Medical and personal care services rendered to patients who are not in an acute phase of illness but chronically ill, aged, or disabled and generally residing in a nursing home or assisted living facility. Sometimes home health care is provided on a long-term basis, and this may be referred to as LTC . Patients require help with activities of daily living (ADLs) such as bathing, continence, dressing, eating, mobility, transferring in and out of bed or a chair, using the toilet, and walking. Most long-term care is custodial care, and Medicare does not pay for this type of care if this is the only kind of care the patient needs.