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Residents include the elderly and younger adults with physical or mental disabilities.

Residents in a skilled nursing facility may also receive physical, occupational, and other rehabilitative therapies following an accident or illness.

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Nursing aides and skilled nurses are usually available 24 hours a day.Poorhouses/workhouses were the first implemented national framework to provide a basic level of care to the old and infirm.Pictured, is "The workroom at St James's workhouse" from The Microcosm of London (1808).Ignores parish charity which devolved from the religious-structured government.

American system had poorhouses and poor farms but also "Overseers of the Poor" who were supposed to prevent death by selective support of the poor.Most workers in the workhouse were set tasks such as breaking stones, bone crushing to produce fertilizer, or picking oakum using a large metal nail known as a spike.

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