Scope of Services
Program Information for 2026
Welcome to National Park Medical Center! Our 20-bed acute inpatient rehabilitation unit is designed to meet your medical needs through expert rehabilitation care. With the help of our rehabilitation team and the support of your family and other loved ones, you will develop new skills and re-learn previous skills that were affected by illness or injury.
We will work closely with you and your family during your stay here with the goal of sending you home or to the most appropriate placement. To help you recover as fully as possible, it is important for you and your family to understand our rehabilitation program and your treatment.
This guide explains our services and provides information on the types of patients we serve. It also includes details of your individual treatment and payment information that will help you understand what to expect while you are in our rehabilitation program and when you are ready to go home. Your feedback is one of the keys to our success and your recovery. Please share with us how we can make your rehabilitation stay as meaningful and rewarding as possible.
Our COMMITMENT to You:
It is the policy of the Rehab Unit that all team members will act in a manner consistent with the mission, philosophy and operating policies of our program.
In accordance with these principles and policies, team members will:
- Show respect for the dignity of the individual whether patient, family member, visitor, co-worker, client or any other person.
- Provide the highest quality clinical and customer-related services.
- Demonstrate fairness and honesty in all interactions with the public.
- Adhere to their professional codes and practice guidelines.
- Provide an accurate portrayal of the services and outcomes of the program.
- Be ethical in all marketing and public relations activities.
Referral Sources:
We receive referrals from the geographic area of southwest Arkansas, from surrounding acute hospitals, long term acute care hospitals (LTACH), skilled nursing facilities, home health agencies, outpatient centers, physicians as well as self-referrals.
Methods Used to Assess and Meet Patient Needs:
During our pre-screening process we collect information to assess the potential client’s status and identify personal goals. It is important to understand each potential patient's medical, physical, and mental status, as well as any restrictions.
The rehabilitation Medical Director will review the pre-admission assessment, and a decision will be made to approve or deny the admission, the decision will be communicated to the referral source, and/or patient/family. If the referral is determined to be ineligible, recommendations will be made for alternative services.
Conditions Treated:
The rehabilitation program serves patients with a variety of medical, physical, and functional needs. Some of the conditions treated in the program include:
- Stroke
- Spinal Cord Injury: C-5 and below with complete or incomplete injuries, from traumatic or non-traumatic etiologies
- Amputation
- Brain Injury
- Guillain-Barre
- Hip Fractures
- Joint Replacements
- Multiple Trauma
- Cardiac or Pulmonary Disorders
- Myopathy
- Progressive or Degenerative Neurological Disorders:
- Multiple Sclerosis
- Muscular Dystrophy
- Parkinson’s Disease
Admission and Continued Stay Criteria:
Patients must be medically stable.
Patients must be able to tolerate an intensive rehabilitation therapy program consisting of three hours of therapy per day at least five days a week.
- Nursing care must be required twenty-four hours a day.
- Patients require a minimum of two therapy disciple needs: Occupational Therapy, Physical Therapy, and/or Speech Therapy; as well as a coordinated interdisciplinary approach to rehabilitation.
- Patients must have experienced a functional decline.
- Patients must have potential for improvement.
- Patients must be cooperative and motivated.
- Patients must require supervision by a rehabilitation physician to assess the patient both medically and functionally and to change the course of treatment if necessary.
- Patients must have a pay source or an arrangement with our financial department prior to admission.
Discharge and Transition Criteria:
Our team works with the patient and 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 several days in advance of the pending discharge by the case manager. 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 unable to cooperate with the demands of the program or is jeopardizing his/her own safety or that of other patients and or staff due to behaviors.
- A patient refuses to participate in the program for 72 hours, despite being medically stable, and there is no evidence of progress.
Non-Voluntary Discharge:
If you are unable to complete your rehabilitation program because of the intensity of the services, which includes a minimum of three hours of combined therapy at least five days per week, our case manager will assist in finding placement in a less intensive setting to continue services.
Admission and Continued Stay Criteria:
- Patients must be medically stable.
- Patients must be able to tolerate an intensive rehabilitation therapy program consisting of three hours of therapy per day at least five days a week.
- Nursing care must be required twenty-four hours a day.
- Patients require a minimum of two therapy disciple needs: Occupational Therapy, Physical Therapy, and/or Speech Therapy; as well as a coordinated interdisciplinary approach to rehabilitation.
- Patients must have experienced a functional decline.
- Patients must have potential for improvement.
- Patients must be cooperative and motivated.
- Patients must require supervision by a rehabilitation physician to assess the patient both medically and functionally and to change the course of treatment if necessary.
- Patients must have a pay source or an arrangement with our financial department prior to admission.
Discharge and Transition Criteria:
Our team works with the patient and 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 several days in advance of the pending discharge by the case manager. 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 unable to cooperate with the demands of the program or is jeopardizing his/her own safety or that of other patients and or staff due to behaviors.
- A patient refuses to participate in the program for 72 hours, despite being medically stable, and there is no evidence of progress.
Non-Voluntary Discharge:
If you are unable to complete your rehabilitation program because of the intensity of the services, which includes a minimum of three hours of combined therapy at least five days per week, our case manager will assist in finding placement in a less intensive setting to continue services.
Services Provided:
(All services are provided directly unless noted to be by contract or referral)
- REHABILITATION MEDICINE
- MEDICAL CONSULTS (BY REFERRAL)
- REHABILITATION NURSING
- PHYSICAL THERAPY
- OCCUPATIONAL THERAPY
- SPEECH THERAPY
- PSYCHOLOGY
- ORHTOTICS/PROSTHETICS
- VISUAL ASSESSMENT
- RESPIRATORY SERVICES
- NUTRITION/DIETARY SERVICES
- RENAL DIALYSIS
- WOUND CARE
- CHAPLAINCY
- HOME EVALUATIONS
Medical, diagnostic, laboratory, and pharmacy services are also available here at National Park Medical Center. The response time is specific to each of these services. It is the expectation of this unit, however, that the vast majority of orders or consultations will receive some level of response within 24 hours of receipt. This doesn't include critical orders, which receive prompt attention. That initial response will then be conveyed to the appropriate clinician(s) as soon as possible.
OUR SERVICES
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 people 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 per 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 7:00 am to 5:00 pm. Our unit’s tracking indicates our patients receive, on average, three to three and a half 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.
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 negative pressure 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.
Insurance and Payment Sources:
Medicare and your supplemental secondary insurance (if you have one) will cover most services provided during your inpatient rehabilitation stay, as long as you meet the admission and continued stay criteria. The Medical Director will evaluate whether you meet criteria, but this is always subject to Medicare review. If you have other types of insurance, your benefits will be verified before admission. If there are limitations identified in your coverage, your case manager will discuss these with you, as well as alternative resources to help meet your needs.
Out-of-pocket expenses that you may incur will depend upon your specific insurance coverage, co-payments, benefits, and eligibility. Some patients may need to purchase durable medical equipment (wheelchair, walker, commode, etc.) this equipment may not be covered by a particular insurance plan.
Assistance with Financial Responsibility:
A financial counselor is available to assist you and your family in understanding your benefits, co-payments, and responsibilities before or after admission. If you are paying cash or need assistance or information, please contact a patient services representative at 501-620-1304.
General Information:
- Discharge against Medical Advice (AMA): Competent patients, and those with legal guardians or active durable power of attorney for health care, have the right to leave the hospital against medical advice. In that event, the physician will inform the patient of the potential risks. The patient, guardian or durable power of attorney for healthcare will then sign a release of liability for leaving against medical advice.
- Security of Personal Possessions: Patients are encouraged to leave valuables at home. The hospital cannot be responsible for lost or stolen items.
- Patient Rights: The people served, families, friends, caregivers and community have the right to respectful, considerate care from all rehabilitation members they interact with at all times and under all circumstances. All individuals served will have freedom from abuse, financial exploitation, retaliation, humiliation, and neglect. We do not discriminate based on race, ethnicity, national origin (including language), spiritual beliefs, gender, age, current mental or physical disability, sexual orientation, or socioeconomic status. A copy of Patient Rights is available, as well as posted for viewing on the unit.
- Rights with Regard to Advanced Directives: Upon admission, the case manager or admitting nurse will provide information regarding a patient’s right to make decisions concerning health care, which includes the right to accept or refuse medical or surgical treatment. The patient has the right to execute Advance Directives. The clinician will document in the clinical record that the information was provided and record all discussions concerning Advance Directives.