Comparison of Community Reintegration Interventions When Using a Simulated Environment

Inclusion Criteria: * Medical records of patients admitted to the IRU from January 1, 2015 through December 31, 2019 will be queried for number of minutes billed for Community Integration. * Medical records of patients admitted to the IRU from April 2 * Patients admitted to the Inpatient Rehabilitation Unit (IRU) of at least 18 years of age and older * Patients who can read and provide informed consent in English. * Patients who will be discharged to home after inpatient rehabilitation. * Patients who are ambulatory with a minimal QI score of 3 on "Walk 10 feet". * Patients who utilized the simulated environment during their inpatient stay. * Patients who score 8 or greater on the BIMS on initial evaluation. Exclusion Criteria: * The investigators will exclude medical records of patients admitted to the IRU from January 1, 2020 through December 31, 2021 because of the COVID restrictions that were in place. * Patients who are less than 18 years of age. * Patients who are not ambulatory due to medical reasons. * Patients who cannot read and provide informed consent in English. * Patients who were discharged to acute care, skilled nursing facility or long-term care facility after their inpatient rehabilitation stay. * Patients who did not use the simulated environment during their inpatient stay. * Patients who score 7 or lower on the BIMS on initial evaluation.