TBohmRN, RN 12 Posts Has 17 years experience. Jun 1, 2017 Ive worked in LTC for over 10 years. We do skilled assessments once a shift. My facility has a "skilled assessment" template/form on our system. It's basically a head-to-toe assessment, and make sure to focus on whatever brought them to skilled care. Vitals, LOC, heart lung and bowel sounds, voiding pattern, edema/skin, activity level & tolerance then treatments, wound, tubes & drains, incision, etc- all if applicable.