Friend of my husband, who has some short term memory issues, had breathing issues that progressed at home (forgot to finish his antibiotics for a respiratory infection). It rapidly progressed to pneumonia, so bad he had to go to the hospital. Numerous tests for Covid, RSV, were negative. Also negative for bacterial pneumonia (but he had already been on oral antibiotics at home, so who knows if this skewed the results). He was placed on IV antibiotics and albuterol treatments. He wound up in the ICU for about 10 days. They wanted to give him monoclonal antibodies, but his son said know. The hospital rarely got him out of bed. His oxygenation level went down to the low 70’s and it took 2 hours to recover at 4L the one time. After about 3 weeks in the hospital, they decided to send him to a rehab. facility (must be insurance send they would not cover a longer stay because all of a sudden they decided to transfer him). They ambulated him in the hall on 4L oxygen and because one time he stayed in the low 90’s, he was good to go. The problem was that he was now deemed “to healthy” to qualify for rehab., so they wanted him to go to a skilled nursing home. Having worked in a “Deficiency Free” skilled nursing home for a brief stint, I knew the care he would receive with a nurse/patient ratio of 1:25. So I told the family we would take him in (I had skilled/rehab experience, knew how to check oxygen levels, operate oxygen equipment, and a nebulizer machine. Rest, good food, administration of medicine regularly, gradual increase in activity, home PT/OT, and adding oregano oil capsules and Pine Needle tea (added to his regimen with family approval for his respiratory health) all helped him improve. We saw a vast improvement in 48 hours. I forgot to mention the dear hospital discharged him with a bedsore and never told us. That improved in less than 24 hours with a wonderful cream I found doing my research. The hospital tried to dissuade his son from sending him to us instead of the nursing home. I am convinced hospitals get a kick back on referrals. I doubt he would have improved had he gone there because his health was borderline on arrival. He will be leaving us 7 weeks after arrival. He could have left at 4 weeks, but he still needed a lung scan and pulmonologist follow up, before departing for his daughter in New Jersey. None of the family was able or equipped to manage his care because they had two story houses and due to lung capacity could not manage stairs. He is now off oxygen, steroids and down to one albuterol treatment per day for the next week. My point with this long narrative is: beware of placing your family member in even a deficiency free nursing home. They will NOT get the care they need to recover because staffing is very thin (you pay $5000-6000/month) and they will receive suboptimal care. Even hospital staff are not as attentive as they should be in meeting the needs of patients-he should have been out of bed more every day, and ambulated in the hall by physical therapy.