Traditional acute to post-acute transition patterns have been disrupted, leaving hospitals with limited options to safely and efficiently discharge patients to follow up sites of care.The COVID-19 pandemic has only further complicated the challenge of selecting the 'right' next site of care for a patient. New regulations, overcrowded hospitals, and outbreaks in post-acute settings have upended the way hospital discharge planners need to think about post-acute patient placement.This presentation will reveal proven strategies on processes and systems to address LOS while maintaining quality care, patient safety and reducing readmissions while addressing recent struggles COVID-19 has played in post-acute care settings.