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City Choice nurse with a client at home
Home care across Brooklyn & NYC

Skilled Nursing Care, Delivered at Home.

Licensed, registered nurses providing clinical care in the comfort of home — across Manhattan, Brooklyn, Queens, Staten Island, The Bronx, and Westchester.

An Overview

What Skilled Nursing at Home Covers

Skilled nursing brings hospital-level clinical expertise into the home, delivered by licensed, registered nurses — medication management, wound care, chronic disease monitoring, and coordination with physicians and specialists.

It often becomes necessary after a hospitalization, a surgery, or a new diagnosis. Our nurses act as a clinical bridge between the hospital, the family, and the broader care team, so nothing falls through the cracks.

“Skilled nursing closes the gap between hospital and home — not by replacing the hospital’s care team, but by extending it into the home.”

City Choice nurse with a client at home
What’s Included

Clinical Care, Handled at Home

Every care plan is built around the person. These are the areas a City Choice nurse covers.

  1. Medication management and administration
  2. Wound care and dressing changes
  3. Chronic disease monitoring (diabetes, heart disease, COPD, and others)
  4. Post-surgical and post-hospital recovery support
  5. Vital sign monitoring and clinical assessments
  6. Coordination with physicians and specialists
  7. Patient and family education
  8. Catheter and ostomy care, where applicable
Who It’s For

Who Skilled Nursing Care Is For

A fit for clients with a specific clinical need that requires a licensed nurse’s oversight — recovering from surgery, managing a new or complex diagnosis, needing regular medication administration, or coming home from a hospital stay.

It can also be layered with other services: nursing visits a few times a week for clinical needs, with daily support from a Home Health Aide or Personal Care Aide.

Conditions & Situations

Situations We Support

Our nurses support clients managing diabetes, congestive heart failure, COPD and other respiratory conditions, post-stroke recovery, Parkinson’s disease, post-surgical wound care, and complex medication regimens.

For clients managing several chronic conditions at once, we look at the full clinical picture and flag early warning signs that might go unnoticed between physician visits.

Situations we commonly support

  • Diabetes
  • Congestive heart failure
  • COPD and respiratory conditions
  • Post-stroke recovery
  • Parkinson’s disease
  • Post-surgical wound care
  • Complex medication regimens
How It Works

Getting Started Is Simple

  1. Start with a conversation

    A phone call or a free in-home consultation covering the clinical situation, any discharge instructions, and the ongoing support needed.

  2. Get matched with a nurse

    We match a registered nurse to the specific clinical need and stay in close communication with the physicians and specialists already involved.

  3. Care adjusts as needs change

    Visits step up during a more acute period and taper down as a client stabilizes and regains independence.

  4. Know what to expect

    We explain each stage, so a change in visit frequency never feels like a surprise or a sign that something has gone wrong.

Why City Choice

Why Families Choose City Choice for Skilled Nursing Care

A partnership, not a transaction

Our nurses explain what’s happening clinically, in plain language, so families feel informed and involved rather than left in the dark.

The same nurse, whenever possible

Your loved one isn’t re-explaining their history at every visit, and subtle changes are caught early by someone who knows the baseline.

Licensed, registered, and coordinated

Every nurse is licensed and registered, and home care complements the treatment plan set by your loved one’s physicians.

Paying for Care

Ways Families Pay for Skilled Nursing

Many clients access skilled nursing through Medicaid via an MLTC plan, particularly for ongoing chronic condition management. Others pay privately, or combine private pay with long-term care insurance.

Our coordinators walk you through what applies to your specific situation as part of the initial consultation.

Medicaid via MLTC

Coordinated through a Managed Long-Term Care plan, particularly for ongoing chronic condition management.

After a hospital discharge

Short-term skilled nursing may be covered differently, depending on insurance and the nature of the care needed.

Private pay and long-term care insurance

Others pay privately, or combine private pay with a long-term care insurance policy.

Frequently Asked Questions

Questions Families Ask Us First

What’s the difference between skilled nursing and a Home Health Aide?

A Home Health Aide provides hands-on daily support like hygiene and mobility assistance, but isn’t licensed to perform clinical tasks. Skilled nursing is delivered by a licensed, registered nurse and covers medical needs like medication management, wound care, and clinical monitoring.

How quickly can skilled nursing start after a hospital discharge?

We prioritize fast turnaround for hospital discharges and can often have a nurse in place within a day or two — sooner if a family reaches out before the discharge happens.

Will the same nurse visit every time?

Whenever possible, yes — continuity means changes in condition are more likely to be noticed early.

Does skilled nursing replace the need to see my loved one’s doctor?

No — skilled nursing complements physician and specialist care. Our nurses coordinate closely with the broader medical team rather than replacing it.

Is skilled nursing covered by Medicaid?

In many cases yes, particularly through a Managed Long-Term Care plan for ongoing needs. We can help clarify what applies to your situation.

Ready to Get Started?

One of our coordinators will walk through your loved one’s clinical needs and help you understand what skilled nursing care could look like — free, no obligation.