Residential Program

The Residential Program focuses on maximizing independence in activities of daily living, enhanced quality of life, productivity, and community inclusion. This program is offered for respite, short term rehab, and long term support needs within the setting of a licensed adult foster care home. Short term rehabilitation focuses on developing the least restrictive discharge plan, participation in intensive therapy services, and significant short term progress in recovery.  Clients with long term support needs will have a program that emphasizes necessary care to maintain the individual’s maximum functioning level, quality of life, participation in productive activities, and community access. Respite care provides an opportunity for caregivers to get a rest from the immense responsibility they hold each day caring for their loved ones. With the peace of mind that their loved one is receiving quality care, the caregiver can get a renewal of strength and energy while the client receives the benefits of the Residential Program. Within this program, there are two tracks: Neuro-Rehabilitation and Assisted Living.

  • Neuro-Rehabilitation (NR)
    Support is provided 24 hours per day in a home-like environment, with varying degrees of direct supervision provided based on individual need.  Medical care is overseen by a Registered Nurse with a team of Patient Care Technicians available 24 hours per day for additional medical support.
  • Assisted Living (AL)
    Support is provided 24 hours per day in a home-like environment.  Private suites and program structure allow for opportunity to maintain or increase independent living skill levels based on individual need and care plan.


Program Admission Criteria

  • Male or female 18 years or older with a primary diagnosis of brain injury*
  • Requires more than 12 hours structured support or supervision per day
  • Clients within the NR track may require more intensive supervision (i.e. levels of 1:1, 15-minute checks, 30-minute checks). Clients within the AL track do not require more intensive supervision beyond a possible individualized treatment plan for safety with close monitoring and time limitation.
  • Moderate assistance with basic activities of daily living for NR; minimum assistance for AL
  • Transfers self with no more than moderate assistance for NR; modified independence for AL
  • Participates in instrumental activities of daily living such as meal preparation, laundry, and medication management
  • Medically stable, free from acute infection or fever, non-ventilator dependent
  • Does not require skilled nursing, but clients in NR may require the support of Patient Care Technicians and Registered Nurse oversight of medical needs; clients in AL do not require oversight of medical needs beyond the support provided by Care Coordination  
  • Minimum Ranchos Los Amigos Levels of 4/5 for NR; 6/7 for AL
  • Participates in a minimum of 3 hours of structured programming per day
  • May require the services of a trained culinary specialist with meal preparation for safety, diet restriction conformance, and/or nutritional needs (NR)
  • Not a danger to self or others
  • Not actively engaged in substance use 


*Origami specializes in brain injury rehabilitation; however, is able to provide services to individuals with other neurological diagnoses as long as the established admission criteria are met.

Spinal cord injuries (SCIs) and amputations can only be a secondary diagnosis.

Specific etiology, injury level, completeness, and co-morbidities as it pertains to SCIs are delineated based on the individual's ability to meet the program's specific admission criteria.


Levels of Supervision (NR)

  • Standard – up to moderate assistance in functional areas
  • Intensive – maximum assistance in functional areas
  • One on One – requires 1 to 1 staff support in functional or behavioral areas


Program Discharge Criteria

  • Treatment team’s assessment indicates that the individual has achieved a level of functional independence requiring less than 12 hours of daily support or supervision
  • Individual’s behavior is not compatible with the program goals, group activities, or may prevent the progress of other participants*
  • Poses a risk or danger to self or others*
  • Interruption to secure funding*
  • Individual meets admission criteria of another program in the Origami continuum and may transition accordingly


*A discharge procedure will be followed ensuring the opportunity to access other appropriate resources