skip to navigation

Scope of Service:

Good Shepherd Rehabilitation Network has a 96-bed inpatient rehabilitation hospital program licensed to provide comprehensive integrated inpatient rehabilitation services to persons from newborn and above at two sites, including:

  • Good Shepherd Rehabilitation Hospital—Center Valley (Adults 18 and older)
  • Good Shepherd Rehabilitation Hospital—Inpatient Pediatric Unit (Children 0-17)

Referrals are accepted from acute care hospitals, skilled nursing facilities, a patient’s personal physician, insurance companies, an agency interested in sponsoring his/her care in the hospital, such as the state Office of Vocational Rehabilitation, minister, responsible social agency, or family. Subsequently, patients that are admitted, should be medically stable and have sufficient medical acuity to warrant an ongoing hospital stay.

The program utilizes a specialized core of professionals who work together to provide early acute inpatient rehabilitation to restore persons with stroke, brain injury, spinal cord injury, other neurological impairments, pediatric feeding disorders, orthopedic conditions, amputations, debilitating pain, cardiac, pulmonary impairments, multiple trauma or complex medical conditions resulting from illness or injury to their highest potential physically, socially, emotionally, and financially. 

The scope of the program supports the hospital plan for the provision of patient care services and works collaboratively with other department services or programs to enhance patient care outcomes 24 hours a day, 7 days a week.

The intensity of therapy services patients receive is determined by patient needs and physician order. Although the intensity of rehabilitation services can be reflected in various ways, the generally-accepted standard by which the intensity of these services is typically demonstrated by patients receiving at least 3 hours of therapy per day at least 5 days per consecutive 7-day week.  Patients may receive more or less therapy according to their individual needs and change in status.  Patients with medical complications who cannot tolerate three (3) hours per day will be placed on a modified program which consists of receiving at least 15 hours of therapy across a seven (7) day period. The standard of care for patients in acute rehabilitation is individualized.  Group therapies would only be provided as an adjunct to individual therapies.  Therapy services are provided 7 days a week. Rehab Nursing is provided 24 hours a day, 7 days a week. 

Good Shepherd works with many different payor sources and will negotiate rates.  Sources include, but are not limited to Commercial, OVR, Medicare, Medicare Managed Care and Advantage Plans, Managed care, Workers Comp, Medicaid programs, Auto, Private pay, Uncompensated Care.  Some of these non-Medicare insurances may have other admission criteria that must be met.  These patients will be pre-authorized by their respective payer prior to admission.  Any additional fees to the patient will be made available by the hospital’s finance department. 

Patients and families may call the Patient Accounts Department for a good faith estimate of the fees and out-of-pocket expenses that they may expect to pay for the services received at Good Shepherd.

Direct services offered could include:

  • Physiatry
  • Pediatrician
  • Hospitalist/Physician
  • Care Management
  • Nurse Practitioner
  • Physician Assistant
  • Rehab Nursing
  • Physical Therapy
  • Occupational Therapy
  • Respiratory Therapy
  • Speech Therapy
  • Recreational Therapy
  • Psychology
  • Neuropsychology
  • Pain Management
  • Nutritional Services
  • Chaplain
  • Wound care
  • Ultrasound
  • Ventilatory Assistance
  • Imaging
  • Lab
  • Internal Medicine
  • Assistive Technology
  • School Re-entry
  • Vocational/Educational Counseling and Rehab

Referral services offered include:

  • Any specialty services will be offered through referrals off site or telemedicine as appropriate
  • Prosthetics and orthotics
  • Durable Medical Equipment providers
  • Wheelchair/seating evaluations
  • Emergent Care – Patients are transferred to an acute care facility

Stroke

An integrated admission process assesses levels of impairment, activity and participation for individuals who have a medical diagnosis of cerebral vascular accident and have the risk for medical instability which requires inpatient medical management and nursing care for the following:

  1. Thrombus
  2. Embolus
  3. Hemorrhage
  4. Other etiological phenomena related to CVA

The rehabilitation process is designed to assess physiological alterations and institute medical and/or therapeutic interventions to manage the following areas of concern, co-morbidities and dysfunction including by not limited to:

  • Pain
  • Psychological adjustment 
  • Issues including anxiety, mood disturbances and depression
  • Neurogenic bowel and bladder
  • Respiratory compromise
  • Circulation impairment
  • Sexual dysfunction and intimacy
  • Spasticity and contractures
  • Compromise of skin integrity
  • Dysphagia and associated conditions such as malnutrition and dehydration
  • Dietary and nutritional support
  • Impaired vision
  • Motor weakness
  • Sensory impairment
  • Aging with a disability
  • Speech, hearing and language deficits
  • Cognitive impairments including safety awareness 
  • Impaired mobility
  • Wheelchair seating and positioning
  • Metabolic disorders
  • Deconditioning
  • Lifelong health and wellness

Brain Injury

An integrated admission process assesses levels of impairment, activity, and participation for individuals who sustain a brain injury secondary to the following medical etiologies:

  1. Traumatic due to:
  2. Vehicular accidents
  3. Sports sustained
  4. Acts of violence
  5. Falls
  6. Accidental
  7. Non-Traumatic due to:
  8. Tumors
  9. Anoxic encephalopathy
  10. Aneurysms
  11. Disease process
  12. Degenerative disorders

A traumatic brain injury patient, Ranchos level 3 or above would be accepted into this program. Anyone less than Ranchos level 3 would be individually reviewed.

A patient referred with a dual diagnosis of brain injury and spinal cord injury is evaluated to determine the appropriate nursing unit. 

  • When cognitive deficits are the primary concern, the patient is referred to the Brain Injury Unit.
  • If the patient has the cognitive ability to participate in the rehabilitation program, a referral is made to the Spinal Cord program.
  • Safety awareness and the cognitive ability to comply with the recommended standards will be considered prior to the recommendation.

Co- Morbidities may include:

  • Psychiatric adjustment disorder if a psychiatrist has deemed a patient no longer a threat to themselves or others before they are admitted
  • Depression
  • Alcohol dependency
  • Self-destructive behaviors
  • Pressure ulcers
  • Cardiovascular, as long as they are stable
  • Metabolic disorders 
  • Diabetes

The rehabilitation process is designed to assess physiological alterations and institute medical and/or therapeutic interventions to manage the following conditions:                     

  • Pain
  • Neurogenic bowel
  • Neurogenic bladder
  • Respiratory compromise
  • Circulation impairment
  • Sexual dysfunction
  • Spasticity
  • Loss of skin integrity
  • Dysphagia
  • Nutritional deficits
  • Contractures
  • Motor weakness
  • Sensory impairment
  • Adjustment issues
  • Psychosocial support
  • Aging with a disability
  • Lifelong health and wellness
  • Wheelchair seating and positioning

Spinal Cord Injury

An integrated admission process assesses levels of impairment, activity, and participation for individuals who sustain a SCI or develop spinal cord pathology secondary to the following medical etiologies:

  • Traumatic due to Vehicular accidents, Sports sustained, acts of violence, Falls, Accidental
  • Non-Traumatic due to Spinal Stenosis/compression, Spinal cord infarct, Cancer, Disease process, Degenerative disorders

Patients referred with a dual diagnosis of brain injury and spinal cord are evaluated to determine the appropriate nursing unit. 

  • When cognitive deficits are the primary concern, the patient is referred to the Brain Injury Unit.
  • If the patient has the cognitive ability to participate in the rehabilitation program, a referral is made to the Spinal Cord program.
  • Safety awareness and the cognitive ability to comply with the recommended standards will be considered prior to the recommendation.

Levels of Spinal Cord Injury:

  • Persons with a SCI Asia Impairment Scale of A, B, C or D if the patient meets acute rehabilitation criteria.
  • Will accept all levels of SCI as long as the patient is medically stable
  • Incomplete injuries can be inclusive of the following clinical syndromes:
    • Central Cord
    • Brown Sequard
    • Anterior Cord
    • Conus Medullaris
    • Cauda Equina

Co- Morbidities may include:

  • Psychiatric adjustment disorder if a psychiatrist has deemed a patient no longer a threat to themselves or others before they are admitted
  • Depression
  • Alcohol dependency
  • Self-destructive behaviors
  • Pressure ulcers
  • Cardiovascular, as long as they are stable
  • Metabolic disorders 
  • Diabetes

The rehabilitation process addresses the unique aspects of delivering care to persons with spinal cord dysfunction and is designed to assess physiological alterations and institute medical and/or therapeutic interventions to manage the following conditions:

  • Medical/physiological sequelae:
    • Autonomic dysreflexia
    • Bladder function
    • Bowel function
    • Circulation
    • Dysphagia
    • Fertility/Infertility
    • Infectious disorders
    • Medication
    • Men’s health issues
    • Musculoskeletal complications/contractures
    • Neurological changes, motor weakness, sensory impairment
    • Nutrition, nutritional deficits and body composition
    • Pain
    • Respiration and respiratory compromise and ventilation support
    • Sexual function and dysfunction
    • Skin integrity
    • Spasticity
    • Women’s health issues
  •  Functional:
    • Activities of daily living
    • Assistive technology
    • Behavior
    • Cognition
    • Communication
    • Community integration
    • Driving
    • Durable medical equipment
    • Emergency preparedness
    • Environmental modifications
    • Leisure and recreation
    • Mobility
    • Orthoses
    • Personal care assistants
    • Prostheses
    • Seating
    • Vocational
  •  Psychosocial
    • Adjustment to disability
    • Behavioral health
    • Substance misuse
    • Family/support system counseling
    • Peer support
    • Sexual adjustment
  • Education and training for the persons served, their families/support systems, the community, and the professional community
    • Research
    • Aging, including aging with a disability and spinal cord injury and dysfunction in an aging population
    • Care Management
    • Resource Management and resources for independent living and community integration
    • Transition planning across the life span
    • Life-long follow-up, health promotion and wellness
    • Independent living
    • Prevention related to potential risks and complications due to impairments, activity limitations, participation restrictions, and the environment
    • Safety for persons served and the environments in which they participate

Amputee

The overall rehabilitation goals of the Amputee Specialty Program:

Focus on effectiveness and efficiency in assisting the individual to achieve their highest level of functioning and independence as follows:

  • Place equal emphasis on education and preparation of the persons served and key stakeholders with focus on preventing, recognizing, assessing and treating conditions related to limb loss and its complications.
  • Identifying and reducing the risk factors for further amputation.
  • Facilitating functional independence and performance.
  • Identifying and meeting the need for prosthetic care.
  • Facilitating psychological and social coping and adaptation skills.
  • Facilitating community integration and participation in life roles.
  • Providing services for families/support systems.

An integrated admission process assesses levels of impairment, activity and participation for individuals who have a medical diagnosis of amputation and have the risk for medical instability related to limb loss which requires inpatient medical management and nursing care for the following: 

  • Congenital limb anomaly
  • Degenerative joint disease
  • Pre-prosthetic needs such as wheelchair training
  • Conditions such as:
    • contractures
    • diabetes control
    • trauma
    • wound healing
    • infection prevention and management
    • peripheral vascular disease
    • pulmonary capacity
    • renal dialysis and CAPD
    • visual deficits
    • phantom limb sensation and pain
    • mood disturbances.
  • Improper fit of prosthesis

The rehabilitation process is designed to assess physiological alterations and institute medical and therapeutic interventions to manage the following areas of concern, co-morbidities and dysfunction including by not limited to:

  • Pain
  • Psychological adjustment 
  • Issues including anxiety, mood disturbances and depression
  • Bowel and bladder
  • Respiratory compromise
  • Circulation impairment
  • Sexual dysfunction and intimacy
  • Contractures
  • Compromise of skin integrity
  • Dietary and nutritional support
  • Impaired vision
  • Motor weakness
  • Sensory impairment
  • Aging with a disability
  • Cognitive impairments including safety awareness and fall prevention 
  • Impaired mobility
  • Wheelchair seating and positioning
  • Metabolic disorders
  • Deconditioning
  • Smoking cessation
  • Appropriate follow up care
  • Lifelong health and wellness

Pediatrics

Our Pediatric Specialty program offers 20 beds for children birth to 21 years of age

Multi-Trauma

Good Shepherd has a program designed for children who suffer complex injuries. Following care at an acute-care hospital, children are transitioned to the rehabilitation unit at Good Shepherd to continue the recovery process. Our multi-disciplinary team addresses each child‘s needs related to medication, positioning, equipment, splinting, nutrition, pulmonary management and community support services.

Orthopedic

For children with congenital or acquired orthopedic or musculoskeletal issues, the Orthopedic Rehabilitation Program can help. In addition to physical, occupational and recreational therapies, services include: spasticity management, pain management, assessment for bracing, orthotic and equipment needs, community reintegration outings and parent/caregiver education.

Neurorehabilitation (Brain Injury)

The pediatric brain injury program includes treatment for traumatic and non-traumatic brain injury and stroke. The comprehensive program addresses the physical, cognitive, emotional and psychological effects of trauma to the brain. Rancho II and above will be considered for this pathway of entry assessing the child’s tolerance to rehabilitation and prognostic potential.

Spinal Cord Injury Recovery

An integrated admission process assesses levels of impairment, activity, and participation for individuals who sustain a SCI or develop spinal cord pathology secondary to the following medical etiologies:

  • Traumatic due to Vehicular accidents, Sports sustained, acts of violence, Falls, Accidental
  • Non-Traumatic due to Spinal Stenosis/compression, Spinal cord infarct, Cancer, Disease process, Degenerative disorders

Levels of Spinal Cord Injury:

  • Persons with a SCI Asia Impairment Scale of A, B, C or D if the patient meets acute rehabilitation criteria.
  • Will accept all levels of SCI as long as the patient is medically stable
  • Incomplete injuries can be inclusive of the following clinical syndromes:
    • Central Cord
    • Brown Sequard
    • Anterior Cord
    • Conus Medullaris
    • Cauda Equina

Burn and Wound Care

The Burn and Wound Care Program is designed for children with burn injuries or Complex wounds that require intensive inpatient care. The program addresses: wound healing and scar management, spasticity and contracture management, pain management and ongoing assessment and consultation with referral sources, including burn and infectious disease specialists, and plastic, general and orthopedic surgeons.

Baby Steps: NICU Transitions

Good Shepherd offers specialized services for Neonatal Intensive Care Unit (NICU) graduates and medically complex newborns. The program is appropriate for infants who need help learning to self-soothe, adjust to their environment and/or reach developmental milestones. Family education is provided to ensure a safe transition to home.

Feeding Program

The Feeding Program at Good Shepherd is designed for infants and children with feeding disorders, gastrointestinal issues and congenital anomalies who may benefit from intensive feeding therapy. The team evaluates each patient upon admission and designs individual treatment plans based on family-centered goals.

Complex Respiratory

The Complex Respiratory Program is designed for infants, children and teens with acute or chronic lung disease with ventilator management/weaning, oxygen and/or other respiratory needs. Individualized care and family education plans are designed to safely transition patients to home, school and community.

Jump Start

The Jump Start Program is an admission or patients living at home designed for children with complex medical needs that change over time, such as cerebral palsy or spina bifida, or for children who are several years post-acute injury. This program focuses on optimizing their medical care as well as improving function for their return home.

Neonatal Abstinence Syndrome (NAS) Treatment Program

The NAS Treatment Program is designed to alleviate the signs and symptoms of infant drug withdrawal. Services include: medication management and weaning, interventions to improve the baby’s ability to calm him/herself and sleep-wake cycles, weight and growth tracking, feeding therapy and hands-on caregiver education and training.

Infant /Toddler Abuse Recovery Program

The Infant/Toddler Abuse Recovery Program is designed for infants and toddlers who have experiences non-accidental injury (NAI), or physical abuse and neglect, who require inpatient care to address complex medical and social needs. This program offers help to rehabilitate infants and toddlers who have experiences physical abuse or trauma, shaken baby syndrome or nutritional neglect. The program aims to facilitate a safe return to the community, parent/caregiver education and training and referrals to appropriate social services.

Chronic Pain

A comprehensive program focusing on increasing function and participation in activities of daily living and community participate for adolescents experiencing chronic pain.  Multidisciplinary approach to acceptance of pain and increase function including: counseling, physical therapy, occupational therapy, therapeutic recreation, pain management, and Physical Medicine and Rehabilitation Physician.

Bridge to Home

The Bridge to Home Program serves as a transition from medical care to home management. The focus is to streamline medical management and family training while providing a rehabilitative boost to help the child transition home.  The Bridge to Home program is offered to children from:

  • Skilled Nursing Facility/Long Term Care: Provide necessary training and rehabilitative needs for family to transition the child home.
  • Medically Complex/Acute Care:  Transition from acute care for medically complex or near terminal patients to allow family to have proper training and children gain endurance to return home prior to their next medical event.