It's truly a dilemma, I can say as a Canadian, (Eh?) and working transport around Vancouver, BC that MOST of the NSG homes are good. Good enough to put my family into if required. However, some of the General Hospitals...
My unit, aka:Car (not BUS see:transit) was called non emergency to a Med/Surg ward in a large General Hospital, (also a level 1 TC) to take an elderly man back to his NH. It was a Saturday morning, approx. 0900 and upon arrival at the unit, my partner, (newbie @ time) went to patient to prepare for movimg to our cot. He came back a few minutes later with a distressed look on his face.
At the same time at the nurse station, a Nurse "magically" appeared. We three, went to the Pt's room. The general appearance was very ashen, and mentation level was low. I then queried stats, and admission reason. I returned to station w/Nurse, and reviewed chart. Four day's prior, query Pneumonia. Sat's were low 90's and nurse St's "pt taken off o2 before our arrival" we bagan vitals, and I instructed partner to get our o2. On our o2, and transporting the pt the 15 Min's to NH, pt resp. began to slow, down to 15, shallow, effective as we arrived.
When we entered tha facility the staff were surprised that we were back w/Mr.X, as his family had been informed that he would not be "discharged from the Hospital" Family had already come, and cleared out his room... as he had been expected to die in Hospital...