Just curious because this question comes up often. I also got this question a lot when I was secretary for a Visiting Nurse Assoc. I live in South Jersey. When a person is hospitalized and needs rehab the Hospital handles it. They have a special employee that calls around to see where beds are available and then gives the patient or family members a choice. At no time have I had to call around asking if an opening is available. Homecare I picked which one I preferred, but the hospital called the service and sent them the doctor order. Then Homecare calls me to set up a day to admit my Mom. As a secretary I got lots of calls from family members freaking out because they thought the responsibility would be theirs. I explained that a Social Worker would contact them with how discharge will be handled. As a VNA facility we did nothing until we had a doctors order in hand from the hospital. Isn't this how all hospitals work?