Inpatient Rehabilitation

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Video: Walter Davis Jr., M.D. talks about the services offered in Carilion's comprehensive inpatient rehabilitation program.

Our mission is to provide rehabilitation services to our patients who have difficulty caring for themselves, and desire to return to the community and live as independently as possible.

What is Acute Inpatient Rehabilitation?

After an accident or illness, some patients need intensive therapy before they can leave the hospital.

Acute inpatient rehab is where the greatest gains in recovery are seen in the shortest time. We offer speech and language, physical, and occupational therapy, as well as nursing services, provided by a team of dedicated professionals who share a common goal: to return patients as soon as possible to their home or home-like setting. Carilion Clinic’s Inpatient Rehabilitation Unit discharges over 80 percent of our patients, which is higher than the national average.

Inpatient rehabilitation may be available to patients who:

  • Require 24-hour medical supervision but are medically stable
  • Are able to tolerate three to four hours of therapy per day
  • Require moderate to maximum assistance with mobility, speech, language or activities of daily living
  • Require an interdisciplinary approach of at least two services, including physical, occupational or speech therapy
  • Have potential to improve function and can demonstrate new learning
  • Have the participation and support of family upon discharge

Rehabilitation Team

  • Patient
  • Supportive family/caregivers
  • Board certified rehabilitation physicians (Physiatrists)
  • Physician assistants
  • Rehabilitation nurses
  • Physical therapists
  • Occupational therapists
  • Speech-language pathologists
  • Medical social worker
  • Care coordinators
  • Therapeutic recreation specialists
  • Registered dietitian

Pre-Admission Process

The Physical Medicine and Rehabilitation Consult Team is responsible for determining if a patient meets criteria for admission to Carilion Clinic Acute Inpatient Rehabilitation. Decisions are based on, but not limited to, the following requirements.

  • Medicare guidelines
  • Internal guidelines and other similar guidelines used by commercial insurances
  • The ability of the Carilion Clinic Acute Inpatient Rehabilitation to meet the clinical needs of the patient.

Once the patient is medically stable and pre-authorization has been obtained, the patient will be admitted to Acute Inpatient Rehabilitation once a bed is available.

What to Bring

We encourage patients to wear comfortable clothing and sturdy shoes.We recommend labeling clothing. A one-week supply of clothing is recommended. Hospital-approved bathing products are provided.

Medical Necessity and Appropriateness for Acute Inpatient Rehabilitation

  • The patient’s medical condition(s) must require 24 hour availability of a physician and must be greater than that normally provided to a patient in a skilled nursing facility.
  • The patient must be able to benefit from and actively participate in intensive rehabilitation. Meaningful benefit is considered significant practical improvement in a reasonable period of time. Our average length of stay is 12 days, although this does depend on the diagnosis. Active participation includes the ability to follow at least 50% of commands and the ability to tolerate three hours of therapy daily for four days per week. Special exceptions can be made for certain patients (dialysis, radiation) to complete 15 hours of therapy in seven days, but these exceptions are rare.
  • The patient must require intensive therapies in two of the four following disciplines:
    • Physical Therapy
    • Occupational Therapy
    • Speech Language Pathology
    • Orthotics/Prosthetics

Our inpatient rehabilitation facility is located at Carilion Roanoke Community Hospital. All rooms are private and offer beautiful views of the Roanoke Valley, Mill Mountain or downtown Roanoke. Physician coverage is available around the clock, and our nursing staff has received specialized training in rehabilitation.

Family/Caregiver Information

Family members/caregivers are encouraged to participate in the rehabilitation process and support the patient in the road to recovery.

Social visits should occur after 4:00 p.m., due to scheduled therapies and medical treatments. If a caregiver would like to observe a specific therapy session, please speak with the social worker or therapist.

Our care coordinators and social workers are available on the unit to answer questions and help facilitate a smooth discharge process. Support with education will be offered to caregivers how best to assist the patient after discharge. Family members/caregivers will participate in a half-day training session prior to discharge.

Multimedia Gallery

This is another one of our therapy rooms.

This is a therapy room where our physical therapists work with their patients.

Here is another look at one of our therapy rooms.

Our inpatient rehabilitation unit has views that cannot be beat, including some with a view of downtown Roanoke.

This is another example of a standard patient room.

This is an example of a standard patient room.