Steady Strides Physiatry Services at Skilled Nursing Facilities



  • Medical rounds once or twice a week to evaluate and follow-up with patients undergoing therapy services

  • In-house consultation for non-opiate pain management (e.g. steroid & trigger point injections, modalities, DME, etc...), fall prevention, spasticity, neurological (e.g. stroke, neuropathy, etc…)  and orthopedic conditions

  • Prescribe patient-centered therapy and medical interventions to help remove patient barriers to progress with therapy and optimize safety and outcomes

  • Liaison between nurses, physicians, therapists and patients to provide team-based comprehensive medical and rehabilitation care


  • Prevent medical complications causing hospital admissions

  • Reduce patient falls in facility

  • Identify assisted living and long term patients to enroll in Medicare Part B therapy services

  • Participate in Medicare meeting for rehabilitation management and discharge planning as needed

  • Manage patient length of stay (shorten or lengthen as needed depending on circumstances)

  • Support medical quality and safety goals, processes and measures as needed.

  • Provide documentation to justify therapy goals, support equipment need and help with RAC and federal audits as needed

  • Lead in-service education for physicians, nurses and therapists as needed

  • Outpatient follow up after discharge to prevent hospital readmissions after discharge from the skilled facility.



  • Physiatry services provide a competitive edge that is often advertised by the skilled nursing facility marketing team to their referral sources, e.g. hospitals, case managers, etc...

  • Patients appreciate having additional physician services and by "the word of mouth" relate to their communities the extra care provided with regular physiatry services

  • Physiatrists normally treat patients with chronic disabling conditions, many of whom may require skilled nursing care. Patient preference is often to choose to receive care at skilled facilities where their physiatrist is practicing. Steady Strides specializes in treating patients at risk of falls many of whom are at high risk of hospitalization and subsequent skilled nursing facility care.