Introduction: As part of efforts to streamline the stroke care pathway, as encouraged by the 2010–2014 National Stroke Action Plan, our study aimed to examine trends in admission rates to acute care and rehabilitation units (ACRU) among stroke patients over the 2010–2014 period, to describe the factors associated with admission to ACRU, and to characterize the patients receiving care. Methods: Patients hospitalized for stroke (ICD-10 codes I60 to I64) during the first nine months of each year between 2010 and 2014 were selected from the PMSI-MCO hospitalization databases based on the primary diagnosis. A stay in an AC&R unit was sought within three months of hospital discharge. Age-standardized rates were calculated, and average annual trends were analyzed using Poisson regression. Results: In 2014, the rate of admission to SSR was 36.3% among patients who did not die during the index hospital stay. Admission to SSR was strongly associated with advanced age, the presence of motor sequelae, and hemorrhagic strokes. Transfer to a neurovascular unit (NVU) increased the probability of admission to SSR up to age 75. The number of patients admitted to SSR increased between 2010 (n=20,950) and 2014 (n=24,681), but the corresponding rate changed little (+1.6%/year). The significant increase in rates was limited to patients under 35 or over 75 years of age. Nevertheless, the proportion of patients admitted to neuro-musculoskeletal rehabilitation increased, reaching 44% of all rehabilitation admissions in 2014. More than half of the patients with high functional dependence upon admission to SSR saw an improvement in their dependence score. Conclusion: while the overall rate of admission to SSR changed little between 2010 and 2014, it appears that patients are increasingly being referred to specialized SSR units. Given the improvement in functional status for the majority of patients admitted to SSRs, particularly those admitted to neuro-musculoskeletal SSRs, the latter constitutes a major step in the stroke care pathway, the development of which should be continued throughout the country.