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Residential Neuro Solutions

Specialized facilities that balance high-quality neurorehabilitation and homelike comfort.

Rehab Facility

After a neurological injury or diagnosis, some patients aren’t able to go home. They may require more supervision or physical care than can be provided at home. To help patients in these situations, Rehab Without Walls® provides two types of residential care.

  • Transitional care – Patients receive intensive neuro therapy plus 24-hour-a-day supervision until they’re ready to go home.
  • Supported living – Residents receive day-to-day support for activities like personal care and taking medications, for as long as they need it.

For both programs, our priorities include providing for the comfort, health and safety of the individual while facilitating their return to their highest level of independence. We want our residential homes to feel like home, both for patients and for family members who visit. At the same time, we want patients to receive high-quality assistance and rehabilitation from people who understand the complexities of neurological conditions.

Whether patients are staying with us for a few months or for many years, we want our them to be safe. That’s why some of our facilities have state-of-the-art monitoring with Rest Assured technology. In combination with our residential staff, Rest Assured further ensures the safety of our residential neurosolutions patients. More about RestAssured.

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Program details

Transitional care with neuro therapy

Transitional care allows for a smoother and safer transition from hospital to home. It is especially suited for patients who are in one or more of these situations:

  • They require high-intensity rehabilitation, 5-8 hours a day.
  • They engage in behaviors that can’t be safely managed in the home.
  • They live in an area where specialized neuro rehab services aren’t available.
  • Their family is unable to provide the level of care and supervision needed – for example, if the spouse needs to work.
  • They don’t have family nearby to assist with care in the home.
  • They would need to modify their home to make it safe and functional.

Just like with our home and community neurosolutions program, we develop a customized neuro therapy program that incorporates the patient’s goals and interests. Depending on the patient’s abilities, therapy may start in clinic settings (such as a fully equipped therapy gyms and private treatment spaces). However, as the patient progresses, we conduct therapy sessions in real-life settings (such as local parks and grocery stores) as much as possible.

The neuro rehab plan is generally a blend of:

  • Physical therapy
  • Occupational therapy
  • Speech-language therapy
  • Neuropsychology
  • Vocational rehabilitation
  • Therapeutic recreation
  • Community reintegration

After a full day of therapy, patients receive care in the residence by specially trained staff, including neuro-trained nursing assistants. One-to-one supervision is available when required for safety of the patient.

The patient’s care team is overseen by a physician and led by a clinical coordinator. The clinical coordinator ensures that there are no gaps or overlaps in services, facilitates communication and leads frequent team meetings with therapists, patients and families to review and update the plan of care.

Transitional care is covered by some commercial health insurance and workers’ compensation plans. Some locations also accept Medicaid coverage and Canadian Veterans Affairs. More about insurance.

Supported living

This program provides long-term support for patients who are unable to live independently and are unlikely to do so in the future. It is especially suited for patients who are in one or more of these situations:

  • They require assistance with day-to-day activities due to cognitive and/or physical disabilities.
  • Their family is unable to provide the level of care needed.
  • They don’t have family to assist with care.

All our residential locations offer supported living. Generally, this program does not include intensive neurorehab services like speech therapy and physical therapy, but rather focuses on helping patients achieve a high quality of life. For example, our skilled team can:

  • Ensure that the patient receives proper nutrition and medication
  • Help with life skills such as managing finances
  • Promote participation in educational, social, vocational and recreational activities

Supported living is covered by some workers’ compensation plans. Some of our residential locations also accept Medicaid and other state funding. More about insurance.

Residential school

The Texas Hill Country School specializes in working with students who have been unsuccessful in other settings and have become disillusioned with learning and life. We accept children and adolescents, age 6-22, with acquired brain injuries, developmental disabilities including Autism Spectrum disorders and a host of other neurological and psychological problems.

The Texas Hill Country School is an integrated environment that:

  • promotes the development of functional academics
  • offers a goal oriented curriculum
  • advances the attainment of social and life skills needed for success
  • emphasizes the association between classroom learning and everyday life

The two residential homes are located on 43 acres just outside the city of San Marcos, Texas.  The homes and academic classrooms are centrally located to one another to allow for continuity of services between academics and residential living.

Additional services offered depending on individual needs:

  • Psychiatry
  • Individual counseling
  • Nursing
  • Physical therapy
  • Speech therapy
  • Occupational therapy
  • Music therapy
  • Animal therapy
  • Community integration
  • Community service

Admission Criteria:

  • 6-22 years of age
  • Children and adolescents with acquired brain injuries, developmental disabilities including Autism Spectrum, neurological and psychological problems
  • Medically stable
  • Not an immediate danger to self or others
  • Funding secured


  • Texas Department of Family and Protective Services
  • Texas Education Agency approved