Can someone please help me understand why unplanned hospitals discharges are such a negative in LTC and SNF's? I recently had 6 patient go to the hospital, five out of the six were admitted. Only one out of the five I feel we could have treated within our facility, but the Dr. insisted we send her out. I have received a lot of grief from corporate about "why" we are sending out so many people. How do other DON's judge on who should go to the hospital?