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My spouse needs to go to a nursing home. Will Medicare pay for it? Can Medicare help me select a nursing home that will provide high quality care? Medicare Part A pays for short-term stays in a nursing home, if it is needed after an inpatient hospital stay of at least three days. This usually means skilled nursing home services are required for rehabilitation after an injury, disability or illness. If this is the case and the person needing the skilled nursing home care as Medicare Part A and has a doctor’s order for skilled nursing services t...