I have SMC S rating and VA has sent a nurse twice a week and an aide 3 times a week to help me. The nurse takes vitals, reviews my medication and makes sure I have set up meds correctly for the week. The nurse also counsels suggesting strategies for the week and checks my feet and inquires about my current health and any problems. The aide helps me wash feet up to knees and applies lotions prescribed by Doc. Checks for any skin conditions or sores does light cleaning. The VA pays for this w