The plan after discharge is inpatient rehab once insurance is accepted; Patient agrees to attending rehab; Patient will be able to tolerate 3 hours of therapy a day in order to attend rehab; Patient verbalizes teach-back of general readmission prevention: take all meds, stop smoking, eat healthy, call Dr. if blood pressure does not improve with meds, follow-up appointments are important, and know the signs and symptoms of stroke including face droop, weak arms, speech difficulty, and then immediately call 911; Patient demonstrates knowledge of medications and affirms adherence to providers' orders; Nurse identifies support system