The home visit has become a integral part of treatment programs for a large number of patients at the Spaulding Rehabilitation Hospital. It is especially useful for elderly patients, who represent a considerable share of the caseload, and has proven to be most beneficial for those individuals who are returning home to live alone or be alone part of the day. At Spaulding the hyome visit is most often conducted by an occupational and physical therapist team who follow a specific evaluation protocol examining the patient's home environment vis-à-vis anticipated functional status at discharge. Recommendations and suggestions for both use patterns and possible structural changes follow. In order to both evaluate the process and the results of home visits a chart audit was conducted from which various ways have been discovered to improve the value of this treatment activity and thereby enhance a patient's quality of life after discharge.