Rehabilitation

Inpatient Therapy Program

Admission Criteria for Inpatient Rehabilitation Services

  • Rehabilitation diagnosis
  • Good potential for functional improvement
  • Ability to participate in 3 hours of therapy daily
  • Supportive community discharge plan
  • Medical complexity needing 24-hour care coordination by a Physiatrist (Physical Medicine & Rehab MD) and Rehab nursing
  • Need for a multi-disciplinary team approach

Medicare Qualifying Diagnosis for Rehab:

  • Cerebral vascular accident (stroke)
  • Hip fracture (must be above lesser trochanter)
  • Spinal cord injury
  • Brain injury
  • Arthritis*
    • Rheumatoid
    • Systemic vasculidities
    • Severe advanced Osteroarthritis
  • Amputation
  • Major multiple trauma
  • Neuro-disorders (including multiple sclerosis, Parkinson's disease, Muscular Dystrophy)
  • Joint replacements (if bilateral, or 85 years or older, or a BMI of more than 50)

*Arthritis qualifications

  • Two or more weight bearing joints affected
  • Joint deformity, loss of ROM and muscle atrophy
  • Documented course of OP PT for the same problem just prior to Rehab referral

Other Potential Diagnoses for Rehab (non-Medicare, will be considered on a case by case basis)

  • Spinal Stenosis s/p laminectomy
  • TKR, THR
  • Encephalopathy
  • Craniotomy
  • Total knee replacement
  • Total hip replacement
  • Multiple fractures

Medi-Cal Admission Criteria

Qualifying Diagnoses for Medi-Cal patients:

  • Acute CVA (hemorrhagic or embolic) with positive CT/MRI reports
  • Brain tumor: AV malformation; S/P Craniotomy
  • Bilateral amputation
  • Acute spinal cord injury

Severe functional deficit must be present in one or more areas:

  • Self-care skills
  • Mobility skills
  • Bowel and bladder management

Qualifying diagnoses for Medi-Cal patients:

Patient must have a need for interdisciplinary (nursing, physical therapy, occupational therapy, and speech therapy) team approach to reach goals.

Patient must be able tolerate and participate in at least 3 hours of therapy daily.