I am a hospital CM/UR/DC planner-- We have 3 local SNFs that all provide very similar services. We refer to 2 of the 3 on a very regular basis. However, with the third one we consistnely have problems. I tried to "spread" my less than desirable patients between the three facilities. This third facility would accept these patients then on discharge would "change their mind" leaving us to scramble for a discharge plan--sometimes they would do this on insurance patients as well. I now will mention this facility when a patient needs SNF, but do not make a referal to them, unless the patient asks for this facility by name. In addition the inconvience this has caused my department, this facility started accepting post-acute patients from other facilities that in my opinion they cannot care for-- so they send them to the nearest hospital (where I work). Then on dc they will not accept patient back---requiring us to find another facility. I do not know what problems you have had with this hospital-- but perhaps you need to speak w/ a dc planner that can let you know some of the history. Good luck