This study examined the outcome measures of readmission to the hospital and change in functional status/quality of life. Patients were admitted to the hospital most commonly by the 15th visit indicating complications arise soon after home care initiation. Implications for more specific data related to acuity, family support, and outcomes are suggested to develop and evaluate strategies for cost-effective care. The potential for preventing hospitalizations may be diminished due to the cost containment strategies currently used by agencies in response to PPS.