Skilled Nursing Centers provide 24-hour care for people requiring rehabilitation or with long-term illnesses. Services may include medical care, therapies, and assistance with activities of daily living. Facilities are licensed by the Commonwealth of Pennsylvania. Depending on an individual's circumstances, costs for skilled nursing and rehabilitation may be fully or partially covered by Medicare, Medicaid, major insurance, or long-term care insurance. In some cases, care needs to be paid for by an individual's private funds, in which case monthly costs can range from $10,000 to $14,000.