Studied 79 nursing home residents who were expected to return to community. Only 16 percent of subjects did not return to community: two chose to remain in nursing home, four had no willing family caregivers, and two quickly deteriorated. Results did not support notion of iatrogenesis. (Author/NB)

A nursing home has three discharge tracks, determined at admission and reviewed periodically along with treatment plans. Advised by the admitting physicians, the nursing home social worker assesses each resident's discharge prognosis: (1) a discharge plan is in effect; (2) discharge is problematic; or (3) no discharge is planned. A substantial…