Ohio nursing homes including Eastland Rehabilitation Center have discharged medically fragile patients to homeless shelters instead of providing proper discharge planning — at least seven facilities have done this in recent years according to CMS inspection records. One woman with dementia, diabetes, and a fractured tibia was dropped at a Columbus shelter with no coordination with psychiatric services, leaving her confused and incontinent on a waiting list of 100 people. The article documents a pattern where facilities facing discharge restrictions transfer vulnerable, often poor and isolated patients to shelters rather than locate appropriate care, though it lacks data on how widespread the practice has become.