Acute Rehabilitation Unit

Maximizing Patient Capabilities


When you or someone you love experiences a major illness or injury, you want life to return to normal - or as close to normal - as soon as possible. We can help.

HSHS St. Elizabeth’s Hospital's Acute Rehabilitation Unit provides the care that maximizes the patient's capabilities. We assist in achieving full recovery potential allowing patients to live as independently as possible. We support patient families by providing them with the education, resources and encouragement needed to achieve positive outcomes.
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Our patients

The Rehabilitation Unit is accredited to provide services to those adults who have been affected by:
  • Stroke
  • Hip fracture
  • Amputation
  • Major multiple trauma
  • Traumatic brain injury
  • Non-traumatic brain injury
  • Arthritis
  • Joint replacement
  • Spinal cord injury
  • Congenital deformity
  • Neurological disease
  • Pulmonary Disease
  • Cardiac Disease
  • Myopathy
  • Progressive or Degenerative Neurological Disorders:
    • Multiple Sclerosis
    • Muscular Dystrophy
    • Parkinson’s Disease

Admission and Continued Stay Criteria:

  • Patient must be medically stable
  • Patient must be able to tolerate an intensive rehabilitation therapy program consisting of three hours of therapy per day, at least five days per week, or consist of at least 15 hours of intensive rehabilitation therapy within a seven consecutive day period, beginning with the date of admission
  • Nursing care must be required 24 hours a day
  • Patient must require two or more therapies, one of which will be physical or occupational therapy, as well as a coordinated interdisciplinary approach to his or her rehabilitation
  • Patient must have experienced a functional decline
  • Patient must have potential for improvement
  • Patient must be cooperative and motivated
  • Patient must require supervision by a rehabilitation physician to assess the patient both medically and functionally and to change the course of treatment if necessary.
  • Patient must have a pay source or an arrangement with our financial department prior to admission

Discharge and Transition Criteria:

Our team works with you, the patient, and your family to ensure the most appropriate placement following discharge from the Acute Rehabilitation Unit. When the patient’s medical condition allows, the patient and family will be notified at least 2 days in advance of the pending discharge by the social worker.  Discharge from the program shall be considered when one or more of the following criteria occur:
  • A patient has reached his/her rehabilitation potential and no longer warrants the intensity of therapy services
  • A patient makes no progress in any area of therapy in more than one week
  • A patient is medically unstable requiring more intensive medical intervention
  • A patient is behaviorally unable to cooperate with the demands of the program or is jeopardizing his/her own safety or that of other patients and or staff
  • A patient refuses to participate in the program for 72 hours, despite being medically stable, and there is no evidence of progress.
 

Our staff

When admitted to our program, patients are treated by a multi-disciplinary team of caring professionals. Dr. Sri Patchala is a physiatrist which is a physician with special training in rehabilitation who leads the team. Our team of skilled therapists will assess your impairment and develop a care plan based on individual needs and capabilities. Because we believe in treating the “whole person”, not just the impairment, our caregivers may include professionals from a wide range of disciplines, including:
  • Physiatrist – a physician who will oversee each individual rehabilitation process
  • Physical therapy – to increase mobility, strength and balance
  • Speech therapy – to assist with speech, problem solving, reading, memory, and swallowing
  • Occupational therapy – to teach skills for daily living activities
  • Recreational therapy – to assist patients in re-entering the community and enjoying social activities
  • Rehabilitation nursing – to provide training, encouragement and reinforcement of therapy recommendations
  • Social services – to aid in admission and discharge from the hospital, with information about the community resources needed for continued care
  • Dietary services – to address diet issues
  • Orthotics / Prosthetics – as needed.
  • Psychological counseling – for individual and family counseling
  • Spiritual counseling – for spiritual and emotional support
St. Elizabeth's 16 bed Acute Rehabilitation Unit, founded in 1986, offers quality rehabilitation services with the warm tradition of caring that our hospital is known for.

Our rehabilitation program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). We are one of the few accredited rehab facilities in Southern Illinois and the only one available in St. Clair County. Comprehensive inpatient rehabilitation services are provided to adult patients with neurological and other medical conditions who have experienced a loss of function in activities of daily living, mobility, cognition, or communication. This program serves persons 18 years and older and is open to people of all cultures and from all payer sources. Our patients have an illness or injury that requires an ongoing hospital stay, but are stable enough to participate in therapy.
 
Persons served will receive 24-hour rehabilitation nursing and a minimum of three hours a day of therapy a day, no less than five out of seven days in the week. Your therapy program, including the frequency, intensity and length of stay, will be designed according to your needs after you have been fully evaluated. Hours for therapy services are normally provided from 6:30 am to 4:30 p.m. Our unit’s tracking indicates our patients receive, on average, three to four hours of therapy per day.  

When you complete your rehabilitation program, the team will work with you and your family to help determine if it is safe for you to return home. If you are unable to return home after discharge, the team will assist you and your family in making other arrangements. Check out time on day of discharge is between 10:00 a.m. and noon.  


Our mission is to promote self care and an optimal level of function for the persons served, who have an impairment, disability or handicap due to illness or injury. As we pursue our mission we will demonstrate the core values of Respect, Care, Competence, and Joy.
 

Restrictions of our Program:

Our program does not accommodate anyone under the age of 18, ventilator-dependent patients, patients who are non-responsive or unable to follow commands, those who have severe dementia, patients who wander excessively, are combative or have behavioral dysfunctions.  We cannot serve patients with spinal cord injuries at C5 or higher, but can treat injuries below that level, whether complete or incomplete, traumatic or non-traumatic. We do not accept patients with severe burns, those who have unstable labs, or patients requiring respiratory isolation, such as TB infections. If our services are unable to meet the needs of a patient referred, recommendations for alternate services will be provided.

Referrals are welcome from physicians, hospitals, nursing homes and case managers. If you feel that you, or a loved one, would benefit from our services, please contact us at 618-234-2120, ext. 51022.