A skilled nursing facility provides medical, nursing, social and rehabilitative services for older persons that require 24-hour nursing care and supervision. A physician's order is required for admission to a nursing facility. The staff is available to assist residents with their activities of daily living (dressing, bathing, meals); however, residents are encouraged to do as much for themselves as they can, to help them maintain their own independence. Many Nursing Facilities offer Alzheimer's, hospice and respite care. Services provided may include, but are not limited to, meals, activities, laundry, housekeeping, therapies, transportation and religious activities. Staff assists residents who have incontinence problems. Residents may be able to walk on their own, or might be totally dependent upon staff. Residents may be disoriented and memory may be severely impaired.