I don't think the OP meant to sound as offensive as they did. OP, I encourage you to talk with multiple LTC and Home Care Nurses. You'll find that nursed working in different areas, states, agencies, facilities, May have different responsibilities. In my experience I most see these types of nurses passing mess and assisting with assessments. I also see them doing g-tube care, is ostomy care, wound care etc.... There may be certain skills they might not get to use as much, but they do use many if their procedural clinical skills in my observation.