Continuous Skilled Nursing (CSN)
Extended nursing support at home for children and adults with complex medical needs.


What Is CSN?
Continuous Skilled Nursing provides more than two continuous hours per day of medically necessary nursing services by licensed registered nurses (RNs) or licensed practical nurses (LPNs). It supports children and adults with complex medical needs who require extended nursing care to remain safely in the community.
CSN is not automatically 24/7 or around-the-clock care. Approved hours, schedule, and services depend on medical necessity, the individualized plan of care, payer requirements, authorization, and staffing.



Who Is Eligible for CSN?
CSN may be appropriate for children and adults who:
- Have complex medical needs that require extended nursing care to remain safely in the community
- Need more than two continuous hours per day of medically necessary nursing services
- Require care from a licensed nurse, such as a registered nurse or licensed practical nurse
- Have an individualized plan of care that outlines their approved nursing services
- Meet payer requirements and authorization for continuous nursing care

Our CSN Services
Our licensed nurses provide medical care in the home based on each person's treatment plan.
Services may include:
- Giving medications and prescribed treatments
- Wound care and dressing changes
- Monitoring vital signs and overall health
- IV therapy and infusion services
- Blood draws and specimen collection
- Catheter and ostomy care
- Patient and family education
- Communicating with physicians and the care team to monitor progress

How Is CSN Different from Intermittent Skilled Nursing?
Intermittent Skilled Nursing consists of targeted nursing visits, typically less than two consecutive hours. On the other hand, CSN is a separate service for people who require more than two continuous hours of licensed nursing care per day.

Frequently Asked Questions
Find answers about our services, coverage, and how to begin.
Yes. Skilled nursing services are provided under a physician's order and follow a personalized plan of care.
No. Skilled nursing is designed to provide short-term medical care while you recover or manage a health condition.
Contact Fortcom Health Services to discuss your needs. Our team will review your physician's referral, answer your questions, and help determine whether skilled nursing is the right service for you.
It can be, depending on the patient's needs. Approved hours, schedule, and length of services depend on medical necessity, the plan of care, payer requirements, and authorization.
Coverage depends on the patient's payer requirements and authorization. Our intake team can help you understand your options.
The number of visits depends on your medical needs and your physician's treatment plan.
Skilled nurses can provide treatments, wound care, medication management, health monitoring, IV therapy, patient education, and other medically necessary nursing services.
Continuous Skilled Nursing follows an individualized plan of care. Our intake team will review the patient's order or referral, coverage, and authorization steps with you.
Yes. Continuous Skilled Nursing supports both children and adults with complex medical needs who require extended nursing care at home.
Not necessarily. Continuous Skilled Nursing is not automatically 24/7 care. The number of hours depends on medical necessity, authorization, and staffing.
How to Get Started
Contact Fortcom Health Services first. Our CSN intake team will discuss the patient’s medical needs, order and plan-of-care information, coverage, requested schedule, and authorization process.

Request Continuous Skilled Nursing Today
Help your child or loved one stay safely at home with support from our licensed nurses. Reach out today to take the next step.

Refer Someone You Care About
If you would like to refer a person or know someone who could use our services, please let us know and we will contact them soon.

