Background: Many rehospitalizations for heart failure(HF) are preventable as they are precipitated by modifiable factors. High early readmission rates suggest that patients commonly are discharged from HF hospitalizations with such problems unaddressed. The purpose of this study was to describe the prevalence of multiple risk factors for rehospitalization in patients recently discharged from a h ospitalization for decompensated HF.Methods and Results: The following potential ly modifiable risk factors for rehospitalization were evaluated in 202 patients: functional status; whether the patient lived alone; presence of anxiety, depres sion, or poor quality of life; and symptom status and adherence to prescribed me dications, low-sodium diet, and symptom monitoring recommendations. Most patien ts were severely functionally impaired(70%New York Heart Association[NYHA] fu nc tional class III/IV). Of the 28%of patients who lived alone, 50%were rated as NYHA functional class III or IV. Fifty percent of patients were anxious, whereas 69%of patients were depressed. Health-related quality of life was substantial ly impaired. Patients reported substantial symptom burden. Adherence with recomm ended self-care strategies was poor: 14%weighed themselves daily, 9%of patien ts reported monitoring for symptoms of worsening HF, 31%could not name any symp tom, and only 34%of patients taking all medications as prescribed. A total of 2 3%of patients had all of the following risk factors: NYHA functional class III or IV, lived alone, ≥1 comorbidities, and were depressed or anxious. Conclusion s: Patients newly discharged from a hospitalization for HF exhibit many psychoso cial and behavioral risk factors for rehospitalization, although they have been judged clinically stable. Background: Many rehospitalizations for heart failure (HF) are preventable as they are precipitated by modifiable factors. High early readmission rates suggest that the patient commonly were discharged from HF hospitalizations with such problems unaddressed. The purpose of this study was to describe the prevalence of multiple risk factors for rehospitalization in patients recently discharged from ah ospitalization for decompensated HF. Methods and Results: The following potential ly modifiable risk factors for rehospitalization were evaluated in 202 patients: functional status; whether the patient lived alone; presence of anxiety, depres sion, or poor quality of life; and symptom status and adherence to prescribed me dications, low-sodium diet, and symptom monitoring recommendations. Most patien ts were severely functionally impaired (70% New York Heart Association [NYHA] fu nc tional class III / IV Of the 28% of patients who lived alone, 50% were rated as NYHA functional class III or IV. Fifty percent of patients were anxious, but 69% of patients were depressed. Health-related quality of life was substantial ly impaired. Patients reported substantial symptom burden. Adherence with recomm ended self-care strategies was poor: 14% weighed themselves daily, 9% of patien ts reported monitoring for symptoms of worsening HF, 31% could not name any symp tom, and only 34% of patients taking all medications as prescribed. A total of 2 3% of patients had all of the following risk factors: NYHA functional class III or IV, lived alone, ≥1 comorbidities, and were depressed or anxious. Conclusion s: Patients newly discharged from a hospitalization for HF show many many psychosocial and behavioral risk factors for rehospitalization, although they have been judged clinically stable.