Patient Outcomes

Shepherd Center provides inpatient treatment for 271 adults with brain injuries each year.

Adults within the inpatient population at Shepherd Center are diagnosed with the following types of brain injuries: 

• Traumatic Brain Injury: 72.7% 
• Non-Traumatic Brain Injury: 16.6% 
• Other Brain Injury: 10.7% 

On average, adults enter Shepherd Center’s inpatient rehabilitation program 35 days after experiencing a brain injury.

The average length of stay for adult inpatients with brain injuries is 48 days.

Adult inpatients with brain injuries typically participate in 3-5 daily hours of therapy.

The average adult inpatient with a brain injury at Shepherd Center is 38 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 30% 
• 26-35: 23% 
• 36-45: 17% 
• 46-55: 14% 
• 56-65: 11% 
• 65+: 6% 

Patient Genders 

• Female: 26% 
• Male: 74% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 95 out of 100.

Upon discharge, adult inpatients with brain injuries typically transition to the following locations: 

• Community: 92.4% 
• Acute Care: 4% 
• Long-Term Care: 1.8% 
• Other Rehab: 1.45% 
• Hospice: 0.36% 

1.8% of discharges have an unplanned transfer to an acute care facility. 

69% of adult inpatients with brain injuries achieve or exceed their anticipated value of self-care upon discharge from Shepherd Center, compared to 66% nationally.

70% of adult inpatients with brain injuries achieve or exceed their anticipated value of mobility upon discharge from Shepherd Center, compared to 65% nationally.

Mobility scores tell us how much help a patient needs with activities like sitting, standing, walking, using a wheelchair, or going up and down stairs. A Physical Therapist helps patients get better at doing these activities on their own. If the scores go up from when the patient first came in to when they left, it means the patient got better at doing these activities independently. 

93% of adult inpatients with brain injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center provides inpatient treatment for 21 adolescents with brain injuries each year.

Adolescents within the inpatient population at Shepherd Center are diagnosed with the following types of brain injuries: 

• Traumatic Brain Injury: 76.2% 
• Other Brain Injury: 23.8% 

On average, adolescents enter Shepherd Center’s inpatient rehabilitation program 31 days after experiencing a brain injury.

The average length of stay for adolescent inpatients with brain injuries is 42 days.

Adolescent inpatients with brain injuries typically participate in 3-5 daily hours of therapy.

All adolescent inpatients with a brain injury are between the ages of 12 and 17 years old. The average patient is 16 years old. The patient gender breakdown includes: 

Patient Genders 

• Female: 24% 
• Male: 76% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 100 out of 100.

Upon discharge, 100% of adolescent inpatients with brain injuries transition back to the community. 0% of discharges had an unplanned transfer to an acute care facility.

100% of adolescent inpatients with brain injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center provides outpatient treatment for 346 adults with brain injuries each year.

On average, adult outpatients with brain injuries had 89 visits in the Day Program and 33 visits in the Outpatient program.

The average adult outpatient with a brain injury at Shepherd Center is 40 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 26% 
• 26-35: 23% 
• 36-45: 13% 
• 46-55: 16% 
• 56-65: 13% 
• 65+: 9% 

Patient Genders 

• Female: 35% 
• Male: 65% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 98 out of 100.

Shepherd Center uses average scores from the Mayo-Portland Adaptability Inventory to assess major obstacles to community reintegration and social and physical environment features. Assessments are made at admission and again at discharge. Lower scores indicate greater integration.

Mayo-Portland average scores for adult outpatients with brain injuries include: 

Ability Scores 

• Admission: 50 (impairment is mild to moderate) 
• Discharge: 41 (impairment is mild) 

Patients improved their ability scores by 9 points from admission to discharge.* 

Adjustment Scores 

• Admission: 44 (impairment is mild to moderate) 
• Discharge: 37 (impairment is mild) 

Patients improved their adjustment scores by 7 points from admission to discharge.* 

Participation Scores 

• Admission: 49 (impairment is mild to moderate) 
• Discharge: 43 (impairment is mild to moderate) 

Patients improved their participation scores by 6 points from admission to discharge.* 

Total Scores (Ability, Adjustment, and Participation) 

• Admission: 48 (impairment is mild to moderate) 
• Discharge: 39 (impairment is mild) 

Patients improved their total scores by 9 points from admission to discharge.* 
 
*Research tells us that a 5-point change or higher from admission to discharge on the total score is a meaningful improvement. 

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adult outpatients with brain injuries include: 

• Can be alone for 8+ hours: 29% 
• Can be alone for up to 7 hours: 11% 
• Other: 60% 

Explanation of “other”:

The category of "other" represents varying supervision levels, such as

• Patient Can be Left alone for up to 1 hour. Supervision is provided to the patient overnight & part-time during waking hours. Supervising Caregiver cannot work a full-time job.
• Full-time Indirect Supervision. Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time Direct Supervision. Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• The patient is in physical restraints.

64% of adult outpatients with brain injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center provides residential treatment for 21 adults with brain injuries each year.

The average length of stay for adult residential patients with brain injuries is 55 days (4-9 weeks).

The average adult residential patient with a brain injury at Shepherd Center is 43 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 19% 
• 26-35: 24% 
• 36-45: 10% 
• 46-55: 10% 
• 56-65: 33% 
• 65+: 5% 

Patient Genders 

• Female: 24% 
• Male: 76% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 88 out of 100.

Shepherd Center uses average scores from the Mayo-Portland Adaptability Inventory to assess major obstacles to community reintegration and social and physical environment features. Assessments are made at admission and again at discharge. Lower scores indicate greater integration.

Mayo-Portland average scores for adult residential patients with brain injuries include: 

Ability Scores 

• Admission: 52 (impairment is moderate to severe) 
• Discharge: 44 (impairment is mild to moderate) 

Patients improved their ability scores by 8 points from admission to discharge.* 

Adjustment Scores 

• Admission: 45 (impairment is mild to moderate) 
• Discharge: 38 (impairment is mild) 

Patients improved their adjustment scores by 7 points from admission to discharge.* 

Participation Scores 

• Admission: 51 (impairment is moderate to severe) 
• Discharge: 46 (impairment is mild to moderate) 

Patients improved their participation scores by 4 points from admission to discharge.* 

Total Scores (Ability, Adjustment, and Participation) 

• Admission: 49 (impairment is mild to moderate) 
• Discharge: 42 (impairment is mild) 

Patients improved their total scores by 7 points from admission to discharge.* 

*Research tells us that a 5-point change or higher from admission to discharge on the total score is a meaningful improvement. 

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adult residential patients with brain injuries include: 

• Can be alone for 8+ hours: 29% 
• Can be alone for up to 7 hours: 11% 
• Other: 60% 

Explanation of “other”:

The category of "other" represents varying supervision levels, such as

• Patient Can be Left alone for up to 1 hour. Supervision is provided to the patient overnight & part-time during waking hours. Supervising Caregiver cannot work a full-time job.
• Full-time Indirect Supervision. Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time Direct Supervision. Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• The patient is in physical restraints.

65% of adult residential patients with brain injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center provides outpatient treatment for 15 adolescents with brain injuries each year.

On average, adolescent outpatients with brain injuries had 67 visits in the Day Program and 38 visits in the Outpatient program.

Adolescent outpatients with a brain injury are between the ages of 12 and 17 years old. The average patient is 17 years old. The patient gender breakdown includes: 

Patient Genders 

• Female: 20% 
• Male: 80% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 100 out of 100.

Shepherd Center uses average scores from the Mayo-Portland Adaptability Inventory to assess major obstacles to community reintegration and social and physical environment features. Assessments are made at admission and again at discharge. Lower scores indicate greater integration.

Mayo-Portland average scores for adolescent outpatients with brain injuries include: 

Ability Scores 

• Admission: 48 (impairment is mild to moderate) 
• Discharge: 40 (impairment is mild) 

Patients improved their ability scores by 8 points from admission to discharge.* 

Adjustment Scores 

• Admission: 43 (impairment is mild to moderate) 
• Discharge: 38 (impairment is mild) 

Patients improved their adjustment scores by 6 points from admission to discharge.* 

Participation Scores 

• Admission: 47 (impairment is mild to moderate) 
• Discharge: 43 (impairment is mild to moderate) 

Patients improved their adjustment scores by 5 points from admission to discharge.* 

Total Scores (Ability, Adjustment, and Participation) 

• Admission: 49 (impairment is mild to moderate) 
• Discharge: 41 (impairment is mild) 

Patients improved their total scores by 8 points from admission to discharge.* 

*Research tells us that a 5-point change or higher from admission to discharge on the total score is a meaningful improvement.

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adolescent outpatients with brain injuries include: 

• Can be alone for 8+ hours: 29% 
• Can be alone for up to 7 hours: 11% 
• Other: 60% 

Explanation of “other”:

The category of "other" represents varying supervision levels, such as

• Patient Can be Left alone for up to 1 hour. Supervision is provided to the patient overnight & part-time during waking hours. Supervising Caregiver cannot work a full-time job.
• Full-time Indirect Supervision. Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time Direct Supervision. Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• The patient is in physical restraints.

57% of adolescent outpatients with brain injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center provides outpatient treatment for 413 adults with concussions each year.

On average, adult outpatients with concussions had 6 physical therapy visits, 5 occupational therapy visits, 5 speech therapy visits, and 3 psychology and neuropsychology visits.

The patient demographic breakdown for adult outpatients with concussions includes: 

Patient Ages 

• 18-24: 31% 
• 25-34: 16% 
• 35-44: 13% 
• 45-54: 16% 
• 55-64: 11% 
• 65+: 12% 

Patient Genders 

• Female: 56% 
• Male: 44% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with a 98 out of 100.

82% of adult outpatients with concussions experienced a reduction in the number and severity of their concussion symptoms between starting and finishing treatment.

100% of adult outpatients with concussions who completed psychology services experienced an improvement in their depression based on the Patient Health Questionnaire (PHQ9).

Shepherd Center provides outpatient treatment for 69 adolescents with concussions each year.

On average, adolescent outpatients with concussions had 4 physical therapy visits, 4 occupational therapy visits, 3 speech therapy visits, and 2 psychology and neuropsychology visits.

The patient gender breakdown for adolescent outpatients with concussions includes: 

Patient Genders 

• Female: 58% 
• Male: 42% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center 100 out of 100.

98% of adolescent outpatients with concussions experienced a reduction in the number and severity of their concussion symptoms between starting and finishing treatment.

100% of adolescent outpatients with concussions who completed psychology services experienced an improvement in their depression based on the Patient Health Questionnaire (PHQ9).

Shepherd Center provides inpatient treatment for 42 individuals with disorders of consciousness each year.

Patients with disorders of consciousness at Shepherd Center who emerge from a minimally conscious or vegetative state and advance to a rehabilitation level of care typically spend 85 days at Shepherd Center and 51 days in rehabilitation. 
 
Patients with disorders of consciousness at Shepherd Center who are discharged in a minimally conscious or vegetative state typically spend 77 days at Shepherd Center.

The average inpatient with disorders of consciousness at Shepherd Center is 37 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• Under 18: 5% 
• 18-25: 36% 
• 26-35: 7% 
• 36-45: 21% 
• 46-55: 10%
• 56-65: 19% 
• 65+: 2% 

Patient Genders 

• Female: 19% 
• Male: 81% 
   

• 57% of the patient population emerges from a minimally conscious or vegetative state and advances to a rehabilitation level of care (Rancho Los Amigos Cognitive Recovery Scale, Level 4 or above). 
• 38% of the patient population discharges from Shepherd Center in a minimally conscious or vegetative state. 
• 5% of the patient population expires while at Shepherd Center, often as a result of the family choosing to withdraw life-sustaining treatment. 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center 95 out of 100.

Patients with disorders of consciousness at Shepherd Center who emerge from a minimally conscious or vegetative state and advance to a rehabilitation level of care typically transition to: 

• Home: 88% 
• Long-Term Care: 8% 
• Hospice: 4% 

Patients with disorders of consciousness at Shepherd Center who are discharged in a minimally conscious or vegetative state typically transition to: 

• Home: 69% 
• Acute Care: 13% 
• Long-Term Care: 13% 
• Hospice: 6% 

Shepherd Center uses the Coma Recover Scale-Revise (CRS-R) to measure behavioral responses to stimuli. The higher the score, the higher the level of consciousness. 
 
Patients with disorders of consciousness who emerge from a minimally conscious or vegetative state and advance to a rehabilitation level of care have the following CRS-R measurements at admission and discharge: 

• Admission: 9 
• Discharge: 18 

Patients with disorders of consciousness who are discharged in a minimally conscious or vegetative state have the following CRS-R measurements at admission and discharge: 

• Admission: 5 
• Discharge: 8 

The CRS-R test helps medical professionals understand how the brain is working for people who are asleep or can't speak. The test has 23 parts and yields a total score of 0-23. It looks at how patients react to sounds, what they see, movement, and if they can follow basic instructions or speak. The score shows if consciousness is improving. 

Shepherd Center treats 128 clients in the SHARE Military Initiative each year.

On average, SHARE clients have the following lengths of stays: 

• 0-2 weeks 38% 
• 2-4 weeks: 8% 
• 4-8 weeks: 15% 
• 8-12 weeks: 24% 
• 12-16 weeks: 12% 
• 16-20 weeks: 2% 
• 20 weeks or more: 2% 

SHARE client demographics include: 

Client Ages 

• 18-24: 2% 
• 25-34: 12% 
• 35-44: 38% 
• 45-54: 38% 
• 55-64: 9% 
• 65+: 2% 

Client Genders 

• Female: 14% 
• Male: 86% 

SHARE clients represent the following branches of services: 

• Army: 60% 
• Marine Corps: 15% 
• Navy: 13% 
• Air Force: 9% 
• Coast Guard: 2% 
• First Responder: 2%

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center 100 out of 100.

Shepherd Center uses average scores from the Mayo-Portland Adaptability Inventory to assess major obstacles to community reintegration and social and physical environment features. Assessments are made at admission and again at discharge. Lower scores indicate greater integration.

Mayo-Portland average scores for SHARE clients include: 

Ability Scores 

• Admission: 43 (impairment is mild to moderate) 
• Discharge: 34 (impairment is mild) 

Clients improved their ability scores by 9 points from admission to discharge.* 

Adjustment Scores 

• Admission: 50 (impairment is mild to moderate) 
• Discharge: 39 (impairment is mild) 

Clients improved their adjustment scores by 11 points from admission to discharge.* 

Participation Scores 

• Admission: 40 (impairment is mild)  
• Discharge: 34 (impairment is mild) 

Clients improved their participation scores by 7 points from admission to discharge.* 

Total Scores (Ability, Adjustment, and Participation) 

• Admission: 42 (impairment is mild to moderate) 
• Discharge: 31 (no limitations) 

Clients improved their total scores by 11 points from admission to discharge.* 

*Research tells us that a 5-point change or higher from admission to discharge on the total score is a meaningful improvement. 

89% of SHARE clients reach or exceed the expected performance of their person-centered goals.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center treats 333 patients with spinal cord injuries each year.

Adults within the inpatient population at Shepherd Center are diagnosed with the following types of spinal cord injuries: 

• SCI - C1-4: 41%
• SCI - C5-8: 15%
• SCI - Major Multiple Trauma: 4%
• SCI - Para: 35%
• Other: 5%

On average, adults enter Shepherd Center’s inpatient rehabilitation program 23 days after experiencing a spinal cord injury.

Adult inpatients with spinal cord injuries typically participate in 3-5 daily hours of therapy.

The average adult inpatient with a spinal cord injury at Shepherd Center is 41 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 23% 
• 26-35: 20% 
• 36-45: 18% 
• 46-55: 18% 
• 56-65: 12% 
• 65+: 9% 

Patient Genders 

• Female: 23% 
• Male: 77% 

The average length of stay for adult inpatients with spinal cord injuries is 62 days.

Upon discharge, adult inpatients with spinal cord injuries typically transition to the following locations: 

• Community: 92.8% 
• Other Rehab: 5.7% 
• Acute Care: 1.2% 
• Other: 0.3%

0.6% of discharges have an unplanned transfer to an acute care facility. 

69% of adult inpatients with spinal cord injuries achieve or exceed their anticipated value of self-care upon discharge from Shepherd Center, compared to 64% nationally.

65% of adult inpatients with spinal cord injuries achieve or exceed their anticipated value of mobility upon discharge from Shepherd Center, compared to 66% nationally.

Mobility scores tell us how much help a patient needs with activities like sitting, standing, walking, using a wheelchair, or going up and down stairs. A Physical Therapist helps patients get better at doing these activities on their own. If the scores go up from when the patient first came in to when they left, it means the patient got better at doing these activities independently. 

91% of adult inpatients with spinal cord injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to go back to work.”
• “I want to be able to go on vacation with my wife.”
• “I want to be able to feed myself.”

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 97 out of 100.

Shepherd Center treats 17 patients with spinal cord injuries each year.

Adolescents within the inpatient population at Shepherd Center are diagnosed with the following types of spinal cord injuries: 

• SCI - C1-4: 25%
• SCI - C5-8: 19%
• SCI - Para: 44%
• Other: 13%

On average, adolescents enter Shepherd Center’s inpatient rehabilitation program 24 days after experiencing a spinal cord injury.

Adolescent inpatients with spinal cord injuries typically participate in 3-5 daily hours of therapy.

The average adult inpatient with a spinal cord injury at Shepherd Center is 16 years old. The patient demographic breakdown includes the following: 

Patient Genders 

• Female: 29% 
• Male: 71% 

The average length of stay for adolescent inpatients with spinal cord injuries is 50 days.

Upon discharge, adolescent inpatients with spinal cord injuries typically transition to the following locations: 

• Community: 94.4% 
• Other Rehab: 5.6% 

0.0% of discharges have an unplanned transfer to an acute care facility. 

81% of adolescent inpatients with spinal cord injuries reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to go back to work.”
• “I want to be able to go on vacation with my wife.”
• “I want to be able to feed myself.”

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center a 100 out of 100.

Shepherd Center treats 486 outpatients with spinal cord injuries each year.

Adults within the outpatient population at Shepherd Center are diagnosed with the following types of spinal cord injuries: 

• SCI - C1-4: 32%
• SCI - C5: 12%
• SCI - C6: 9%
• SCI - C7-8: 5%
• SCI - T1-6: 15%
• SCI - T7-S5: 27%

On average, adult outpatients with spinal cord injuries had 47 visits in the Day Program and 11 visits in the Outpatient program.

The average adult outpatient with a spinal cord injury at Shepherd Center is 48 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 18% 
• 26-35: 19% 
• 36-45: 15% 
• 46-55: 18% 
• 56-65: 15% 
• 65+: 15% 

Patient Genders 

• Female: 30% 
• Male: 70% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 97 out of 100.

94% of adult outpatients with spinal cord injuries reach or exceed their expected personal goals during their outpatient experience.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to go back to work.”
• “I want to be able to go on vacation with my wife.”
• “I want to be able to feed myself.”

Shepherd Center treats 16 adolescent outpatients with spinal cord injuries each year.

Adolescents within the outpatient population at Shepherd Center are diagnosed with the following types of spinal cord injuries: 

• SCI - C1-4: 36%
• SCI - C5: 7%
• SCI - C7-8: 14%
• SCI - T1-6: 7%
• SCI - T7-S5: 36%

On average, adolescent outpatients with spinal cord injuries had 52 visits in the Day Program and 9 visits in the Outpatient program.

The average adolescent outpatient with a spinal cord injury at Shepherd Center is 17 years old. The patient demographic breakdown includes the following: 

Patient Genders 

• Female: 25% 
• Male: 75% 

When asked about the likelihood of their recommending Shepherd Center, adolescent patients or their caregivers rated Shepherd Center with 100 out of 100.

90% of adolescent outpatients with spinal cord injuries reach or exceed their expected personal goals during their outpatient experience.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to go back to work.”
• “I want to be able to go on vacation with my wife.”
• “I want to be able to feed myself.”

Shepherd Center provides inpatient treatment for 155 adults with strokes each year.

Adults within the inpatient population at Shepherd Center are diagnosed with the following types of strokes: 

• Left Stroke: 35.7% 
• Right Stroke: 31.2% 
• Bilateral Stroke: 30.5% 
• Other Stroke: 2.6% 

On average, adults enter Shepherd Center’s inpatient rehabilitation program 31 days after experiencing a stroke.

The average length of stay for adult inpatients with strokes is 47 days.

Adult inpatients with strokes typically participate in 3-5 daily hours of therapy.

The average adult inpatient with a stroke at Shepherd Center is 50 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 5% 
• 26-35: 9% 
• 36-45: 17% 
• 46-55: 30% 
• 56-65: 28% 
• 65+: 10% 

Patient Genders 

• Female: 37% 
• Male: 63% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 97 out of 100.

Upon discharge, adult inpatients with strokes typically transition to the following locations: 

• Community: 91% 
• Long-Term Care: 5% 
• Acute Care: 3% 
• Hospice: 1% 

2.6% of discharges have an unplanned transfer to an acute care facility. 

63% of adult inpatients with strokes achieve or exceed their anticipated value of self-care upon discharge from Shepherd Center, compared to 63% nationally.

65% of adult inpatients with strokes achieve or exceed their anticipated value of mobility upon discharge from Shepherd Center, compared to 62% nationally.

Mobility scores tell us how much help a patient needs with activities like sitting, standing, walking, using a wheelchair, or going up and down stairs. A Physical Therapist helps patients get better at doing these activities on their own. If the scores go up from when the patient first came in to when they left, it means the patient got better at doing these activities independently. 

97% of adult inpatients with strokes reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.” 

Shepherd Center provides outpatient treatment for 207 adults with strokes each year.

On average, adult outpatients with strokes had 89 visits in the Day Program and 33 visits in the Outpatient program.

The average adult outpatient with a stroke at Shepherd Center is 52 years old. The patient demographic breakdown includes the following: 

Patient Ages 

• 18-25: 7% 
• 26-35: 8% 
• 36-45: 17% 
• 46-55: 33% 
• 56-65: 20% 
• 65+: 14% 

Patient Genders 

• Female: 38% 
• Male: 62% 

When asked about the likelihood of their recommending Shepherd Center, patients or their caregivers rated Shepherd Center with 98 out of 100.

Shepherd Center uses average scores from the Mayo-Portland Adaptability Inventory to assess major obstacles to community reintegration and social and physical environment features. Assessments are made at admission and again at discharge. Lower scores indicate greater integration.

Mayo-Portland average scores for adult outpatients with strokes include: 

Ability Scores 

• Admission: 50 (impairment is mild to moderate) 
• Discharge: 41 (impairment is mild) 

Patients improved their ability scores by 9 points from admission to discharge.* 

Adjustment Scores 

• Admission: 43 (impairment is mild to moderate) 
• Discharge: 37 (impairment is mild) 

Patients improved their adjustment scores by 6 points from admission to discharge.* 

Participation Scores 

• Admission: 49 (impairment is mild to moderate) 
• Discharge: 45 (impairment is mild to moderate) 

Patients improved their participation scores by 5 points from admission to discharge.* 

Total Scores (Ability, Adjustment, and Participation) 

• Admission: 47 (impairment is mild to moderate) 
• Discharge: 40 (impairment is mild) 

Patients improved their total scores by 7 points from admission to discharge.* 

*Research tells us that a 5-point change or higher from admission to discharge on the total score is a meaningful improvement. 

Shepherd Center uses the Supervision Rating Scale (SRS) to measure the recommended level of supervision a patient receives from caregivers upon discharge. SRS percentages for adult outpatients with strokes include: 

• Can be alone for 8+ hours: 29% 
• Can be alone for up to 7 hours: 11% 
• Other: 60% 

Explanation of “other”:

The category of "other" represents varying supervision levels, such as

• Patient Can be Left alone for up to 1 hour. Supervision is provided to the patient overnight & part-time during waking hours. Supervising Caregiver cannot work a full-time job.
• Full-time Indirect Supervision. Patient is never left alone. Supervising person checks in 30 minutes or less.
• Full-time Direct Supervision. Patient is never left alone. Supervising person checks in more than every 30 minutes.
• Patient lives in a setting in which exits are physically controlled by others, plus a supervising person is designated to provide full-time line-of-sight supervision.
• The patient is in physical restraints.

68% of adult outpatients with strokes reach or exceed their expected personal goals during their rehabilitation.

Patients work with their therapy team to come up with goals. These goals may focus on physical or mental abilities that patients want to return to doing, or it can be something new. A few examples include:    

• “I want to be able to cook a meal with my grandchildren.”   
• “I can manage my household finances.”   
• “I want to be able to feed myself.”