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Many residents of skilled nursing facilities are eventually faced with deciding whether or not to stay at the facility or transfer to a hospital. The fact is, nearly half of all hospital transfers may be avoidable, saving the resident the stress of transferring and the risks associated with being in the hospital. This booklet was produced by Florida Atlantic University and was funded by the Patient-Centered Outcomes Research Institute (PCORI) and is offered here with the permission of Florida Atlantic University.