This research examined 201 hospitalized patients who underwent preadmission
screening for Medicaid-reimbursed long-term care. Results suggest that these
patients have substantial problems in health andfunctioning and may lack needed
informal supports. Availability of community living space is consistently associated
with authorization decisions for institutional versus community care and skilled
versus intermediate institutional care, as well as expected length of stay in an
institutional setting. We discuss implications for further research, nursing practice,
and discharge planning strategies for long-term care patients in acute carefacilities.
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