Inpatient Rehabilitation

For patients who need intensive rehabilitation to regain function and achieve the highest level of independence to return to a community setting, Johns Hopkins offers inpatient rehabilitation services comprised of a team of experts in two inpatient rehabilitation treatment facilities in the Baltimore region. Our Comprehensive Inpatient Integrated Rehabilitation Programs (CIIRP) are accredited by the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF). The accreditation highlights our commitment to deliver the highest quality of care for patients.

Our Inpatient Rehabilitation Units

Our inpatient rehabilitation units help patients prepare for independent living after they leave the hospital. The home-like setting allows patients the freedom to perform their own care with the guidance of a team of experts including physical therapists, occupational therapists, speech-language pathologists, recreation therapists, social workers, rehabilitation nurses, psychologists, dietitians, orthotists and rehabilitation physicians (physiatrists). Our multidisciplinary team of experts incorporates cutting-edge technology and applies the most advanced evidence-based medicine into each treatment plan through our research and partnership with the world-renowned Johns Hopkins School of Medicine to help you achieve ambitious goals for recovery. 

In this section:
Conditions We Treat | Rehabilitation Plan and Goals | Admission and Discharge | Typical Day | Rehab Team | Admission Criteria 

For Referring Physicians

To initiate the preadmission process, please call 410-502-7156 (for the Johns Hopkins Hospital) at 410-550-7642 (for Johns Hopkins Bayview).

Admission Criteria

Patients will be evaluated by the Johns Hopkins rehabilitation consult team or the medical director and can be admitted in our inpatient rehabilitation units if they meet the following criteria:

  • 18 years or older
  • Have a condition that would improve with rehabilitation, such as a functional impairment
  • Medically stable and able to tolerate (physically and cognitively) and actively participate in at least three hours of therapy per day (or 15 hours per week)
  • Have a prognosis that indicates reasonable potential to return to a community setting
  • Physician intervention required at least three days per week throughout the acute rehabilitation stay for at least one of the following:
    • Pain management
    • Medication management needed for frequent medication changes
    • Cardiopulmonary management
    • Complex bowel or bladder management
    • Enteral or parenteral feeding for nutritional assistance
    • Activities of daily living
    • Mobility
    • Cognition and communication
    • Swallowing
  • Patient and family agree to admission to inpatient rehabilitation and the tentative goals and length of stay.

Conditions We Treat

Our inpatient rehabilitation units provide occupational therapy, physical therapy, speech-language pathology, physiatry and related services to help patients recover from a variety of conditions, including:

  • Stroke
  • Brain injury
  • Neurologic disorders
  • Amputations
  • Orthopedic conditions
  • Debility
  • Burns
  • Cancer
  • Myositis
  • Spinal cord injury
  • Cardiovascular conditions
  • COVID-19 resolved
  • Transplant and other medically complex conditions

Your Inpatient Rehabilitation Plan and Goals

Our team works with every patient to create a care plan that identifies the patient’s abilities and needs and ensures the patient’s goals and concerns are addressed. We encourage family and friends to be involved in the patient’s care. Our nurses and therapists take time to make sure that patients and caregivers understand and are comfortable with their roles before leaving the hospital.

Based on your needs, the team will schedule family meetings, family training, and provide you and your family with a list of resources, including support groups, to assist you with your return to the community.

Our program's focus is to:

  • Provide you with the highest level of medical and nursing care with Johns Hopkins faculty physicians and certified rehabilitation nurses
  • Improve your strength and ability to move safely
  • Retrain self-care activities, such as dressing, grooming, bathing and more to help you resume your normal quality of life
  • Retrain you to swallow safely
  • Assist with communication and thinking skills
  • Help you regain independence by teaching you new ways to do self-supportive tasks such as laundry, cooking and medication management
  • Provide patient and family education, counseling and training
  • Deal with the social and psychological issues that frequently occur after illness or injury, including depression, anxiety and family stress
  • Develop an appropriate, ongoing plan of care that will help keep you healthy and functioning well, even after you are discharged

We help you achieve these goals through:

  • Tailored treatment plans developed with the input of the patient and their family
  • Daily team conferences to review progress and goals
  • Patient/family conferences to discuss ongoing needs and answer questions
  • Family/caregiver training to prepare those caring for the patient at home
  • Continuum of care coordination after discharge, including home-based rehab, rehabilitation, adult day care services and specialty rehabilitation clinics 

You make the difference! Though your team of caregivers will support you throughout your recovery, the progress you make depends largely on you. Your hard work and participation are crucial to your ultimate success.

Admission and Discharge

Preparing for Admission

  • If you do not already have clothing from home, please ask someone to bring clothing in for you. We encourage everyone to come to therapy dressed in their own clothing. It is important to us that you are comfortable and covered during exercise and other activity. Anything that you consider comfortable and practical for exercise and walking, including undergarments and shoes, is what you should bring in.
  • We recommend that you bring the following:
    • Dentures
    • Hearing aides
    • Eyeglasses
    • Equipment and personal items (for example, wheelchairs, walkers, braces, prostheses, razors for men, and preferred toiletries)

Preparations for Discharge

  • Length of stay ranges from less than one week to three weeks, depending on your needs and progress.
  • You and your family are members of the treatment team, and will participate in setting goals and planning for your care.
  • You and your caregiver will participate in the discharge process so that you can safely return to the community.
  • Our care management team will help you identify where you will live after discharge and will help you obtain necessary equipment, medications, and medical appointments. You also will receive discharge instructions.
  • Our care management team will be available to answer questions after you are discharged.

A Typical Day at a Johns Hopkins Comprehensive Inpatient Rehabilitation Unit

Morning: Your nursing team will give you medications and assist you in preparation for you morning activities. Your nursing assistant or therapist will assist you with your activities of daily living (ADLs), including bathing, dressing, toileting, and grooming. You will then attend your morning therapy sessions.

Noon: Break for rest and lunch. If needed, a therapist/s may work with you during lunch on swallowing and self- feeding skills.

Afternoon: Therapy sessions continue up to dinner.

Evening: Dinner and visits with your family and friends will end your day, however we encourage family member to observe and participate in therapist sessions throughout your stay.

Typically therapy sessions occur during the day. Your individual schedule may change from day to day, but is posted in your room the night before. When you are not in therapy, Certified Rehabilitation Nurses and Nursing Assistants are available to assist you in practicing the skills you have learned during therapy sessions while in your hospital room.

Your Multispecialty Rehabilitation Team

Our CIIRP programs offer home-like settings, allowing patients to practice activities of daily living with the guidance of our team of experts. Our inpatient rehabilitation units are staffed with experienced rehabilitation physicians, physical and occupational therapists, speech-language pathologists and recreation therapists. Patients also have access to social workers, rehabilitation nurses, psychologists, dieticians, orthotists who work together to deliver the best possible care based on your needs.