Ventilator Management Skilled Nursing Facility

There has developed an increased need for ventilator management in skilled nursing facility. Some patients need to use a ventilator for a short period of time, while others use ventilator services on a long-term basis. As more patients need ventilator care, several new conditions and positions are necessary to meet this increased need. Respiratory therapists and pulmonary specialists are needed to oversee patient care. In addition, new regulations and guidelines are needed to guarantee that patients’ needs are met. Finally, stringent documentation is needed to demonstrate progress and show any changes that are needed in ventilator care.

Qualified medical professionals are needed to administer ventilator management in a skilled nursing facility. These qualified professionals include respiratory therapists, pulminologists (or respiratory doctors), and trained nurses. Respiratory therapists are a necessity and must be onsite at all times to dispense medication through ventilation, oversee life support systems, and provide respiratory interventions when necessary. Respiratory therapists are specially trained and have specific skills, which are necessary in operating a ventilator. Pulmonologists must be involved in respirator patients’ treatment, as they are able to prescribe the most accurate and specific medication and medical treatment for patients that are on a ventilator. In addition, the nurses that will be involved in respiratory patients’ care must be specially trained in ventilator management, as they will be the most frequent point of contact for any patient using a ventilator.

New regulations and guidelines to govern the care of patients who use a ventilator must be followed to insure the best care for each and every patient. Standards for ventilator management in a skilled nursing facility include the admission criteria, assessment of ventilation and oxygenation needs, emergency and life support guidelines, and back-up requirements. These regulations are intended to provide the best care for every patient that requires ventilator assistance. Other regulations govern the emergency alarms that ventilators use, transfer to emergency care facilities, and protocol in the event of a power outage. These guidelines not only assure that the medical needs of each patient are met, but also provide guidelines in the event of an emergency situation.

Each skilled nursing facility must stringently document the patient’s progress and care when using a ventilator. This documentation includes patient’s progress, any abnormalities, side effects, or other symptoms that the patient experiences when using a ventilator. The documentation is used by medical doctors to prescribe treatment options, by respiratory therapists in dispensing medication and other treatments, and by other skilled nursing staff when following a patient’s progress and making decisions for the patient.

Ventilator management in a skilled nursing facility is a detailed process that involves a team of dedicated professionals, including respiratory therapists, pulminologists, and trained nursing staff. There are strict regulations and guidelines that must be followed to protect the patient and assure the best care is provided. Stringent documentation must also be kept to show a patient’s progress, any abnormalities, and to guide future decisions. Whether the patient uses a ventilator for the short or long term, following these protocols assures that the highest quality respiratory care is given to every patient who has need of ventilator services.

Post to Twitter Post to Delicious Post to Digg Post to Facebook Post to LinkedIn Post to MySpace Post to Reddit Post to StumbleUpon

This entry was posted in Nursing Homes and tagged , , . Bookmark the permalink. Post a comment or leave a trackback: Trackback URL.


  1. debra pearlman
    Posted June 29, 2011 at 3:46 am | Permalink

    my dad is 81 yrs old, has been resident of nursing home for last 2 + yrs. He is on oxygen-kept set at 5 but this past week his level dropped to 80’s and they sent him to local inpatient hospital, he was there for3 days, discharged at 5pm on 3rd day, when he was hospitalized they had him on full face oxygen, setting to 15, he stabilized, O2 level reading 97 with just small O2 unit, 8 hours later, nursing home was calling for paramedics to transport him right back to hospital he had been discharged from earlier that day. Nursing home can not raise his O2 level to keep him comfortable or to observe him like hospital or hospice could. The family has agreed and is noted in his chart-“DNR”. He has been in hospital since being readmitted, BUT NOW NURSING HOME REFUSES TO TAKE HIM BACK, THE HOSPITAL WANTS TO RELEASE HIM and find a Hospice that will treat him for his respiratory irregularity. He has had triple bypass, anurism removed, kidney failure, etc, over the last 2 years, but when nursing home has problem, he is admitted to hospital. Social worker there has told our family that his insurance coverage, which is Medicare and Maryland Medical Assistance,that they will not be responsible for charges incurred for just the respiratory irregularities/failure, as he is not ILL ENOUGH TO JUSTIFY THESE CHARGES. This has occurred once before over last 2 years, his O2 level dropped which caused possible heart failure, he was in ICU for 7-10 days, diagnosis also stating kidney failure, fluid on his lungs, . My point is that if hospital will not keep him, nursing home will not take him back as resident, WHERE DO WE GO FROM HERE? We have been told that ventilator management is not enough for any medical facility except a ventilator facility, but when O2 level is unstable, all of these other problems which i mentioned above could develop only due to age, weight (220+lbs), and has occurred in the past. Do you know if VA hospital could assist him, or do they offer hospice type care?..Our resident state is Maryland, Baltimore County. hope you can reply or suggest. thank you for your time

  2. Allie Roush
    Posted May 12, 2015 at 1:19 pm | Permalink

    I have a friend that needs to find a skilled nursing facility in Oklahoma City that she can be moved to. She has a feeding tube in her stomach, a Foley, a trachea tube with a machine and a ventilator in the trachea tube. She has MS and can not feed herself or much of anything else. She is on medical retirement with a private insurance and DHS. We desperately need to find a nursing home that will take her in or close to Oklahoma City, OK. Can anyone help us find one please ? We don’t know how to search on the internet.

    • Posted May 26, 2015 at 3:07 pm | Permalink

      Hi Allie – perhaps try: George Nigh Skilled Nursing Fa Okmulgee OK (918) 756-9211

    • Robin Calabrese
      Posted June 17, 2015 at 5:00 pm | Permalink

      Hi Allie,
      I am facing the same issue here in NY. My husband has all of the same issues you just mentioned that your friend has plus a stage IV that he received in a local hospital. There is a nursing home near me that takes trachs and vents but they won’t take him because of the stage IV. The one he was in won’t take him back due to his now needing the vent and no one knows if he will be able to get off of it. The hospital he is currently in wants to send in to a place in NJ, 45 mins to an hour away, for 30 days. They claim it does extensive rehab. But, what if he can’t get off the vent and they can’t get the wound healed? Then how do I get him back to NY? What about his NY medicaid? Is it going to have to change to NJ medicaid? I have no idea what the NJ guidelines about medicaid are compared to NY. And how do visit him? He only really has myself, our daughter and his one sister that visit him. I have my own health issues and our daughter and his sister both work. I’m at my wits end.

      • Posted June 19, 2015 at 4:39 pm | Permalink

        Hi – hoping all works out, here are some New York facilities that may be helpful:
        John J Foley Skilled Nursing Facility Yaphank NY (631) 852-4400
        Manor Oak Skilled Nursing Faci Jamestown NY (716) 484-9181
        Manor Oak Skilled Nursing Faci Warsaw NY (585) 786-2211
        Manor Oak Skilled Nursing Faci Cheektowaga NY (716) 837-3880
        Mary Mcclellan Skilled Nursing Cambridge NY (518) 252-2764
        Mercy Hospital Skilled Nursing Buffalo NY (716) 828-2300
        Michael Malotz Skilled Nursing Yonkers NY (914) 964-4695

    • Marie Debano
      Posted May 24, 2016 at 2:19 am | Permalink

      My son-in law has what Allie just described and my daughter can not find a place where to put him and get him the care he needs. He is only 59yrs old. He Is also blind and cannot speak. We live in Port Huron Mi The hospital he is in now wants to send him to a place 2-3 hours away from here. Can anyone help with this situation? Thanks

      • Posted May 25, 2016 at 5:31 pm | Permalink

        Hi Marie – these are the 2 bariatric skilled nursing facilities we’re aware of in Michigan – though they’re not near Port Huron:
        Oakwood Skilled Nursing Ctr-De Dearborn MI (313) 441-0700
        Oakwood Skilled Nursing Ctr-Tr Trenton MI (734) 671-3500

  3. Nancy Clark
    Posted June 8, 2015 at 9:38 pm | Permalink

    My niece has VHL and has been rendered quadraplegic due to surgery. We are in the St. Louis area and are looking for a long term skilled care that will take her. She has a feeding tube, foley, and trach tube with ventilator. The acute care facility she is currently in is trying to ship her off to Iowa! We are also desperately trying to find a facility in this area.

    • Posted June 10, 2015 at 3:34 pm | Permalink

      Hi Nancy – we only are aware of St Anthony’s Medical Center in the St Louis area – perhaps they can be of assistance to you and your niece. Hope this may help.

  4. Jacks Smith
    Posted July 8, 2015 at 11:29 pm | Permalink

    I am in the Paducah, Kentucky area and am looking for a SNF that can handle a trache, colostomy, and feeding tube. Any suggestions?

    • Posted July 13, 2015 at 4:02 pm | Permalink

      Hi – the closest facility we were able to locate is in Alabama:
      Mary Lewis Skilled Nursing Fac Birmingham AL (205) 975-7064

  5. Debbie
    Posted August 27, 2015 at 9:56 pm | Permalink

    Is any one aware of a skilled nursing facility for my dad has a ventilator , foley, trying to wean him to a trach collar, according to nurses at select speciality hospital in Houston tx there are only 2 places Spanish meadows in Katy and liberty health care in liberty tx I did not like either one

    • Posted September 1, 2015 at 6:09 pm | Permalink

      Hi Debbie – those are the only two we know of, but will try to find others and will let you know — Ron

  6. Kelli
    Posted December 11, 2015 at 12:20 am | Permalink

    Have mother in upper Arlington/Columbus Ohio. Has teach tube and soon to have PEG tube. Do you know of any nursing or rehabs I can transfer her to. Many thanks

    • Posted December 14, 2015 at 6:35 pm | Permalink

      Hi Kelli – here are a few we can find in Ohio:

      Fairview Skilled Nursing And R Toledo OH (419) 531-4201
      Hanna House Skilled Nursing Ce Cleveland OH (216) 844-1421
      Olmsted Manor Skilled Nursing North Olmsted OH (440) 777-8444
      Patrician Skilled Nursing Cent North Royalton OH (440) 237-3104
      Skilled Nursing Unit Of Commun Springfield OH (937) 328-9500

      We wish you and your mother all the best.

  7. Janet Brown
    Posted January 19, 2016 at 6:12 pm | Permalink

    Help please. Looking for closest skilled nursing facilities to Little Rock , Arkansas that will take ventilator patients. I am a case manager for a local hospital and we are having a difficult time getting a patient placed.

  8. Trevor
    Posted February 24, 2016 at 9:56 pm | Permalink

    Looking for any Skilled nursing facility that can do ventilators and dialysis. I only know of one in Rock Island, Illinois. If anyone has information please help me out.

    • Posted February 25, 2016 at 6:43 pm | Permalink

      Hi Trevor – we’re not aware of any others in Illinois – If you can for our other readers, can you please provide the full information of the Rock Island facility you found? We wish you well in your search, and if we’re able to locate any we’ll post and let you know —

  9. Carrie
    Posted April 26, 2016 at 7:26 pm | Permalink

    We are tring to find a rehab facility that takes ventilated trachs. Trach is 9 days old. We have Medicaid only. In NC

    • Posted April 27, 2016 at 6:13 pm | Permalink

      Hi Carrie – we are unaware of any ventilator SNF in NC – we’ll keep looking and will let you know if we find.

  10. Terry
    Posted April 29, 2016 at 2:35 am | Permalink

    Hi, trying to locate a facility in Louisiana that will take my mother. She is on a Trach , feeding tube and is currently on dialysis. She is currently at an acute hospital but will soon be released. She has had so many setbacks. They have tried weaning her, without success. The nursing home can’t take her back under these circumstances. She has Medicare and Medicaid. Any suggestions very much appreciated. Thanks in advance.

  11. Anneliese Piguet
    Posted July 29, 2016 at 5:18 pm | Permalink

    I live in Tulsa Oklahoma and am trying to find a place that will take my husband. He is a 49 year old man with trach and off and on ventilator placement. He has a foley, peg tube ansd a stage 4 wound on his tailbone. He was diagnosed with osteomyelitis of the coccyx and needs antibiotics. We are currently in an LTAC and they are pushing him out. I am trying to find a place close to home that does rehab as well as skilled nursing facilities. Warner and Eufaula is out of the question. I wouldn’t send my worst enemy to. If there is nothing in oklahoma other than those two is there aNY website you would recommend that would help in relocation out of state for both me and my husband. If you could let me know what the closest facilities other than those listed above would be that would be great so that I can make plans.

  12. Kathy
    Posted July 31, 2016 at 7:01 pm | Permalink

    Looking for a SNF in the southern states that take a patient requiring a vent at night, trach collar during the day and hemodialysis three times a week. 72 years old and cognitively unimpaired. A number of locations will accept vent patients, but the issue seems to be the need for hemodialysis as well. Currently has Medicare but will probably need to move to Medicaid as this seems to be a permanent situation. I have identified one facility in PA, one in NJ, none in AL, one in Nashville, TN but they will only take vent plus peritoneal dialysis. Part of the issue limiting facilities seems to be that Medicare (and Medicaid in some states) will not allow separate billing for bedside hemodialysis as many of the private insurance companies do, so some facilities will only take these patients if they are private pay or have insurance other than Medicare or Medicaid.
    Provides a list by state of ventilator care facilities. I cannot vouch for the accuracy, but I wish they would include a note about the availability of services for patients on a vent that also require dialysis.

    As noted in the prior comments, this is a heartbreaking situation for both the family and the patient. How do you provide for a meaningful quality of life and monitor the quality of care long distance?

    • Posted August 1, 2016 at 4:29 pm | Permalink

      Hi Kathy – thank you so much for sharing your list, hoping that the dialysis notation happens, and that these facilities, among others, will take all patients, regardless of where payment is coming from.

Post a Comment

Your email is never published nor shared. Required fields are marked *

You may use these HTML tags and attributes <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>