A home is a place where a single person, family or group of people lives or spends much of their time, or, metaphorically, where a person is comfortable
Concept
While a house (or other residential dwelling) is often referred to as a "home," the concept of home is broader than a physical dwelling. Home is often a place of refuge and safety, where worldly cares fade and the things and people that one loves becomes the focus. Many people think of home in terms of where they grew up, and "home" can even be a time rather than a place.[1] The word "home" is also used for various residential institutions which aspire to create a home-like atmosphere, such as a retirement home, a nursing home, a 'group home' (an orphanage for children, a retirement home for adults, a treatment facility, etc.), a foster home, etc.
There exist cultures lacking fixed homes, with nomadic people often moving their homes from place to place.
Psychological impact
Since it can be said that humans are generally creatures of habit, the state of a person's home has been known to physiologically influence their behavior, emotions, and overall mental health. For example, in the introduction to the film Patch Adams, the concept of "home" is compared to the human need for peaceful sanctuary, the absence of it thus leading to restlessness. Such restlessness, as can be seen by that particular case, may lead to depression and, ultimately, to a loss of sanity.[2]
Other usages
The real-estate industry increasingly replaces the word house with 'home' in its literature, as in 'a four-bedroom home' or a 'modern townhome', a usage that is intended to suggest that the item being sold already has the emotional attributes of home before someone buys it. Clearly this is a marketing ploy, since a house that is for sale is either someone else's home (the vendor's or the sitting tenant's) or no-one's home, but not yet the home of a prospective purchaser. This usage, however, has crept into everyday speech, in which, for example, residents of American suburban subdivisions will often refer to both vacant and inhabited buildings as "homes" rather than the more correct term, "house."
A nursing home or skilled nursing facility (SNF), also known as a rest home, is a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living. Residents include the elderly and younger adults with physical disabilities. Adults 18 or older can stay in a skilled nursing facility to receive physical, occupational, and other rehabilitative therapies following an accident or illness.
United States
In the US, nursing homes are required to have a licensed nurse on duty 24 hours a day, and during at least one shift each day, one of those nurses must be a Registered Nurse. In April, 2005 there were a total of 16,094 nursing homes in the United States, down from 16,516 in December, 2002. Some states have nursing homes that are called nursing facilities (NF), which do not have beds certified for Medicare patients, but can only treat patients whose payments source is Private Payment, Private Insurance or Medicaid.
Difference between an SNF and a nursing home
Services provided in nursing homes include services of nurses, nursing aides and assistants; physical, occupational and speech therapists; social workers and recreational assistants; and room and board. Most care in nursing facilities is provided by certified nursing assistants, not by skilled personnel. In 2004, there were, on average, 40 certified nursing assistants per 100 resident beds. The number of registered nurses and licensed practical nurses were significantly lower at 7 per 100 resident beds and 13 per 100 resident beds, respectively.(38)
Nursing facilities that participate in the Medicare and Medicaid programs are subject to federal requirements regarding staffing and quality of care for residents (42 CFR Part 483). In 2004, 98.5% of the 16,100 nursing facilities nationwide were certified to participate in Medicare, Medicaid, or both.
Medicare covers nursing home services for beneficiaries who require skilled nursing care and/or rehabilitation services following a hospitalization of at least three consecutive days. The program does not cover nursing care if only custodial care is needed -- for example, when a person needs assistance with bathing, walking, or transferring from a bed to a chair. To be eligible for Medicare-covered skilled nursing facility (SNF) care, a physician must certify that the beneficiary needs daily skilled nursing care or other skilled rehabilitation services that are related to the hospitalization,(1) and that these services, as a practical matter, can be provided only on an inpatient basis. For example, a beneficiary released from the hospital after a stroke and in need of physical therapy, or a beneficiary in need of skilled nursing care for wound treatment following a surgical procedure, might be eligible for Medicare-covered SNF care.
SNF services may be offered in a free-standing or hospital-based facility. A freestanding facility is generally part of a nursing home that covers Medicare SNF services as well as long-term care(2) services for people who pay out-of-pocket, through Medicaid, and/or through a long-term care insurance policy. Generally, Medicare SNF patients make up just a small portion of the total resident population of a free-standing nursing home.
Medicaid also covers nursing home care for certain persons who require custodial care, meet a state's means-tested income and asset tests, and require the level-of-care offered in a nursing home. Nursing home residents have physical or cognitive impairments and require 24-hour care.
Many patients who live in nursing homes often begin paying out-of-pocket. Some deplete their resources on the often high cost of care. If eligible, Medicaid will cover continued stays in nursing home for these individuals.
Government/regulatory oversight
All nursing homes in the United States that receive Medicare and/or Medicaid funding are subject to federal regulations. People who inspect nursing homes are called surveyors or, most commonly, state surveyors.
The Minimum Data Set (MDS) is part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems.
For United States homes, the Centers for Medicare and Medicaid Services has a website which allows users to see how well facilities perform in certain metrics (see Nursing Home Compare in the link below).
Care homes for adults in England are regulated by the Commission for Social Care Inspection.
Nursing homes are subject to federal regulations and also strict state regulations. The nursing home industry is considered one of the two most heavily regulated industries in the United States (the other being the nuclear power industry).[citation needed] {source: http://www.nfpa.org/categoryList.asp?categoryID=729&URL=Publications/NFPA%20Journal%AE/May%20/%20June%202003/Features&cookie%5Ftest=1}
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