Skilled nursing is designed for individuals who require full-time care, or assistance with most, if not all, activities of daily living. Skilled nursing facilities are licensed and offer medical care by trained medical staff, such as a registered nurse or therapist, 24 hours a day. They may also include rehabilitation services, memory support services and other types of specialized care. They are typically Medicare/ Medicaid-certified, and monthly fees include meals, personal assistance, and most medical services (except for medications and other related hard costs).