The CIRU’s admission guidelines help ensure that each person we serve receives the most appropriate level of care.
Admission to the CIRU is elective and based on criteria that help determine whether inpatient rehabilitation services are appropriate for each individual.
- Be 18 years of age or older.
- Requires at least a five-day inpatient rehab stay.
- An impairment that requires 24-hour rehab, medical, and nursing care.
- Require an intense program with care from two or more therapies (physical, occupational, or speech therapy)
- Be willing and able to participate in three hours of therapy each day or 15 hours a week.
- Be medically stable with no ongoing medical problems that would stop you from participating in an intensive physical rehabilitation program.
- Have the potential for improvement as a result of participation in an inpatient rehabilitation program.
- Have a family member, caregiver, or partner's support if necessary to accomplish the highest level of functional outcome.
CIRU admission guidelines for spinal cord and brain injuries
We consider people with spinal cord dysfunction — whether traumatic or non-traumatic — on a case-by-case basis.
We care for people who are not on ventilator support and have spine injuries.
We consider people with acquired brain injuries if they level of 7 or higher on the Rancho scale and possess the following characteristics:
- Behavior is appropriate in a familiar setting.
- Ability to perform daily routines automatically.
- Shows carry-over for new learning.
- Initiates social interactions (although judgement may remain impaired).
Stroke Specialty Program
Our CARF-accredited Stroke Specialty Program at UPMC Western Maryland helps adults recover after stroke through intensive inpatient rehabilitation, coordinated medical care, and personalized support. As part of CIRU and the UPMC Rehabilitation Institute, the program is designed to improve function, reduce complications, and help patients return home as safely and independently as possible.
Why Stroke Rehabilitation Matters
After a stroke, rehabilitation can play an important role in regaining strength, mobility, communication, and independence. Intensive inpatient stroke rehabilitation also helps lower the risk of medical complications and supports a smoother transition to home and community life.
The goals of the stroke program are to:
- Provide education on preventing a recurrent stroke.
- Help reduce impairments and other health issues related to stroke.
- Reduce functional activity limitations.
- Lower your environmental barriers.
- Ensure a successful transition-of-care plan is agreed upon.
See the 2025 annual outcomes of the CIRU and stroke specialty program (PDF).