SURGERY RESIDENT BLOG

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SNF: Waiting in the hospital forever to discharge to a skilled nursing facility

I have a patient in the hospital now who had an esophagectomy for esophageal cancer. He is currently NPO, tolerating jejunostomy tube feeds, and is doing well and is ready for discharge. However, we can’t find a skilled nursing facility that will take him! Their rationale is always they can’t take him because he is getting tube feeds.

My question is, why would a facility refuse to accept a patient because he is getting tube feeds? Is it because they would make less money out of the patient? Any other thoughts?

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