Scope of Services For The Residential Program:
Population Served: Adults 18 years and older with Traumatic Brain Injuries (TBI) and Acquired Brain Injuries (ABI)
Settings: Group Homes
Hours of Service: Residential Programs operate 24 hours per day / 7 days per week
Days of Service: Seven days per week including holidays
Frequency of Service: Services are provided as indicated by team consensus as indicated in the Person Centered Plan
Payor Sources: NC DHHS LME/MCO System Entities, VA, Workers Compensation, and Private Pay
Fees: Rates are determined by individual need and based on the fee schedule; and/or rates set by payor sources
Referral Sources: Referrals are received by social workers at hospitals, long term care, and subacute facilities, Case Managers, LME/MCO staff, families and self-referral
The specific services offered, including whether the services are provided directly, by contract, or by referral:
Full range of treatment services, including in house Recreational Therapy, and Contracted or Referred Physical Therapy, Occupational Therapy, Speech and Language Pathology, Cognitive Therapy, Neuropsychological evaluation, Psychotherapy
Individualized rehabilitation in personal care, household manager health and medical care (including medication administration), grocery shopping, money management and budgeting
Customized supervision from intensive to intermittent support
Social, recreational and spiritual activities
Behavioral programming
Accessibility for individuals with limited mobility
24-hour staff support for assistance with activities of daily living, safety, mobility and transfers, as needed
Transportation is provided from residential program, to and from day treatment programs, therapies, medical appointments and community outings
Clinical Case Management
Quarterly progress meetings with the team including funder, family and persons served.
Emergency on-call coverage by supervisory staff
Scope of Services For The Day Program:
Population Served: Individuals 18 and older with Traumatic Brain Injury (TBI) or Acquired Brain Injury (ABI)
Settings: Day Program services are delivered on site, in the community and at the Residential Program. The facility is located in Goldsboro, NC
Hours of Service: 9am - 3pm
Days of Service: Monday, Tuesday, Wednesday, Thursday, and Friday
Frequency of Service: Services are provided based on clinical recommendations
Payor Sources: NC DHHS LME/MCO System Entities, VA, Workers Compensation, and Private Pay
Fees: Rates are determined by individual need and based on the fee schedule; and/or rates set by payor sources
Referral Sources: Referrals are received by physicians in the community, social workers at hospitals, long term care, and subacute facilities, Case Managers, families and self-referral
Referral Sources: Referrals are received by social workers at hospitals, long term care, and subacute facilities, Case Managers, LME/MCO staff, families and self-referral
The specific services offered, including whether the services are provided directly, by contract, or by referral:
Structured Day Program includes scheduled sessions such as cognitive retraining, functional academics, current events discussions, memory exercises, and vocational or simulated work tasks. Residents also participate in recreational therapy, art expression, physical fitness, and life skills training such as cooking, budgeting, and self-care routines. Community outings and volunteer opportunities are integrated into the schedule to reinforce independence and real-world practice.
Contracted or referred Physical Therapy, Occupational Therapy, Speech and Language Pathology, Cognitive Therapy Neuropsychological evaluation, Psychotherapy
Entry Criteria for Admission to ReNu Life TBI Residential & Day Program
ReNu Life’s Residential Program serves adults ages 18 and older who have sustained a Traumatic Brain Injury (TBI) or Acquired Brain Injury (ABI) and require structured, ongoing rehabilitation in a supportive, home-like setting. To be eligible for admission or placement on the waiting list, applicants must meet the following entry criteria:
Diagnosis and Age Requirement:
The applicant must be at least 18 years old and have sustained a brain injury—either traumatic (e.g., from external physical force) or acquired (e.g., stroke, anoxic injury, or tumor-related). Medical documentation confirming the injury and its functional impact must be provided.
Need for Active Treatment:
The applicant must require and be capable of participating in active treatment and rehabilitation. This includes engaging in a structured daily program that addresses cognitive, behavioral, emotional, physical, and functional needs. The individual must demonstrate a potential to benefit from the therapeutic, skill-building interventions provided within a domiciliary level of care.
Willingness to Participate:
The applicant must be willing to comply with the individualized rehabilitation plan developed by the interdisciplinary team. This includes following program expectations, participating in day activities, therapies, and behavioral interventions, and adhering to safety and supervision requirements.
Appropriateness of Fit:
The applicant must have needs that can be safely and effectively met within the scope of services offered by ReNu Life. This includes 24-hour residential supervision and access to therapies either provided in-house or through contract/referral. The applicant’s behavioral and medical support needs must be manageable within a group home setting that is not classified as a skilled nursing facility.
Payor Eligibility:
Applicants must have or be eligible for an accepted funding source, which may include NC DHHS LME/MCO system entities, the Veterans Administration (VA), Workers’ Compensation, or Private Pay. Admission is contingent upon confirmed funding and compliance with payor requirements and rates.
Referral Source:
Referrals are accepted from a variety of sources, including hospital discharge planners, rehabilitation facilities, long-term care facilities, case managers, LME/MCOs, families, guardians, or through self-referral. Each referral must be accompanied by the required documentation to support the preadmission evaluation process.
Exclusionary Criteria / Reasons for Denial
While ReNu Life strives to support a wide range of individuals with brain injuries, admission may be denied or deferred if the applicant’s needs exceed the scope of services or cannot be safely and effectively met within the program. The following exclusionary criteria outline circumstances that may result in a referral being declined:
Does Not Require Active Treatment:
Applicants who do not require or cannot benefit from active rehabilitation services as determined by the interdisciplinary team are not appropriate for admission. This includes individuals whose medical, cognitive, or psychosocial status is too advanced or too minimal for meaningful participation in structured rehabilitation.
Unmanageable Medical Needs:
Individuals requiring ongoing skilled nursing care, complex medical interventions (e.g., IV therapy, ventilator dependency), or frequent hospital-level monitoring are not eligible for ReNu Life’s group home setting, which is not licensed as a nursing facility.
Severe Behavioral Risk:
Applicants with recent or ongoing patterns of uncontrolled aggression, sexually inappropriate behavior, or self-harm that cannot be safely managed with available staffing, behavioral supports, or environmental modifications may be deemed inappropriate for placement. Safety of all residents and staff is a critical consideration in all admission decisions.
Incompatibility with Group Living:
Individuals who are unable or unwilling to follow basic expectations for group home living (e.g., shared space, hygiene, cooperation with staff) or who demonstrate persistent refusal to comply with rehabilitation plans may be excluded unless a viable plan for engagement and support can be established.
Lack of Willingness to Participate in Treatment:
Referrals may be denied if the applicant, despite capacity, refuses to participate in therapeutic activities, routines, or the person-centered planning process. Participation is essential to the rehabilitative model.
Inadequate Funding or Payor Source:
If the applicant does not have a confirmed funding source or is not eligible under current payor systems accepted by ReNu Life, admission may be deferred until appropriate arrangements can be made. The program is not able to admit individuals without a viable payor plan.
Safety or Environmental Incompatibility:
Applicants who require accessibility features, equipment, or supervision levels that cannot be safely accommodated within the existing residential environment may be excluded unless reasonable modifications can be arranged in advance.
Preadmission Evaluation Findings:
The structured preadmission evaluation process may reveal that an applicant’s strengths, needs, or preferences do not align with the therapeutic goals or capabilities of the ReNu Life program. In such cases, alternative referrals may be suggested to ensure the applicant receives appropriate care.
Exit Criteria for ReNu Life TBI Residential Rehabilitation Program
Discharge from ReNu Life’s Residential Program occurs when an individual no longer meets the criteria for continued participation in structured rehabilitation services or when another placement or level of care becomes more appropriate. Exit decisions are based on interdisciplinary team consensus and are guided by clinical progress, personal goals, safety, and the individual’s overall plan of care.
Residents may exit the program under the following circumstances:
Achievement of Rehabilitation Goals:
The individual has made sufficient progress toward rehabilitation goals and no longer requires the level of support and supervision provided in a 24-hour group home setting. Discharge may include transition to independent living, supported housing, or a less intensive community-based setting, with appropriate follow-up services in place.
Plateau in Progress and No Further Active Treatment Needs:
If the individual’s rehabilitation progress has plateaued and there are no further measurable benefits expected from continued participation in active treatment, the team may recommend discharge to long-term care, assisted living, or other appropriate environments focused on maintenance rather than active rehabilitation.
Medical or Behavioral Needs Exceed Program Scope:
The resident develops medical conditions or behavioral risks that surpass the capabilities of the program to manage safely and effectively. In such cases, alternative placements will be explored, and transition plans will be developed in coordination with the resident, guardian, payor, and healthcare providers.
Refusal or Inability to Participate in Treatment:
If the resident consistently refuses to participate in the rehabilitation process, violates safety protocols, or fails to comply with the expectations of group living despite interventions and supports, and if continued participation compromises their own safety or that of others, discharge may be recommended.
Guardian or Resident-Initiated Discharge:
A discharge may occur at the request of the resident (if legally able to make such decisions) or the legal guardian. Staff will make reasonable efforts to ensure a safe and coordinated transition and provide referrals to other services as needed.
Change in Payor Status or Loss of Funding:
If the resident loses eligibility for funding and no alternative source is identified, and attempts to resolve funding gaps have been exhausted, the program may proceed with discharge planning. Every effort is made to prevent disruption and support continuity of care.
Transfer to Higher Level of Care:
In cases of significant medical decline or need for intensive nursing or hospital-based services, residents may be discharged to a skilled nursing facility, inpatient hospital, or other setting better equipped to meet their needs.
Population Served: Adults 18 years and older with Traumatic Brain Injuries (TBI) and Acquired Brain Injuries (ABI)
Settings: Group Homes
Hours of Service: Residential Programs operate 24 hours per day / 7 days per week
Days of Service: Seven days per week including holidays
Frequency of Service: Services are provided as indicated by team consensus as indicated in the Person Centered Plan
Payor Sources: NC DHHS LME/MCO System Entities, VA, Workers Compensation, and Private Pay
Fees: Rates are determined by individual need and based on the fee schedule; and/or rates set by payor sources
Referral Sources: Referrals are received by social workers at hospitals, long term care, and subacute facilities, Case Managers, LME/MCO staff, families and self-referral
The specific services offered, including whether the services are provided directly, by contract, or by referral:
Full range of treatment services, including in house Recreational Therapy, and Contracted or Referred Physical Therapy, Occupational Therapy, Speech and Language Pathology, Cognitive Therapy, Neuropsychological evaluation, Psychotherapy
Individualized rehabilitation in personal care, household manager health and medical care (including medication administration), grocery shopping, money management and budgeting
Customized supervision from intensive to intermittent support
Social, recreational and spiritual activities
Behavioral programming
Accessibility for individuals with limited mobility
24-hour staff support for assistance with activities of daily living, safety, mobility and transfers, as needed
Transportation is provided from residential program, to and from day treatment programs, therapies, medical appointments and community outings
Clinical Case Management
Quarterly progress meetings with the team including funder, family and persons served.
Emergency on-call coverage by supervisory staff
Scope of Services For The Day Program:
Population Served: Individuals 18 and older with Traumatic Brain Injury (TBI) or Acquired Brain Injury (ABI)
Settings: Day Program services are delivered on site, in the community and at the Residential Program. The facility is located in Goldsboro, NC
Hours of Service: 9am - 3pm
Days of Service: Monday, Tuesday, Wednesday, Thursday, and Friday
Frequency of Service: Services are provided based on clinical recommendations
Payor Sources: NC DHHS LME/MCO System Entities, VA, Workers Compensation, and Private Pay
Fees: Rates are determined by individual need and based on the fee schedule; and/or rates set by payor sources
Referral Sources: Referrals are received by physicians in the community, social workers at hospitals, long term care, and subacute facilities, Case Managers, families and self-referral
Referral Sources: Referrals are received by social workers at hospitals, long term care, and subacute facilities, Case Managers, LME/MCO staff, families and self-referral
The specific services offered, including whether the services are provided directly, by contract, or by referral:
Structured Day Program includes scheduled sessions such as cognitive retraining, functional academics, current events discussions, memory exercises, and vocational or simulated work tasks. Residents also participate in recreational therapy, art expression, physical fitness, and life skills training such as cooking, budgeting, and self-care routines. Community outings and volunteer opportunities are integrated into the schedule to reinforce independence and real-world practice.
Contracted or referred Physical Therapy, Occupational Therapy, Speech and Language Pathology, Cognitive Therapy Neuropsychological evaluation, Psychotherapy
Entry Criteria for Admission to ReNu Life TBI Residential & Day Program
ReNu Life’s Residential Program serves adults ages 18 and older who have sustained a Traumatic Brain Injury (TBI) or Acquired Brain Injury (ABI) and require structured, ongoing rehabilitation in a supportive, home-like setting. To be eligible for admission or placement on the waiting list, applicants must meet the following entry criteria:
Diagnosis and Age Requirement:
The applicant must be at least 18 years old and have sustained a brain injury—either traumatic (e.g., from external physical force) or acquired (e.g., stroke, anoxic injury, or tumor-related). Medical documentation confirming the injury and its functional impact must be provided.
Need for Active Treatment:
The applicant must require and be capable of participating in active treatment and rehabilitation. This includes engaging in a structured daily program that addresses cognitive, behavioral, emotional, physical, and functional needs. The individual must demonstrate a potential to benefit from the therapeutic, skill-building interventions provided within a domiciliary level of care.
Willingness to Participate:
The applicant must be willing to comply with the individualized rehabilitation plan developed by the interdisciplinary team. This includes following program expectations, participating in day activities, therapies, and behavioral interventions, and adhering to safety and supervision requirements.
Appropriateness of Fit:
The applicant must have needs that can be safely and effectively met within the scope of services offered by ReNu Life. This includes 24-hour residential supervision and access to therapies either provided in-house or through contract/referral. The applicant’s behavioral and medical support needs must be manageable within a group home setting that is not classified as a skilled nursing facility.
Payor Eligibility:
Applicants must have or be eligible for an accepted funding source, which may include NC DHHS LME/MCO system entities, the Veterans Administration (VA), Workers’ Compensation, or Private Pay. Admission is contingent upon confirmed funding and compliance with payor requirements and rates.
Referral Source:
Referrals are accepted from a variety of sources, including hospital discharge planners, rehabilitation facilities, long-term care facilities, case managers, LME/MCOs, families, guardians, or through self-referral. Each referral must be accompanied by the required documentation to support the preadmission evaluation process.
Exclusionary Criteria / Reasons for Denial
While ReNu Life strives to support a wide range of individuals with brain injuries, admission may be denied or deferred if the applicant’s needs exceed the scope of services or cannot be safely and effectively met within the program. The following exclusionary criteria outline circumstances that may result in a referral being declined:
Does Not Require Active Treatment:
Applicants who do not require or cannot benefit from active rehabilitation services as determined by the interdisciplinary team are not appropriate for admission. This includes individuals whose medical, cognitive, or psychosocial status is too advanced or too minimal for meaningful participation in structured rehabilitation.
Unmanageable Medical Needs:
Individuals requiring ongoing skilled nursing care, complex medical interventions (e.g., IV therapy, ventilator dependency), or frequent hospital-level monitoring are not eligible for ReNu Life’s group home setting, which is not licensed as a nursing facility.
Severe Behavioral Risk:
Applicants with recent or ongoing patterns of uncontrolled aggression, sexually inappropriate behavior, or self-harm that cannot be safely managed with available staffing, behavioral supports, or environmental modifications may be deemed inappropriate for placement. Safety of all residents and staff is a critical consideration in all admission decisions.
Incompatibility with Group Living:
Individuals who are unable or unwilling to follow basic expectations for group home living (e.g., shared space, hygiene, cooperation with staff) or who demonstrate persistent refusal to comply with rehabilitation plans may be excluded unless a viable plan for engagement and support can be established.
Lack of Willingness to Participate in Treatment:
Referrals may be denied if the applicant, despite capacity, refuses to participate in therapeutic activities, routines, or the person-centered planning process. Participation is essential to the rehabilitative model.
Inadequate Funding or Payor Source:
If the applicant does not have a confirmed funding source or is not eligible under current payor systems accepted by ReNu Life, admission may be deferred until appropriate arrangements can be made. The program is not able to admit individuals without a viable payor plan.
Safety or Environmental Incompatibility:
Applicants who require accessibility features, equipment, or supervision levels that cannot be safely accommodated within the existing residential environment may be excluded unless reasonable modifications can be arranged in advance.
Preadmission Evaluation Findings:
The structured preadmission evaluation process may reveal that an applicant’s strengths, needs, or preferences do not align with the therapeutic goals or capabilities of the ReNu Life program. In such cases, alternative referrals may be suggested to ensure the applicant receives appropriate care.
Exit Criteria for ReNu Life TBI Residential Rehabilitation Program
Discharge from ReNu Life’s Residential Program occurs when an individual no longer meets the criteria for continued participation in structured rehabilitation services or when another placement or level of care becomes more appropriate. Exit decisions are based on interdisciplinary team consensus and are guided by clinical progress, personal goals, safety, and the individual’s overall plan of care.
Residents may exit the program under the following circumstances:
Achievement of Rehabilitation Goals:
The individual has made sufficient progress toward rehabilitation goals and no longer requires the level of support and supervision provided in a 24-hour group home setting. Discharge may include transition to independent living, supported housing, or a less intensive community-based setting, with appropriate follow-up services in place.
Plateau in Progress and No Further Active Treatment Needs:
If the individual’s rehabilitation progress has plateaued and there are no further measurable benefits expected from continued participation in active treatment, the team may recommend discharge to long-term care, assisted living, or other appropriate environments focused on maintenance rather than active rehabilitation.
Medical or Behavioral Needs Exceed Program Scope:
The resident develops medical conditions or behavioral risks that surpass the capabilities of the program to manage safely and effectively. In such cases, alternative placements will be explored, and transition plans will be developed in coordination with the resident, guardian, payor, and healthcare providers.
Refusal or Inability to Participate in Treatment:
If the resident consistently refuses to participate in the rehabilitation process, violates safety protocols, or fails to comply with the expectations of group living despite interventions and supports, and if continued participation compromises their own safety or that of others, discharge may be recommended.
Guardian or Resident-Initiated Discharge:
A discharge may occur at the request of the resident (if legally able to make such decisions) or the legal guardian. Staff will make reasonable efforts to ensure a safe and coordinated transition and provide referrals to other services as needed.
Change in Payor Status or Loss of Funding:
If the resident loses eligibility for funding and no alternative source is identified, and attempts to resolve funding gaps have been exhausted, the program may proceed with discharge planning. Every effort is made to prevent disruption and support continuity of care.
Transfer to Higher Level of Care:
In cases of significant medical decline or need for intensive nursing or hospital-based services, residents may be discharged to a skilled nursing facility, inpatient hospital, or other setting better equipped to meet their needs.
