Contact us today! 571-405-6647|info@cityhealthcareserviceinc.com

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Post-Hospital Transitional Care

Post-Hospital Transitional Care

Bridging the gap safely between hospital discharge and home.

24/7On-call clinical support
Joint Commission Accredited
Medicare, Medicaid & Major Insurance
📍Serving Northern Virginia

Does This Sound Like You or a Loved One?

If any of these feel familiar, our team can help.

Recently discharged from a hospital stay

Unsure how to follow through on discharge instructions

Worried about being readmitted to the hospital

Managing new medications or care instructions alone

The First Days Home Matter Most

The period right after leaving the hospital is when complications and readmissions are most likely. Our team helps manage that transition — following your discharge plan, catching issues early, and keeping your care team informed.

Nurse reviewing hospital discharge plan with elderly patient at home

What’s Included in Your Care Plan

Tap each item to learn more about how we support your transition.

Discharge Plan Follow-Through
Careful review and support carrying out every instruction from your hospital discharge plan.
Early Complication Monitoring
Close monitoring during the highest-risk period after discharge to catch issues before they escalate.
Medication Reconciliation
Making sure new prescriptions are understood, organized, and taken correctly.
Care Team Coordination
Direct communication between your hospital team, physician, and our nursing staff.

Getting Started Is Simple

From your first call to your first visit — here’s what to expect.

1

Reach Out

Call or email us to tell us a bit about your situation.

2

Free Evaluation

We schedule a convenient time to assess your needs at home.

3

Personalized Plan

We build a care plan around your recovery, insurance, and schedule.

4

Care Begins

Our team starts visiting, and you’re never navigating this alone.

“With our compassionate and professional team, you are always in good hands.”

— City Healthcare Services, Inc.

Who This Is For

Anyone recently discharged from a hospital stay who needs support during the critical first days and weeks at home.

Nurse reviewing hospital discharge plan with elderly patient at home

Common Questions

How soon can care start after I contact you?
We aim to schedule your in-home evaluation as quickly as possible, so there’s no unnecessary delay after discharge.
Do you accept my insurance?
We accept Medicare, Medicaid, MCOs, and most major insurance plans across Northern Virginia.
Who will be providing my care?
Our team is fully screened, trained, licensed, bonded, and insured.
What if I need help outside of scheduled visit hours?
Our multidisciplinary team is on call 24 hours a day, 7 days a week.
Joint Commission Accredited
Medicare & Medicaid Accepted
Most Major Insurance Plans
Serving Northern Virginia

Recently discharged and need transitional support?