How do you counsel patients who are opposed to the recommendation of facility-based post-acute rehab?

This seems to happen most often with patients who have had bad experiences in the past at SNFs. Typically, I try to get a sense from PT and OT what would be required to make a home discharge safest; refer to home health PT/OT and nursing; enlist the family and do expectations management about what will be required for care; ask the Case Manager to give home care referrals; and assess their understanding of the risks. If they have sufficient family support, I am happy to try to scaffold a home di...