Transmittal 262 clearly spells out what Medicare should be covering in your facility.

Transmittal 262: “What they haven't told you about Medicare Coverage”

Restorative Care Model

The 50-year, internal infrastructure of the typical skilled nursing facility is proven to be dysfunctional, outdated, inefficient, and not cost-effective. The Restorative Model gives patients hope of returning home or improving functioning through a customized blueprint of care for each patient. The value to patients is that going to a nursing home is no longer the end of the road, but a place where they can receive therapy and skilled nursing restorative programming, so they can return to better health or return home to a productive life.