Patients with two or more of the following symptoms should be hospitalized:
	Oxygen saturation < 90% on room air at sea level
	Systolic blood pressure < 90 mm Hg or 20 mm Hg less than baseline
	Respiratory rate > 30 breaths per minute or 10 breaths per minute more than baseline
	Requiring 3 L per minute of oxygen more than baseline
	Uncontrolled chronic obstructive pulmonary disease, congestive heart failure, or diabetes mellitus
	Unarousable if previously conscious
	New or increased agitation
If the facility cannot provide vital sign assessment every four hours, laboratory access, parenteral hydration, and two licensed nurses per shift, consideration should be given to hospitalizing patients who have only one of the listed symptoms.
Patients with none of the listed symptoms should be treated in the care facility unless the patient or a surrogate insists on hospitalization.