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The Joint Commission is the body that accredits most American hospitals. Earning their accreditation means an independent surveyor came to us unannounced, audited our clinical records, infection control, staff credentials and patient safety systems against national standards, and signed off. It is a benchmark we had to pass, not a claim we made about ourselves — and it has to be re-earned.

Usually within a few days, and faster if you are coming home from a hospital. Tell us the discharge date when you call and we will work backwards from it so a nurse is there the day you get home rather than a week later.

A registered nurse or therapist comes to your home, not an office. They look at how you actually live — the stairs you climb, the bathroom you use, the medications on your counter — and build a plan around that. Nothing is billed and nothing is committed to before you have seen the plan.

Most of the time, yes. We accept Medicare and Medicaid, the managed care organizations — Aetna Better Health of Virginia, Anthem HealthKeepers Plus, United Healthcare, Sentara Healthcare, Optima Health, Humana and VACCN for Veteran Affairs — and commercial plans including Cigna, CareFirst BCBS, Aetna and Humana Military. We also work with Onecall and Paradigm, and private pay is available. Call us before you commit to anything and we will verify your specific coverage.

Licensed clinicians and aides who are screened, trained, bonded and insured, working from a plan a registered nurse or therapist wrote under your physician's supervision. We tell you who is coming and when, and we keep the same people on your case wherever we can — continuity is part of the care.

You call us. Our multidisciplinary team is on call 24 hours a day, every day of the year. You will not reach a voicemail box or an answering service that takes a message until Monday.

Yes, and you should tell us early rather than putting up with it. A caregiver who is technically competent but the wrong fit for your household is still the wrong fit. Call us and we will arrange someone else.

Springfield and the surrounding Northern Virginia communities — Alexandria, Annandale, Fairfax, Arlington, Falls Church, Woodbridge and Manassas. If you are just outside that, call and ask; we would rather tell you honestly than have you wonder.