Prior to admitting to our program, we would need to receive a referral from the team caring for you.

Referral sources include, but are not limited to, acute care medical facilities/hospitals, skilled nursing facilities, third party payers, physicians, case managers and family members.

Referrals can be made by calling 415-600-6153 or faxing to 415-558-7056.

Once we have a referral, a clinical specialist will review your case. The following issues will be considered prior to acceptance:

• Diagnosis

• Medical Stability

• Potential for functional/meaningful improvement

• Ability to tolerate an intensive rehabilitation program

• A safe, supportive community discharge plan

• Verification of healthcare benefit for inpatient acute rehabilitation services

• Authorization from insurance provider, as necessary

Our unit specializes in treating adults 18 and older with complex medical conditions. We care for people with an array of diagnoses, including:

• Amputation

• Brain injury, traumatic and non-traumatic

• Cancer

• Cardiac conditions, including transplant and LVAD

• Cardiopulmonary diagnoses, including ventilator or tracheostomy dependence

• Complex medical conditions, including transplant and debility

• Complex orthopedic injuries

• Multiple trauma

• Progressive neurological conditions (Parkinson’s disease, multiple sclerosis, ALS)

• Spinal cord injury, traumatic and non-traumatic

• Stroke

CPRRC is contracted with Medicare, MediCal, most commercial payors, Medicare Advantage and many Workers Compensation Groups. Authorization for admission and determination of any financial liability is provided to the patient or patient’s representative before admission.

Programs at CPRRC are tailored to meet the physical, psychological and cultural needs of each patient. Services are provided by an interdisciplinary team under the direction of a specialized rehabilitation physician.

In addition, all patients are seen by an internal medicine physician and receive 24-hour rehabilitation nursing care.

Patients participate in a minimum of three hours of therapy a day (physical therapy, occupational therapy or speech-language pathology), at least five days per week.

Other services include:

• Activities therapy

• Adjustment and support groups

• Assistive technology

• Audiology referrals

• Case management

• Chaplaincy program referrals

• Dialysis

• Discharge planning

• Driving rehabilitation referrals

• Durable Medical Equipment (DME) evaluations and procurement

• Education and training for specific medical needs (diabetes, cardiac, etc.)

• Family conferences

• Home health referrals/consults

• Medical consultative and specialty services

• Neuropsychological services

• Nutrition services from registered dietitians

• Orthotic and prosthetic referrals/consults

• Ostomy/wound care

• Outpatient rehabilitation referrals/consults

• Peer support

• Pharmacy services

• Psychiatry referrals

• Referrals to community agencies and social services

• Respiratory therapy, including ventilator management

• Vestibular assessment

• Visual/perceptual assessment

• Vocational rehabilitation referrals/consults

You’re the center of your rehab team. Your support network of family and friends are also important team members. During your stay, we’ll work together to get you to your highest level of ability. The key goal is to maximize your functional independence.

Your care begins with a thorough assessment followed by the development of a personal, goal-oriented treatment plan.

Days One and Two

• You’ll participate in evaluations with team members and work with them to develop your goals.

Your First Week

• We’ll develop your detailed plan of care, including your goals and expected length of stay.

• After the first team conference, your case manager will meet with you to review your plan of care.

• You’ll have 15 hours of therapy.

• You’ll learn more about your diagnosis and how to manage your health.

• We’ll continue to prepare you and your family for your discharge.

Weekly During Your Stay

• You’ll continue to have at least 15 hours of therapy each week.

• Your team will have a meeting to discuss your program (progress, goals, barriers, etc.) every week. We also often meet informally to discuss your care throughout your stay.

• We’ll continue discharge preparation, including identifying any equipment you’ll need.

• Your team will discuss services you may need after discharge and your preference for where to get those services.

• We’ll hold family or caregiver meetings and training, if requested or needed.

• Your case manager will help you with paperwork such as Family Medical Leave Act (FMLA), disability paperwork, etc.

Final Week of Your Stay

Before you leave, we’ll:

• Order and arrange for equipment delivery.

• Order medications from your pharmacy, 24 hours before discharge if possible.

• Make referrals for additional services, such as home health or outpatient facility.

• Make a follow-up appointment with your primary care physician.

• Make follow up appointments with physician specialists, as needed.

• Train your family or caregiver if needed.

The day before discharge, your team will review your discharge instructions with you and your caregiver, as needed.

Discharge Day

You may have a final therapy session, which may include caregiver training, if needed.

You will receive an After Visit Summary (AVS). This detailed document will be reviewed with you by your nurse and will include information on:

• Safety.

• Prescribed medications.

• Follow-up appointments (with your primary doctor, physician specialists, home care clinicians or outpatient therapists, as appropriate.)

We welcome visitors. We recommend that visitors call the nursing unit to coordinate visits with therapy schedules. 415-600-5380 or 415-600-5340.

When clinically appropriate, one family member (18 years of age and older) can spend the night in the patient room. This is coordinated by the clinical team and determined on a case by case basis.

Please call 415-600-6153 if you’d like more information.