My husband recently fell and broke his hip (upper part of femur) and had a half hip replacement. Is currently in hospital but they are trying to get him into inpatient rehab. He also has Parkinsons and radiculopathy (nerve damage) in the same leg resulting from shingles, so recovery is not as simple. We aren't at all familiar with how rehab services (OT, PT) operate in skilled nursing facilities, nor who decides when enough function has been restored to allow a person to go home. With outpatient PT and OT, my husband's doctor has written a general order and then the PT and OT take over from there, and they do periodic evaluations to determine if their services are still needed (based on Medicare or insurance guidelines I'm sure). In a SNF, I presume there a doctor who writes the orders and oversees the patients medically? And would this doctor coordinate care with the patient's other doctor(s)? The hospital will be providing detailed notes to the SNF, including notes from the PTs who have seen my husband. How does the SNF know that a patient is safe to discharge to home? I know hospitals are bound by regulation to make sure it's a safe discharge. Does the SNF have a process to do a home evaluation to make sure it's safe? We are fortunate that my husband does have LTC insurance and we are already getting some home care aide services from an agency, so can get more when he's discharged as needed. We also have grab bars, shower chair, bed rail, and a lift chair, so I think home is pretty ready physically.