Hospital 2017-06-05T20:29:51+00:00


Crotched Mountain Specialty Hospital is a leader in rehabilitation and treatment, including ventilator management and weaning, of adults and children with a variety of conditions including brain injuries, stroke, spinal cord injuries, wound care, ventilator dependency and other medically complex conditions.

We pay close attention to the changing health care environment and continually respond with programs, resources and a continuum of care that meets emerging trends in rehabilitation and the needs of those who look to us for high quality, comprehensive services – our patients, families and medical providers who refer people to our care.


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Continuum of careA unique aspect of Crotched Mountain Specialty Hospital is its ability to provide a seamless continuum of care from post hospital to acute to sub-acute to skilled nursing. Patients can be admitted at post hospital, acute and sub-acute levels of care and remain at one facility for all their rehabilitation and medical needs until they are ready to return home, enter a community program or discharge to a long term care facility.

This distinctive approach to rehabilitation ensures a uniformly rewarding patient and family experience at every stage of inpatient treatment. By avoiding the need to transition to a new provider and facility at different phases of recovery, patients receive consistent treatment in familiar surroundings with interdisciplinary rehabilitation teams who understand their needs.

And when patients return home, a full complement of support services are available through an organization they have come to know and trust.

CMF staffYou and your family member have access to highly skilled and experienced staff at Crotched Mountain Specialty Hospital. Our expert interdisciplinary treatment team comprises the full range of caring, highly skilled physicians, nurses, therapists, psychologists and other rehabilitation specialists needed to optimize our patients’ wellbeing.

The qualifications they’ve earned in their fields of specialization for treating patients with brain injury are second to none.

  • Board Certified Physiatrist
  • Certified Brain Injury Specialists
  • Certified Rehabilitation Registered Nurses
  • Certified Neuroscience Registered Nurses
  • Credentialed in Medical-Surgical Nursing
  • Certified Wound Care Specialists
  • Certified Clinical Audiologists
  • Certified Speech-Language Pathologists
  • Certified Respiratory Therapists
  • Certified Therapeutic Recreational Specialists

Patient-centered careUpon admission to Crotched Mountain Specialty Hospital, our case managers help families and patients envision and prepare for their new life after recovery. An important step in that process is creating a patient-centered care plan. Our goal is to help our patients return home with all the knowledge, skills and supports needed to live life fully.

To reach that objective, our case managers develop close relationships with patients and families and include them in every step of the process as a valued team member. First, we learn as much as possible about the person within. “What was the patient like before? At school or work? As a family member? What’s their idea of fun? What are their professional goals? Their personal aspirations?” Then, we stay in close touch with our medical and rehabilitative staff to monitor progress and adjust the care plan with family and patient input. Together, we uncover the supports and services that will be needed for a successful return home. 

Whether a patient needs home modifications, outpatient rehabilitation, in-home medical supports or training to return to work, our case managers help families secure these important resources prior to discharge.

Quality improvementTo promote and ensure a culture of continuous improvement, hospital staff at all levels of the organization actively participate in year-round quality committees that address patient care and operations activities.

This culture of continuous improvement includes adopting a quality policy that is far reaching and aspirational, yet able to be actively incorporated into daily activities. It involves all employees in all facets of the organization, including our hospital, school, residential, and community-based services. To that end, we set measurable objectives to guide our work. And we use systematic tools of performance review to help ensure that our patients and clients are receiving the highest levels of quality care every day. We understand that quality cannot be taken for granted – it is never achieved. Rather, it is something that we must always strive to improve. And as we continue to improve, we will better ensure that Crotched Mountain will remain a beacon of hope for the patients, clients and families that depend on us.

Our Quality Policy – Adopted by Board of Directors on Dec. 3, 2010
Through the dedicated efforts of our professional and direct support staff and in partnership with clients, families and communities, Crotched Mountain will be the region’s most effective, accomplished and safe provider of health, therapy, education, assistive technology and residential support services to people with disabilities and other needs. To achieve this goal we are committed to quality improvement through an organization-wide culture that includes all programs, departments, disciplines and services, with the active involvement of all staff, and with the oversight of our governing Board of Directors.

ISO 9001
ISO 9001 is recognized by businesses around the world as the benchmark for continual quality improvement. ISO focuses on efficiency of both clinical and non-clinical processes, meaning if we improve efficiency in nonclinical areas as well as patient, student and client care areas, our delivery systems will provide services better and at less cost. Innovative organizations, including hospitals and schools, have started embracing ISO as a way to identify and focus on the most successful approaches to service, care, billing and other critical aspects of running a modern non-profit business.

Quality Committees
Crotched Mountain organizes its quality improvement and assurance program through committees with functional responsibilities for specific areas of focus. These committees report to a Quality Council which itself reports to a Quality Improvement Committee of the Board of Directors. This system ensures that all levels of the organization – from every employee to the governing body – are involved in the quality improvement. The committees are:

  • Patient Safety
  • Physical Environment of Care
  • Infection Control
  • Utilization Review and Discharge Planning
  • Nursing Leadership
  • Physician Leadership
  • Emergency Preparedness and Response
  • Client Rights and Ethics
  • Corporate Compliance

FIM Score ChartBrain injury can affect a person’s functioning in many ways, making it important to track the often complex healing process in a way that has meaning to the person in recovery, and to those involved in his or her care. At Crotched Mountain Specialty Hospital, we use a tool called the Functional Independence Measure (FIM), which measures an individual’s functional independence across eighteen physical and cognitive categories—from comprehension to walking to social interaction to personal grooming.

Each category is scored from one to seven—seven indicating “complete independence” and a score of one indicating “complete assist.” In general, a score of five or under in any category signals a need for some assistance. Crotched Mountain’s licensed clinicians administer the FIM a few days after a patient is admitted, again at various points during rehabilitation as needed, and at discharge. This allows the treatment team to measure progress and adjust treatment plans as necessary to address areas requiring increased attention.

About the FIM Chart
FIM score charts, like the one above, provide treatment teams, patients and families alike with a snapshot of the complex and labor-intensive process of healing. This sample illustration shows potential scores upon admission (blue), after eight weeks of rehabilitation (green), and upon discharge (pink). Progress and FIM charts can vary significantly from one patient to another.

Rehab therapyAt Crotched Mountain, therapy is woven into the fabric of daily life. Dressing, eating meals, socializing and recreation are all opportunities to reinforce new skills. We encourage patients to challenge themselves in a fully-supported environment – reaching just a little farther during a physical therapy session perhaps, or taking steps to walk to dinner. Therapy often incorporates the outdoors, making use of our accessible hiking trails, lakeside beach, playground for children and nearby ski mountain. We also have a fully equipped therapy gym, fitness room and aquatics center.

Family members are encouraged to participate in therapy sessions, offering inspiration and assistance. Our goal is for patients to have motivation and joy in their lives – returning to home and community, maintaining healthy relationships, and participating in work and recreational activities.

Our Approach
We take a holistic approach to medical care and rehabilitation that utilizes both traditional and alternative approaches:

  • Acupuncture for Pain Treatment
  • Augmentative/Alternative Communication
  • Cognitive Rehabilitation
  • Coma Stimulation Therapy
  • Craniosacral Therapy
  • Medical Botox® to Relieve Spasticity
  • Neuropsychology
  • Occupational Therapy
  • Pain Management
  • Physical Therapy
  • Psychological Counseling
  • Speech Therapy
  • Substance Abuse Counseling
  • Therapeutic Recreation

Specialized Resources for Recovery
We support rehabilitation and recovery using the latest technologies and specialized resources including:

  • MOTOmed® FES therapy bike
  • SaeboFlex® system
  • Interactive Metronome®
  • Medical Botox®
  • Partial body weight support system

Medical Staff

  • Frederick R. Bruch, Jr., M.D., FACP, CPE, chief medical officer of Crotched Mountain Foundation and medical director of the Crotched Mountain Specialty Hospital
  • J. Christopher McCartie, M.D., director of pediatric care
  • Michael Przydzielski, M.D., psychiatry
  • Andrew Forrest, M.D., physiatry
  • Jeb Thurmond, D.C., doctor of chiropractic
  • Catherine Curtis, APRN

Nursing Leadership

  • Jill Biggane, RN, BSN, CCM, CRRN, Director of Nursing
  • Melissa Merwede, MS, RN-BC, CNE, assistant DON, IPC nurse

Consulting Staff

  • Philip L. Sutherland, O.D.
  • Blake Wullbrandt, D.D.S.

Assistive Technology

  • David Kontak, MS, OTR/L

Rehabilitation Engineering

  • Greg Cain
  • Peter Leavitt

Case Managers

  • Walter Hoszkiewicz
  • Vanessa Jarvais

Occupational Therapy

  • Rhonda Barkley, OTR/L
  • Amanda Jennison, M.S., OTR/L
  • David Kontak, M.A., M.S., OTR/L
  • Linda Murphy, OTR/L
  • Jeff Turk, COTA

Physical Therapy

  • Donna Gosselin, PT
  • Tara Holbrook, PT
  • Kara Myers, PT


  • Michael Jarzombek, Ph.D.
  • Christopher Lanzara
  • Emily Robbins, MA, LCMHC, MLADE

Speech-Language Pathology

  • Lesley Hill, M.A., CCC-SLP
  • Allura Poulin, M.S., CCC-SLP
  • Amy Simmons, M.A., CCC-SLP

Therapeutic Recreation

  • Geoff Garfinkle, CTRS/L, director of accessible recreation
  • Kristin Harris, CTRS/L, program director, CMARS
  • Jeff Burnett, assistant program director, CMARS
  • Jennifer Clarke, CTRS/L, therapeutic recreation specialist
  • Ben Cayes, CTRS/L, therapeutic recreation specialist
  • Tyler Rodgers, CTRS/L, therapeutic recreation specialist

Ron & Betty

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Lindsey & Dad

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