This situation sounds really sticky and I'm sorry for your experience. I've heard of this happening before - facilities "dumping" patients for owing money. By sending this patient to the ED for no clear reason is wrong in itself. But by sending this patient to the ED and not accepting them back? Shameful.
Your facility is washing its hands of this patient and the problem isn't solved. Why should this hospital have to carry the burden of this patient's financial difficulties with your facility? Obviously, if your facility doesn't accept her back, the hospital will have to find someplace for this patient to go. And what if they cannot find a facility to take this patient? The hospital is going to have to eat the cost. I've heard of patients who have stayed in the hospital for MONTHS because no facility would accept them due to financial circumstances.
This type of behavior places an undue burden on the entire health care system, drives up health care costs for everyone, and is unfair to the hospital that you sent this patient to. Most of all, it is unfair to the patient.
You have a license with the state, not your facility. Keep that in mind. Your facility can tell you to do anything they want, but you need to be willing to deal with the consequences.
Take a look at this link regarding Florida's "Resident Rights" from the Department of Elder Affairs:
Here's a helpful article:
Florida statutes: look at letter "P" and number "4" (at the bottom of the page)
If I were you, I'd contact Florida's Ombudsman program: http://ombudsman.myflorida.com/index.jsp
From what I've found online, what your facility is attempting to do is illegal and frankly, it looks like your facility has already engaged in illegal activity by falsely transfering a patient with no medical need for treatment. You need to find out the laws in your state and get in contact with persons who will know what is legal and what isn't. Personally, I'd rather be fired for doing the right thing than lose my license for doing the wrong thing. You WILL be able to get another job, I guarantee it. Please update us, as this is a very important for all nurses to be aware of.