Fairmount Long Term Care (FLTC), operates the Philadelphia Nursing Home on behalf of the City of Philadelphia. FLTC provides nursing home services primarily to indigent residents of Philadelphia. Licensed as a 402-bed long-term care facility, 98.6% of the residents of the nursing home are covered by the Medical Assistance program (Medicaid) or Medicare. In fiscal year 2023 the nursing home provided services to 255 individuals providing 11,651 days of nursing home care. Services that FLTC provides its residents include, daily routine nursing care, physical therapy, speech therapy, occupational therapy, recreational therapy, routine physician services, specialty physician services, and mental health services. Most of the residents at FLTC have very complex psychosocial histories. Many are here with medical problems directly related to substance abuse and/or violence, and many have very little social supports in their lives. The goal is to provide comprehensive care and services to ensure