The patient is an 87 year old male who had lumbar surgery to treat spinal stenosis. He lived alone prior to the surgery. He was feeble when he entered the rehab facility due to an extended stay (16 days) in the hospital and has improved during his first week of therapy. He will be discharged at the end of his second week. He wants to be transferred to a SNF near his home for at least a couple weeks so he can get stronger and regain more of his mobility before going home. The rehab center says he will be able to go home after his 2 weeks with supervision and is resisting making the referral to the SNF because they say he doesn't need it. If he insists do they have to refer him to the SNF?