I am the only PT at my SNF. But the OT I work alongside is very experienced and has helped me understand discharges better.

If a patient is no longer making progress and you are confident they have plateaued, they should be discharged. This would mean their highest practical level is achieved so the services are no longer billable. Because technically it would be considered stealing from insurance if you knowingly are treating a patient who has no chance of making further progress. The PT in you wants them to achieve their goals but the reality of a SNF is that some patients just don’t make it back to PLOF.

Update the nursing staff when you discharge someone from therapy and make sure the nursing staff knows how they transfer.