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First I'm 80 and had TKR three years ago, not to different than your situation. I live alone on a small 55 acre farm, family & friends are close by for support. The land is dedicated to Wild Life Habitat Management requirements, so my list of tasks include mowing, plowing and seeding, clearing & trimming brush & trees, welding, light to medium construction, gardening, well you get the point.
Since my replacement surgery I've come to understand that there are many different processes out there to accomplish the same task, so here's what I went thru. My doctor was very sensitive to any bug bites or scratches close to the incision site, no recent injections, no dental work within a month prior to surgery and no fever at surgery time. All making sure that there wasn't any chance of infection that could spread to the surgery site. I actually showed up at the hospital the day of surgery with a very tiny undetected bug bit on the back of my knee, he smiled and rescheduled for the next month. My surgery was also a one day procedure but that included an overnight stay for observation before discharged. Hours after surgery I was up and out of bed walking with a walker as far as I could, which was all of 20' out and back. The next morning I added another 20' to the walk, also with a walker, that's when my doctor asked if I lived on the ground floor, my answer was I had a ramp giving me both access and escape of the house on my own if needed. It was a couple of weeks before I tried the stairs but only a few steps and that was with a cane. Took me months before I could barely get up and down those stairs without a cane but holding onto the handrail with a firm grip. Today I'm up and down without any problems.
Someone on this blog suggested that a rehab facility might be a good place if you had an issue with the stairs, I have a few words to say about that. Last year doing some construction on my house I had an accident, fell backwards off the porch, landed on my neck and shoulders. I ended up in a neck brace for 2 months. The neurologist having some concerns about balance had me check into a nearby rehab facility. On the surface the facility was really a senior care facility with mostly 2 patients per room with a percentage of rooms dedicated for short term rehab patients, like myself. You share everything with the permanent patients, some can barely move in a wheelchair or go to the bathroom by themselves. Eating rooms, exercise room and odd smells roaming the halls are all being shared with all residents. The attendants are not nurses, they're contract hires, that come and go on a very regular basis. There are nurses handling your medications, but if you want an aspirin or antacid that's not on your list you'll need to see a PA or doctor in a day or two on they're staff for a prescription. Bottom line I'd have a different plan ready, maybe a family member or friend who could put you up for a few weeks.
Don't get me wrong, my TKR was the best thing ever. I can now walk and sleep without pain, after a year I was able to go up and down stairs. There is still one issue I have, because there's no feeling in the kneecap I use knee pads when getting down on my knees. One thing to remember, knee replacement is the roughest recovery of all the joints, you'll need to give it time to heal and you don't want to go back to make repairs.

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Replies to "First I'm 80 and had TKR three years ago, not to different than your situation. I..."

@steve161
Very helpful information. A full year. but also full recovery.
I have observed the same situation with others at those ‘rehab’ centers. I will avoid them, especially since I cannot afford the best care facility.
Your farm life sounds tough and beautiful. I teach partner dance and hope to get back to it. I know it will take effort and intention and some passion to get back on the dance floor.
These reports are preparing
My spirit for a comeback.

@steve161: I'm sorry to hear you had a poor experience at a rehab facility. Your stay certainly sounded contrary to the goal of rehabilitation, which is to restore physical function, independence and safety in an environment that provides for therapeutic modalities suited to the individual patient's needs and comfort. Unfortunately, it appears your stay fell short of that. However, I would urge caution in using one experience to categorize all such facilities in a poor light given one such experience.

Firstly, it's important to recognize there are various levels of rehabilitation depending upon the amount of a therapy per day the individual has been assessed at being able to withstand: ususally this is between Extended Active Rehabilitation or Skilled Nursing stay. The latter tends to have a higher acuity of patients, meaning they do tend to be "sicker", requring greater medical interventions. There are staff ratios that do require licensed personnel on all levels. Private vs shared rooms vary dependent upon the facility selected. I learned and saw a great deal about these options and facilities when I worked providing pre-certification post-hospitalization for those patients who required such stays to provide for the modalities needed to maximize strengthening, mobility, daily functioning and overall conditioning to allow for a safe discharge to home. I personally experienced this myself after a hip fracture; I spent 5 days following surgery and a brief inpatient stay in a peaceful, clean facility where all patients had private room and benefitted from PT and OT that provided not me with exercises, information and additonal time to heal before navigating the demands of home life, that even those closest to me would not have had the expertise to handle.

It does help to familiarize oneself with available options for rehab within the community in the event that such a "bridge to care" in terms of safe discharge to home becomes necessary. Taking steps to avoid possible dissatisfaction can make achieving those goals that much easier.

I second your caution about giving time to heal and wish ongoing health and recovery to all undergoing joint replacements. In the event of any interventions that may require additional inpatient post-op care may it be with a more postive rehab experience!