
Does Medicare cover skilled nursing at home?
Yes. Medicare Part A covers home health skilled nursing when three conditions are met: (1) the patient is homebound; (2) there is a documented skilled need; and (3) there is a physician order. A-Team Home Care is Medicare-certified. Coverage is at 100% — no copay for qualifying visits. Call (215) 490-9994 to verify eligibility at no charge.
What's the difference between skilled nursing and personal care at home?
Skilled nursing is clinical care requiring a licensed RN or therapist — wound care, IV administration, PT/OT/Speech, disease management. Personal care is non-clinical assistance with activities of daily living — bathing, dressing, mobility — delivered by a trained home health aide. Many A-Team clients receive both services under the same care plan.
Who orders skilled nursing at home?
A physician, nurse practitioner, or clinical nurse specialist must order home health skilled nursing. The order is typically placed at or after hospital discharge, after an office visit, or by a specialist managing a chronic condition. Once A-Team receives the order, the RN completes a home assessment within the physician's parameters.
What conditions does A-Team's skilled nursing team manage?
A-Team's skilled nursing team manages: post-surgical wound care, diabetic wound management and insulin education, heart failure (CHF) fluid monitoring, COPD exacerbation monitoring, stroke rehabilitation (with PT and speech therapy), post-hospital IV antibiotic administration, catheter and ostomy care, and chronic disease management education.
Does A-Team provide PT, OT, and speech therapy at home?
Yes. A-Team provides all three therapy disciplines at home under the Medicare home health benefit: physical therapy (PT) for mobility and balance; occupational therapy (OT) for ADL retraining and home safety; and speech therapy (ST) for swallowing disorders and communication deficits. All disciplines are coordinated under the RN care plan.
Where does A-Team provide skilled nursing?
A-Team provides skilled nursing across Greater Philadelphia and the four surrounding counties: Philadelphia, Bucks, Montgomery, Delaware, and Chester. Two offices: Philadelphia (2751 N. 5th Street) and Feasterville-Trevose (2 Park Lane, Suite 106). Skilled visits are available 7 days a week.

Two Offices · Five Counties

Skilled nursing available across Greater Philadelphia and Bucks. RN supervisors, clinical coordinators, and discharge planners on staff.

A-Team — Philadelphia

2751 N. 5th Street
Philadelphia, PA 19133
(215) 490-9994

A-Team — Bucks County

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.

Contact Us

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 A-Team Home Care can support you or your loved ones.

Irina Rabovetsky, CEO of A-Team Home Care

Irina Rabovetsky

CEO, A-Team Home Care

Our team is here to listen, answer your questions, and help you build the right care plan for your loved one — whether you need care now or are just exploring options.

Skilled Nursing That Keeps Your Loved One Out of the Facility.

Medicare-certified. ACHC-accredited. RN-led, physician-coordinated home health. Skilled nursing, wound care, IV therapy, PT/OT/Speech — all at home, all under one agency.