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A skilled nursing facility is unable to provide which of the following services?

  1. Physical therapy and rehabilitation

  2. Skilled nursing care and medical care

  3. Reimbursement by Medicare

  4. Provision of custodial care

The correct answer is: Provision of custodial care

A skilled nursing facility (SNF) is primarily designed to provide medical and skilled nursing care, as well as rehabilitation services such as physical therapy. These facilities cater to patients who require a higher level of care than what is available at home, after acute hospitalization, or those who need rehabilitation following surgery or injury. Custodial care, on the other hand, is non-medical support typically offered in nursing homes or assisted living facilities. This type of care helps with daily activities such as bathing, dressing, and eating but does not include skilled nursing services or medical care. While custodial care may be necessary for many patients, it is not a service that skilled nursing facilities are specifically equipped to provide. Therefore, the focus and mission of a skilled nursing facility do not encompass custodial care, making it the correct answer in this context.