What are the Medicare rules about palliative care and skilled nursing care? MIL had open heart surg. in August and is refusing rehab; her son has moved her to a nursing home, where she is being evaluated. She has no fatal illness, she is refusing to eat on a consistent basis. She is off all meds except for painkillers for a UTI. If someone can make sense of this for me and my husband (who is her eldest child, but does not hold the HCP) please let me know.