Core Viewpoint - The article discusses the challenges and realities faced by elderly individuals seeking admission to nursing homes, highlighting the strict policies and hidden requirements that can lead to rejection or withdrawal from these facilities [1][2][3]. Group 1: Management Guidelines - Nursing homes adhere to a strict "red line" policy, refusing admission to elderly individuals with infectious diseases unless they are fully cured [5][6]. - The Ministry of Civil Affairs' 2020 regulations mandate that nursing homes report any suspected infectious disease cases to health authorities for necessary preventive measures [6][7]. - Similar regulations apply to elderly individuals with mental disorders, where admission depends on the stability of their condition and the facility's capabilities [8][9]. Group 2: Implicit Requirements - Some elderly individuals may be "politely declined" admission due to the behavior and expectations of their family members [12][13]. - Families often view themselves as consumers, expecting nursing homes to take full responsibility for care without collaboration [14][15]. - Effective communication and cooperation between families and nursing homes are crucial for ensuring the safety and well-being of elderly residents [20][25]. Group 3: Responsible Withdrawal - Nursing homes may suggest transferring residents to specialized medical facilities if their health deteriorates beyond the institution's capacity to manage [27][28]. - Families may resist medical intervention for their elderly relatives due to concerns about costs or misunderstandings about treatment [31][34]. - The decision to "withdraw" a resident is often a responsible action aimed at protecting the health of all residents and maintaining the quality of care [35][36].