E. A service which could be performed by the average nonmedical person is not converted to a skilled nursing service when a competent person is not available

For example, an individual who suffers from constipation requires an enema from time to time. There is no doubt that the enema is of great importance to them. However, since it can be performed by the average nonmedical person, the fact that no one is available in the home to provide this service does not change it to a skilled nursing service.