A skilled nursing facility is a facility (like DeSoto) which specializes in a high level of care medically necessary for rehabilitation treatment for patients needing 24/7 care and requiring advanced trained staff. Skilled nursing care must be provided by or under the direct supervision of licensed health professionals, such as registered nurses (RNs), licensed practical nurses (LPNs), speech/language pathologists, and physical/occupational therapists, and/or physicians.