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Comprehensive Inpatient Rehab Unit

The Comprehensive Inpatient Rehabilitation Unit (CIRU) at Western Maryland Health System helps clients learn to adapt to changes in their physical abilities due to such things as stroke, orthopedic injury or surgery, amputation, certain spinal cord dysfunction, brain tumor, generalized weakness, or other medical conditions.

Our philosophy is to encourage clients to become as independent as possible, and a personalized rehabilitation plan is developed to help each client reach his/her highest level of independence.


The CIRU is accredited by the following agencies:
Commission on the Accreditation of Rehabilitation Facilities (CARF)
Joint Commission on the Accreditation of Healthcare Organizations (JCAHO)

Our Mission

Although each clients needs are unique, the overall mission of our inpatient program is providing comprehensive rehabilitative services in order to:

Improve self-care abilities
Improve movement
Improve communication
Reduce limitations
Educate to promote good health wellness and self-worth
Plan for after-rehab care
Re-establish individuals back into their community

About the CIRU

The CIRU is a 24-hour a day, inpatient program located on the 6th Floor of the Western Maryland Regional Medical Center. It is a 13-bed unit with mostly all private rooms that is dedicated to providing rehabilitation services on a full-time basis. Well-equipped therapy areas are located on the unit, along with a large sunny dining room so clients can eat their meals together. A transitional apartment is available to practice many of the tasks and skills needed to get a realistic idea of what life may be like after rehab.

Since the CIRU is located within a hospital, clients on this unit have access to all of the services available throughout the hospital. If an emergency arises, acute-care services are only seconds away.

The CIRU Team

The CIRU uses an interdisciplinary team approach to care. Led by physicians trained in rehabilitative medicine, the team includes:
the client
physical therapists
occupational therapists
social service case manager
recreational therapists
and other healthcare specialists such as speech therapists, based on the clients unique needs

This team works together with the client to develop a plan of rehabilitation care best suited for the client and then guides him/her along a practical and individualized process to maximize functional independence.

The rehabilitation process can be long and frustrating, and the clients families are encouraged to participate in the treatment process. Staff provide clients and their family members with instruction on continuing the rehabilitation process after leaving the CIRU.

Criteria for Admission

Admission to this program is elective and based on criteria that help to ensure that our services are appropriate for each client we serve. The CIRU is designed for patients who meet the following criteria:
Have significant impairment that requires 24-hour rehabilitation medical and nursing care
Require an intensive, interdisciplinary program that includes two or more therapies (physical, occupational, or speech therapy)
Willing and able to participate in about 3 hours of therapy daily
Medically stable with no on-going medical problems that would inhibit participation in a physical rehabilitation program
Are 18 years of age or older
Have the potential for improvement as a result of participation in this type of program
Have a family or caregiver support if necessary to accomplish the mission

For More Information

Please call us at 240-964-6132 for more information about our services.

WMHS's Comprehensive Inpatient Rehabilitation Unit (CIRU)

Our Philosophy: Provide high quality, cost effective rehabilitation,
to help our clients achieve the highest possible level of function

Annual Activities
(January 1, 2016 - December 31, 2016)

Services Provided

The CIRU provided at least two types of therapies (physical, occupational, speech/language therapy) for a general average of 3 hours per day, or 15 hours per week. Additional services provided were recreational therapy, rehabilitative nursing, medical care, nutritional consultation, neuropsychology and supportive psychotherapy, and respiratory therapy.

  • 287 patients served
  • Average age: 75 years
  • Average number of days in CIRU: 11 days
  • Where our patients went?
    • 77% returned to their homes
    • 12 % were admitted or returned to a long-term care facility
    • 10% were admitted to an acute care facility (hospital)

Patients admitted to the CIRU have a significant disability that restricts their ability to function independently. The more common causes of impairment for the patients this year were:

  • Orthopedic related, such as hip fractures, etc. 38 patients (13%)
  • Stroke 78 patients (27%)
  • Spinal Cord Injury 24 patients (8%)
  • Neurological 23 patients (8%)
  • Cardiac 16 patients (6%)

The program has been expanded to promote a well-rounded focus on health and wellness for patients after they leave the rehabilitation program.

In our most recent Patient Satisfaction Report from the HealthStream Research Company, our patients ranked our unit in the 94th percentile for overall rating! The top percentile box attributes were in the areas of overall rating of the therapist, clear communication and careful listening by the therapist, explanation of new medications, coordination of care/services, and timely response to call buttons.

- To download or view a PDF version of this WMHS/CIRU Annual Activities 2016 Report, click HERE.

- To download or view a PDF version of the WMHS/CIRU: 2015 Outcomes for Stroke Program, click HERE.

For more information about the Comprehensive Inpatient Rehabilitation Unit, contact us
at 240-964-6132.