In this news article we will briefly explain the difference between custodial care versus skilled care.  Typically, either service is for a recipient who needs someone to help them with their physical and/or emotional needs for an extended period of time.  These services can take place at home, assisted living, or in a skilled nursing facility.

Custodial care consists of any non-medical care that can reasonably and safely be provided by a caregiver.  Individuals that need custodial care most likely have a chronic condition where a full recovery is not expected.  It involves help with daily activities such as bathing, dressing, feeding, and may also include help with household duties such as cooking and laundry.  In a skilled nursing facility, custodial care is provided by certified nursing assistants and/or licensed staff.

Skilled care is for patients who need services that are recovering from a short-term medical issue, receiving end-of-life care or palliative care.  These services are provided by or under the supervision of medically trained licensed professionals.  Certified nursing assistants, registered nurses, and rehabilitation therapists are a few of the types of caregivers that are essential to provide the skilled services for wound care, physical therapy, intravenous injections, catheter care, and more.

As far as how to pay for custodial or skilled services, there are many factors to be considered.  Traditional and Medicare Advantage plans will cover skilled services for a short period of time.  Please see my news article posted on June 20, 2018, “Traditional Medicare versus Medicare Advantage Plans”, for information on these benefits.  Also, read the information provided in my news article posted on February 26, 2019, “Myths vs Facts”, under “Myth: Medicare or health insurance will pay for a long stay”.

Paying for custodial services are covered only by paying privately, having Medicaid benefits, or long-term care insurance.  As always, feel free to contact Middlebury Convalescent Home with any questions related to the topic.

How to Talk to Elderly People

At times it can be challenging to talk to an elderly person.  Before trying to come up with any interesting topics to discuss, you should learn how to communicate with the senior population.  Here are some pointers. Give them your undivided attention and allow them to speak without interruption and at their own pace.  Be… Continue Reading

Myths vs Facts

Skilled nursing facilities (SNFs) have come a very long way since their inception. Sometime in the 17th century they were called “poorhouses” or “almshouses”.  Health care has highly progressed through the years in terms of clinical practices, resident rights, quality improvement, and the overall approach to the needs and wants of residents and patients. Regrettably, even… Continue Reading

MCH made the top 10 Best nursing homes in Connecticut!!!!

“U.S. News & World Report has released its latest ratings identifying top nursing homes. The ratings for 2018-19 include 71 nursing homes in Connecticut designated as a U.S. News “best nursing home.” The homes are given an overall rating as well as a short-stay rehabilitation rating, a new addition to the ratings now in their ninth year.… Continue Reading

Staying Socially Connected

In keeping with our safety tips and how to take good care of your loved one while still living at home, this article will focus on additional pointers to help your parent.  As our seniors get older, many cannot cope with their losses, and therefore become isolated and can suffer from depression.  The following is… Continue Reading

Safety Tips From MCH

Most senior citizens want to live out their lives in their own home environment without “being a burden to their children”.  Planning ahead to help your parent stay home will greatly increase their chances.  As a prerequisite to my previous news feed “Preparing a Parent for Long Term Placement”, this article will provide our community… Continue Reading

Antibiotic Stewardship

At Middlebury Convalescent Home we are always striving to educate our families and residents on a variety of matters.  One of the many issues we continually try to stress is the overuse of antibiotics.  Improving antibiotic use starts with you!  Using antibiotics wisely is the best way to ensure they work for future bacterial illnesses… Continue Reading

Waiting List Information

Waiting List Information Connecticut law requires skilled nursing facilities to maintain a waiting list for admission.  Homes are required to keep waiting lists and must admit applicants in the order in which they appear, unless the law expressly allows otherwise.  Some of the several exceptions to the waiting list law include: Short term rehab (less… Continue Reading


Middlebury Convalescent Home’s goal is always to be proactive in our efforts to rehabilitate individuals in all aspects of the aging process.  With that said, we are very excited to announce that we are the first skilled nursing facility in Connecticut to have just acquired new state-of-the-art therapy equipment. The NeuroGym ® Technology, Inc.’s Sit-to-Stand… Continue Reading