Medical and Health Services Listings

The entries compiled across this directory cover medical and health services delivered within skilled nursing facilities and long-term care settings across the United States. Each listing corresponds to a discrete clinical role, therapeutic service, or operational framework subject to federal or state regulatory oversight. Understanding the scope and limits of these entries helps users interpret what each record does and does not represent.

How to read an entry

Each entry in this directory corresponds to one defined service category or professional role as recognized by a named regulatory authority. The Centers for Medicare & Medicaid Services (CMS), operating under 42 CFR Part 483, provides the primary federal framework for what constitutes a covered clinical function within a certified nursing facility. Entries are organized by service type rather than by facility, which means a single facility may deliver services spanning multiple entries.

Entry titles follow the naming conventions used in CMS Conditions of Participation and the Minimum Data Set and Resident Assessment Instruments, which standardize how resident needs are categorized across federally certified facilities. Where a service category has a defined scope-of-practice boundary — such as the distinction between a certified nursing assistant scope of practice and a licensed practical nurse duties in long-term care — the entry reflects that regulatory boundary, not an operational or administrative definition used by any single employer.

Entries do not rank, rate, or recommend. No entry carries a quality score, star rating, or outcome indicator. CMS star ratings and quality measure scores are maintained separately through the Nursing Home Compare database and are described in the page on CMS nursing home quality ratings and health inspections.

What listings include and exclude

Listings in this directory include the following 5 categories of service:

1. Licensed clinical roles — Physician, advanced practice registered nurse, registered nurse, licensed practical nurse, and certified nursing assistant functions as defined under 42 CFR §483.35 and applicable state nurse practice acts.
2. Rehabilitation therapies — Physical therapy, occupational therapy, and speech-language pathology services qualifying as skilled care under Medicare Part A criteria established by CMS.
3. Specialty medical services — Dentistry, podiatry, audiology, vision care, and psychiatric services delivered on-site or through contracted arrangements consistent with 42 CFR §483.40.
4. Diagnostic and support services — Laboratory, radiology, pharmacy, dietary, and infection control functions subject to Clinical Laboratory Improvement Amendments (CLIA) oversight and CMS pharmacy service standards.
5. Care coordination frameworks — Interdisciplinary care planning, advance directive management, discharge planning, and transition protocols governed by the IMPACT Act of 2014 and CMS discharge planning rules at 42 CFR §483.21.

Listings exclude the following: individual facility profiles, practitioner license verification, malpractice or disciplinary records, staffing agency rosters, and insurance network participation data. Verification of individual licenses must be performed through the relevant State Board of Nursing, State Medical Board, or the National Practitioner Data Bank maintained by the Health Resources and Services Administration (HRSA).

Listings also exclude services that fall outside the long-term and post-acute care setting, such as acute inpatient hospital services or outpatient ambulatory clinic services, even when those services are sometimes provided to the same patient population.

Verification status

No entry in this directory constitutes a verified endorsement of a facility's compliance status. CMS certifies facilities through annual surveys conducted under 42 CFR Part 488, and active certification status is maintained in the Online Survey, Certification, and Reporting (OSCAR) system. Deficiency citations, civil money penalties, and enforcement actions are publicly accessible through CMS enforcement databases described in the nursing home deficiency citations and penalties reference page.

Clinical content in each entry is cross-referenced against named federal sources: CMS State Operations Manual (SOM), NIST health information standards where applicable, and specialty body guidelines such as those published by the American Geriatrics Society. No entry claims to reflect real-time regulatory updates. Changes to Conditions of Participation or CMS interpretive guidance occur through the Federal Register rulemaking process, and the SOM is updated by CMS on a rolling basis independent of this directory.

Staffing data reflected in conceptual entries — such as the federal nursing home staffing mandates page — are drawn from CMS Payroll-Based Journal (PBJ) reporting requirements, which mandate daily staffing submissions from certified facilities. PBJ data represents the primary federal source for staffing verification and is publicly accessible through CMS Care Compare.

Coverage gaps

This directory does not represent a complete enumeration of every medical or ancillary service that may exist in a long-term care facility. Four structural gaps apply:

• State-only licensed facilities — Facilities operating exclusively under state licensure without federal Medicare or Medicaid certification are not subject to 42 CFR Part 483 and fall outside the regulatory framework that structures these entries.
• Emerging service modalities — Telehealth services in skilled nursing facilities and remote patient monitoring represent categories where CMS coverage policy and reimbursement rules have evolved through temporary waivers and permanent rulemaking on separate tracks, creating definitional gaps between what a facility may deliver and what is codified in Conditions of Participation.
• Non-covered ancillary services — Complementary or integrative health services not recognized as covered skilled care under Medicare Part A or Medicaid do not appear as standalone entries even when routinely provided by facilities.
• Pediatric long-term care — Pediatric skilled nursing facilities operate under the same federal certification structure but serve a distinct clinical population; entries in this directory are oriented toward the adult and geriatric resident population that constitutes the overwhelming demographic majority of CMS-certified nursing facility residents, which numbered approximately 1.2 million as of the most recent CMS Nursing Home Data Compendium.

Cross-referencing entries with the medical and health services directory purpose and scope page clarifies the organizational logic applied throughout this resource.