Rehab in a LTC facility.....not your typical rehab hospital. with Medicare and Medicaid cutting back on "nursing home" reinbursements, many facilities have hired a full staff of PT/OR/ST therapist to bolster the bottom line income. Without our therapies, our facility would probably go broke. Unfortunately, our guests get used to the beck and call for every little need. One recent case was discharged home after 100 days of reconditioning, and the same afternoon called us back to see if she could come back. While she was with us, our CNA's accommodated her every whim in the interest of client satisfaction. After all, nursing care is a competitive business now. however, she exhausted her insurance coverage and PT had reached maximum benefit. Our excellent patient care for this single lady did not foster independence. The CNA's were constantly told "I can't" by this lady. I feel certain that PT and Social Work did everything under the sun to facilitate her return to living alone as she was before. She has hired help during the daytime at home. In LTC with the limited staffing, it is quicker to do her bidding than to stand there and encourage her to do for herself. Now we have created a dependent client, when the whole purpose of her stay was to regain the strength and mobility as before.