C. Late discharge
When a patient chooses to occupy their accommodations in an SNF beyond the normal check-out time for personal reasons, the SNF may charge the beneficiary for their continued stay. Such a stay beyond the check-out time, for the comfort or convenience of the patient, is not covered under the program and the SNF's agreement to participate in the program does not preclude the facility from charging the patient. However, it is expected that facilities will not impose late charges on a beneficiary unless they have been given reasonable notice (for example, 24 hours) of their impending discharge.
Where the patient's medical condition is the cause of the stay past the discharge hour (e.g., the patient needs further services, is bedridden and is awaiting transportation to their home, or dies in the facility), the stay beyond the discharge hour is covered under the program and the SNF may not charge the patient.