Ifejika NL, Vahidy F, Reeves M, et al. - Using Get with the Guidelines-Stroke hospital data between January 1, 2008 and December 31, 2015 (N = 1,643,553), researchers conducted this retrospective observational study to examine whether the elimination of trial admissions and the initiation of documentation requirements, via the 2010 Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility Prospective Payment System Rule, limited inpatient rehabilitation facility access while increasing skilled nursing facility utilization compared with home discharge in ischemic stroke patients. Between January 1, 2008, and December 31, 2009, 54.1% of patients were discharged home, 25.4% were admitted to an inpatient rehabilitation facility, and 20.5% were admitted to a skilled nursing facility. Between January 1, 2010, and December 31, 2015, there was a 1.4% absolute increase in home discharge, a 1.1% decline in inpatient rehabilitation facilities, and a 0.3% decline in skilled nursing facilities. In populations with ischemic stroke, the Centers for Medicare and Medicaid Services 2010 Inpatient Rehabilitation Facility Prospective Payment System Rule was related to a 1.1% absolute reduction in inpatient rehabilitation facility discharge, with a concomitant rise in home discharge rather than to skilled nursing facility.