Ms. V is an 86-year-old widow who presented to the St. Joseph’s Regional Medical Center (SJRMC) ED after falling while getting out of bed.  The comprehensive assessment provided by the ED physician and geriatric RN coordinator resulted in a discharge directly to a sub-acute rehab from the ED. Ms. V and her family’s needs were met without an unnecessary admission to the hospital; the discharge plan was safe, medically appropriate, and cost effective.