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Community Discharge Among Long-Stay Nursing Home Residents: The Discharge Planner Perspective.

Abrahamson, Shippee, Davila, Arling, Kane. Community Discharge Among Long-Stay Nursing Home Residents: The Discharge Planner Perspective. Journal of gerontological social work. 2025 Jun 8; 1-17, DOI: 10.1080/01634372.2025.2516260.

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Abstract:

Planning for discharge is common among nursing-home residents who enter the facility for a short-term rehabilitative stay. More challenging is community discharge among long-stay residents who have been in a nursing-home beyond the Medicare funded rehabilitation period. The current manuscript describes an analysis of interviews conducted with 42 nursing-home discharge planners in the context of a statewide policy to promote nursing-home to community discharge among long-stay residents. Identified themes from the analysis include a focus on newly admitted residents, starting early, multi-disciplinary planning, lack of available community services, financial concerns, and balancing resident safety with the desire to return home.




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