Nursing home discharge planning form 2025

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Hospitals should provide written instructions covering at least these five topics: What activity you can do at home. Your diet. Follow-up appointment. Discharge medications. What to do if symptoms return or worsen.
In creating your discharge plan, hospital staff will consider things like: whether you live alone. how mobile you are. whether you need assistance at home. whether you will have physical restrictions, for example not driving or lifting.
If you have just been discharged from hospital and remain unwell, this could be considered a failed discharge. If you remain very unwell you will need to reattend the hospital you were discharged from.
The Department of Defense (DoD) authorizes six characterizations of service for military service members to receive on discharge: (1) Honorable; (2) Under Honorable Conditions (General); (3) Under Other than Honorable Conditions; (4) Bad Conduct; (5) Dishonorable, and (6) Uncharacterized.
The written notice must be received a minimum of 30 days (but may be up to 60 days) prior to the discharge date. The only exception is in the case of an emergency. A summarization of the nursing home residents physical and mental status must be prepared. A discharge plan must be written up by the nursing home.
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Your discharge plan should include information about where you will be discharged to, the types of care you need, and who will provide that care. It should be written in simple language and include a complete list of your medications with dosages and usage information.
The following criteria are to be used in determining discharge: Functional inpatient rehabilitation goals are met in all therapy areas. No significant progress is evidenced toward functional goals. Goals can be addressed in a less intense program (i.e., therapy provided at non-acute inpatient setting).

sample letter of discharge from nursing home