Admission Criteria and Policy 

ADMISSION CRITERIA

POLICY: Admission to Riversbend Brain Injury Rehabilitation Center residential is contingent on the resident’s appropriateness for treatment.

PROCEDURE:

  1. Person’s Appropriate for Treatment:
    A. 18 years of age
    B. Ranchos Los Amigos Scale of II through VIII.
    C. Medically stable in good physical health, with no acute or chronic health problems for which medical treatment beyond routine medical care is required or anticipated. If resident does have a chronic, but stable illness, managed with medication and routine monitoring may be considered medically stable as deemed by PCP.
    D. O2 must be 6L or under via nasal cannula as long as resident is meeting their baseline O2 level as defined by PCP/Pulmonologist
    E. No mechanical ventilation will be provided at Riversbend.
    F. Able to participate in the program or tolerate rehabilitation services
    G. Approval by Director/finance department
    H. History of traumatic brain injury and/or Spinal Cord Injury
    I.Primary focus of treatment is for physical medicine, rehabilitation and/or behavioral management.
    J.Individuals who are willing to abide by the rules of the program including on and off campus privileges.
    K. The individual will be an appropriate match for the residential home which has an available bed. Attributes to be considered include but are not limited to: tendency for disruptive behavior, medical/equipment needs and overall fit for home.
    L. Individual does not require continual nursing care, isolation or restraints.
    M. Individual who has suffered a spinal cord injury. Riversbend will admit eligible persons with spinal cord injuries 18 or older but they must be medically stable and medical conditions must be manageable in our care, as determined by physicians and our Registered Nurse.
  2. Prospective residents are encouraged to tour Riversbend Brain Injury Rehabilitation Center facilities prior to admission to the program.
  3. Prospective residents must show the financial resources and ability to meet charges either by private pay, insurance or other means.
  4. The Director will annually review the admission criteria for continued appropriateness.
  5. The Director will revise the admission criteria as needed and in accordance with the mission and philosophy of Riversbend Brain Injury Rehabilitations program.
  6. The admission criteria will be documented for public disclosure.
  7. Spinal cord injuries can be admitted with a primary or a secondary diagnosis. Etiology of the SCI could be either traumatic or non-traumatic with incomplete injuries. SCI with ASIA levels A-E would be considered as long as the person was not ventilator dependent and could participate in programing. The completeness and co-morbidities of the SCI will be determined during the intake evaluation process along with the individual’s ability to meet the programs admission criteria.

ADMISSION POLICY

POLICY: Prior to admission, an assessment of medical and rehabilitation needs is completed for each person.

PROCEDURE:

  1. Individuals who are hospitalized and who have suffered a TBI or spinal cord injury are evaluated by the Registered Nurse at the hospital and assessed for the following.
  • Diagnosis and prognosis
  • Morbidity and co-morbidity
  • Pre-morbid level of function
  • Support System
  • Mental Status
  • Ability to tolerate rehabilitation program
  • Infectious disease status
  • Eligibility within Riversbend Admission Criteria
  • Medical History
  • Complications
  • Scope and intensity of recommended services
  • Estimated time of stay
  • Equipment Needs
  • Dietary Needs
  • Funding
  1. Referrals to Riversbend Brain Injury Rehabilitation Center are assessed on an individual basis. Referrals of individuals who meet admission criteria may by approved by the Director as well as the management team.
  2. Referral source is notified when the decision regarding admission is made
  3. If the individual meets the admission criteria for Riversbend Brain Injury Rehabilitation, a written assessment plan, resident care agreement and health care appraisal shall be completed for all residents prior to or on the day of admission.
  4. Riversbend Brain Injury Rehabilitation Center encourages all potential residents to visit the program prior to admission. This is promoted to allow the individual to become familiar with the program, personnel and outline the expectations of both the resident and facility.
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