Semin Speech Lang 2013; 34(01): 029-036
DOI: 10.1055/s-0033-1337392
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Speech-Language Pathology in the Long-Term Care Setting: It Isn't Your Grandmother's Nursing Home Anymore

Mary L. Casper
1  Corporate Rehabilitation Consultant, HCR ManorCare, Rockville, Maryland
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2013 (online)


This article considers the career of speech-language pathologists practicing in long-term care/skilled nursing facility settings. The range of conditions that lead to communication, cognition, and/or swallowing disorders that are evaluated and treated by the speech-language pathologist in the long-term care setting are examined. Various methodologies for reimbursement are discussed, including the Medicare Physicians' Fee Schedule associated with Medicare Part B and the Prospective Payment System associated with Medicare Part A. Suggestions for effective clinical service delivery are reviewed, along with best practices for interdisciplinary team communication.