The relevance of medical rehabilitation at all stages is due to the high prevalence of cardiovascular diseases, including acute cerebrovascular accident. The article examines the possibilities of providing medical care in the field of medical rehabilitation at the first stage to patients with acute cerebrovascular accident in the Republic of Dagestan. The bed capacity of intensive care units with dedicated beds for this category of patients, neurological departments for patients with acute cerebrovascular accident, the equipping of these departments with equipment and methodological aids, as well as staffing, in accordance with the procedures for providing medical rehabilitation assistance to adults, were analyzed. The study showed that the possibility of conducting the first stage of medical rehabilitation in medical institutions of the Republic of Dagestan is present, but does not fully correspond to the procedure for providing care. Firstly, there are not enough beds available both in intensive care units and insufficient number of beds in neurological departments for patients with stroke. In addition, a significant problem that needs to be solved is the personnel shortage of both doctors and paramedical personnel. It is also necessary to standardize and equip early medical rehabilitation departments.