Iowa Specialty Hospital

Inpatient Services: Skilled Care

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Skilled Care - A Trusted Partner When You Need Additional Support

ISH patient and nurse walking in the hospital hallway.Iowa Specialty Hospital is proud to offer skilled care services. Skilled care may be right for you if you have experienced an event or have had a change in health that requires additional support regaining your strength and independence.  Types of situations that make an individual a candidate include: joint replacement or other orthopedic surgery, illnesses requiring continued IV therapy, acute illnesses, stroke, or cardiac incidences.

Skilled care services include: physical therapy, occupational therapy, speech therapy, ADL evaluation and training, home safety and recommendations, skilled nursing care, medication monitoring, IV therapy, provider visits, activities, nutrition services, laboratory monitoring, and patient and family care meetings.

We also offer a few additional comforts such as personalized care, room service, warm blankets, fresh baked treats, laundry, haircuts, and pastoral services.

Admission Criteria

Medicare, Managed Care, Medicaid, and private insurance have their own guidelines regarding skilled care services.  Managed Care (Medicare Plan C, Medicare Advantage Plans), Medicaid, and private insurance care benefits will be verified prior to admission and pre-authorization for admission obtained. This is not a guarantee of payment. Throughout your skilled stay, our hospital UR/Case Management team will work with your insurance to obtain continued authorization.

Swing Bed Self Pay

Swing Bed Self Pay services are available if justification for skilled levels of care is not met, but you wish to remain within the hospital on a private-pay basis.  All private-pay charges will be paid on a seven-day basis to prevent any misunderstanding of long-term accumulated charges.  More detailed information regarding Swing Bed Self Pay charges that are most frequently incurred is available upon request.

Medicare Qualifications

  • Acute level of care stay, with medical necessity, for three consecutive days within the last thirty days.  
  • Physician referral for necessary daily skilled services need related to why the patient was hospitalized.  
  • Medicare Part A (Hospital) Benefit or available days remaining in current benefit period.


Our skilled care team will work with you and your loved ones to help with a safe discharge plan back to your home. They will help to acquire medical equipment you may need upon discharge as well as schedule necessary follow-up appointments.


Patient Testimonials

The following testimonials are from our patients who have experienced Iowa Specialty Hospital skilled care services for themselves.  

"The skilled care that I received in the Belmond Hospital was just what I needed, and I don't know what I would have done without that extra care.  The care, concern, and encouragement of the excellent hospital staff helped me get stronger and to better prepare me to take care of myself when I got home.  Skilled care is an absolute must for those who need extended care when they leave the hospital."  - Jo 


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