MCM Private CareFree consultation
★★★★★Same-day from MoCo hospitals·NP-founded since 2004

Home care after hospital discharge in Montgomery County, MD.

Same-day caregiver placement from Shady Grove, Suburban, Holy Cross, Sibley, Adventist White Oak, and Montgomery General. Our NP team reviews the discharge summary, with Andrea overseeing every care plan.

Same-day · MoCo hospitals · LTC insurance navigation

MCM caregiver greeting client at home post-discharge

5 steps to arrange home care after discharge

How to arrange home care after hospital discharge.

  1. 1
    Call MCM same-day.240-789-4890. Free 20-min consultation. Andrea or Steve picks up. We learn the situation.
  2. 2
    Send the discharge summary.Have the hospital fax or email the discharge summary to MCM. Our NP team reviews it under Andrea's oversight.
  3. 3
    NP in-home assessment.Before care begins (often same-day post-discharge). Home safety inspection. Custom care plan written.
  4. 4
    Caregiver arrives.Hand-matched caregiver arrives within 24-72 hours of assessment. Same-day if it's a crisis.
  5. 5
    30-day NP monitoring.Andrea oversees the highest-risk 30-day window. Medication reconciliation. Readmission prevention. Family check-ins.

The 30 days after hospital discharge are the highest-risk window for readmission — roughly 20% of Medicare patients go back to the hospital within 30 days. NP-supervised home care during this window prevents the readmission, protects recovery, and saves $15,000+ per avoided readmission.

Why MoCo families call MCM on discharge day.

Same-day
Caregiver in home before sunset
Free
NP in-home assessment before care begins
20%
Of patients readmitted in 30 days · we prevent it
7
MoCo hospitals we coordinate with

Coordinated with MoCo hospitals

Same-day discharge support from all 7 MoCo hospitals.

Shady Grove Medical Center

Rockville

Adventist HealthCare. Major MoCo discharge volume.

Suburban Hospital

Bethesda

Johns Hopkins–affiliated. Cardiology, neurology, ortho.

Holy Cross Hospital

Silver Spring

Trinity Health. Major emergency + medical discharges.

Sibley Memorial Hospital

Bethesda · DC

Johns Hopkins / Sibley. Geriatric + palliative.

Adventist Healthcare White Oak

Silver Spring

Adventist HealthCare. Medical + surgical discharges.

Montgomery General Hospital

Olney

MedStar Montgomery. Suburban MoCo discharges.

The post-discharge problem

Hospital discharge is when families fail.

20% of Medicare patients are readmitted within 30 days. The leading causes: medication errors, falls, missed follow-ups, uncontrolled symptoms. Standard home care takes 3-5 days to staff a discharge. By then your loved one has already fallen, missed meds, or been readmitted. MCM was built for this exact window.

  • Same-day caregiver placement
    Hospital discharge at 4pm Friday from Suburban? We're there before sunset. We've done this hundreds of times since 2004 across every MoCo hospital.
  • Our NP team reviews the discharge summary
    Under Andrea's oversight. They adjust the care plan to match physician instructions and reconcile medications before the caregiver arrives. Most agencies don't have a Nurse Practitioner involved at all.
  • Equipment delivered with the caregiver
    Walker, wheelchair, commode, durable medical equipment — Andrea brings what's needed on visit one. No three-day wait for delivery from a separate supplier.
Andrea reviewing discharge plan with family

From discharge call to caregiver-in-home.

01
Call MCM same-day

240-789-4890. Andrea or Steve picks up. We learn the discharge situation, the hospital, the diagnosis. Often same-day visit.

02
NP reviews discharge summary

Andrea reads the discharge summary, calls the hospital social worker if needed, and writes the post-discharge care plan.

03
Caregiver + equipment arrive

Hand-matched caregiver arrives within 24-72 hours of assessment (often same-day for true crises). Andrea brings the walker, wheelchair, or commode if needed.

Real MoCo families.
Real post-discharge stories.

The Marmorstein Family
6+ years
Same hand-matched team
The Marmorstein Family
Potomac, MD
David F.
Sleep at night
Finally, after years
David F.
Bethesda, MD
The Castner Family
7 years
From first call to final days
The Castner Family
Chevy Chase, MD
Daniel G.
14 years
Same NP advocate
Daniel G.
Potomac, MD

In their own words

What MoCo families say
about post-discharge MCM care.

★★★★★

My family was finally able to sleep at night knowing my parents are finally receiving the in-home care on a daily basis they desperately needed.

David Fink
Google · 5★
★★★★★

Don't wait to call. Don't bother researching competitors. There's no one like them in town. Trust me, I did the research. I have the spreadsheets to prove it.

Amy Smith
Google · 5★
★★★★★

My father literally passed away in Andrea's arms, which I will be forever grateful for. She told him it was okay to let go and he died peacefully.

Kenneth M.
5★
★★★★★

We have had the same group of ladies for at least four years. We feel as if they are part of our family.

Kathy Vincent
Google · 5★
★★★★★

From the beginning of this part of our life's journey we promised our Dad that he could stay in his home. We are certain that we couldn't have done it without the love, support and skills of the team at MCM.

Cheryl Castner
5★ · 7+ years
★★★★★

Both our moms breathed their last at our home, surrounded by loved ones, knowing that they were well taken care of, thanks to Team MCM.

Nithya R.
5★
★★★★★

Steve was extremely responsive and accommodating during what was a very stressful time. He was able to provide high quality caregivers on short notice.

Lori Winokur
Google · 5★
★★★★★

In less than 24 hours, despite the home health care aides shortage due to Covid, we had 24 hour care in place for him.

Laurie Williams
Google · 5★
★★★★★

I became a client in 2010 when I was unable to navigate the medical system when very ill. I remain a client 14 years later and look forward to continuing for many more years.

Daniel G.
14-year client
★★★★★

Of the many people and organizations who helped my aging parents, MCM are the MVPs. They care and they're there when you need them.

F. M.
Google · 5★
★★★★★

We're family-owned, family-operated. Twenty-two years. We hand-match every caregiver. Don't let one bad agency ruin it for you.

Steve Kohn
MCM intake call · founder
★★★★★

Don't wait till this is a disaster. Till this is out of control.

Stan Marmorstein
YouTube · 7-year MCM client
★★★★★

My family was finally able to sleep at night knowing my parents are finally receiving the in-home care on a daily basis they desperately needed.

David Fink
Google · 5★
★★★★★

Don't wait to call. Don't bother researching competitors. There's no one like them in town. Trust me, I did the research. I have the spreadsheets to prove it.

Amy Smith
Google · 5★
★★★★★

My father literally passed away in Andrea's arms, which I will be forever grateful for. She told him it was okay to let go and he died peacefully.

Kenneth M.
5★
★★★★★

We have had the same group of ladies for at least four years. We feel as if they are part of our family.

Kathy Vincent
Google · 5★
★★★★★

From the beginning of this part of our life's journey we promised our Dad that he could stay in his home. We are certain that we couldn't have done it without the love, support and skills of the team at MCM.

Cheryl Castner
5★ · 7+ years
★★★★★

Both our moms breathed their last at our home, surrounded by loved ones, knowing that they were well taken care of, thanks to Team MCM.

Nithya R.
5★
★★★★★

Steve was extremely responsive and accommodating during what was a very stressful time. He was able to provide high quality caregivers on short notice.

Lori Winokur
Google · 5★
★★★★★

In less than 24 hours, despite the home health care aides shortage due to Covid, we had 24 hour care in place for him.

Laurie Williams
Google · 5★
★★★★★

I became a client in 2010 when I was unable to navigate the medical system when very ill. I remain a client 14 years later and look forward to continuing for many more years.

Daniel G.
14-year client
★★★★★

Of the many people and organizations who helped my aging parents, MCM are the MVPs. They care and they're there when you need them.

F. M.
Google · 5★
★★★★★

We're family-owned, family-operated. Twenty-two years. We hand-match every caregiver. Don't let one bad agency ruin it for you.

Steve Kohn
MCM intake call · founder
★★★★★

Don't wait till this is a disaster. Till this is out of control.

Stan Marmorstein
YouTube · 7-year MCM client

50+ video testimonials, 30+ five-star reviews, zero negative.

The MCM difference

What discharge day with MCM actually looks like.

“They immediately provided some personal care supplies as well as some durable medical equipment for us to use.”

Laurie Williams
Google · 5★ · post-discharge family

Andrea arrives on visit one with the equipment your loved one needs — walker, wheelchair, portable commode, personal care supplies. Steve does the home safety inspection before the patient gets home. Most agencies show up with a clipboard and tell you what to order. MCM shows up with what your family needs that day.

Three beliefs that guide post-discharge care.

Andrea Kohn, NP
Andrea Kohn, NP
Co-founder & Clinical Director
30 days after discharge is the danger window.

20% of patients are readmitted within 30 days. NP-supervised home care during this window prevents the readmission. It's why MCM exists.

Discharge day is the day we show up.

Same-day caregiver. Equipment in hand. NP-reviewed care plan. Most agencies need 3-5 days. By then your loved one has already fallen.

We coordinate with the hospital, not against it.

Andrea calls the hospital social worker, the discharge planner, and the attending physician. MCM is a partner to the hospital, not a competitor.

Post-discharge care · FAQs

Everything discharge families
ask us first.

What care is needed after hospital discharge?+

Post-discharge care typically requires: home safety check (fall prevention, equipment placement), medication reconciliation, transportation to follow-up appointments, support with activities of daily living (bathing, dressing, meal prep), monitoring for readmission warning signs, and family caregiver education. The 30 days after discharge are the highest-risk window for hospital readmission. NP-supervised home care during this window prevents readmissions and protects recovery.

How fast can home care start after hospital discharge?+

Same-day. If you call MCM during business hours of the day your loved one is discharged, we can have a hand-matched caregiver in the home before sunset. Andrea Kohn, our co-founder NP, reviews the discharge summary, adjusts the care plan to match physician instructions, and a caregiver starts within hours. We've done same-day discharge support from Shady Grove, Suburban Hospital, Holy Cross, Sibley Memorial, Adventist Healthcare White Oak, and Montgomery General hundreds of times since 2004.

Does insurance cover post-hospital home care?+

Medicare covers limited skilled home health (typically 60 days, physician-ordered) but does NOT cover ongoing non-skilled home care. Long-term care insurance often DOES cover post-discharge home care if the policy includes home care benefits. Private pay families typically use post-discharge home care for 30-90 days until full recovery. MCM handles LTC insurance claim filing and helps families maximize benefits during the recovery window.

Which Montgomery County hospitals does MCM work with?+

MCM coordinates post-discharge care from every major MoCo hospital: Shady Grove Medical Center (Rockville), Suburban Hospital (Bethesda · Johns Hopkins), Holy Cross Hospital (Silver Spring), Sibley Memorial (Bethesda · Johns Hopkins), Adventist Healthcare White Oak (Silver Spring), and Montgomery General Hospital (Olney). We've supported families post-discharge from all of them since 2004.

What is the 30-day readmission risk?+

Roughly 20% of Medicare patients are readmitted to the hospital within 30 days of discharge. The most common causes: medication errors, falls, missed follow-up appointments, and uncontrolled symptoms. NP-supervised home care during the post-discharge window cuts that risk substantially. MCM's NP reviews the discharge summary, reconciles medications, performs home safety inspection, and monitors recovery — all designed to prevent the readmission that costs families $15,000+ in additional care and recovery time.

Related

More ways MCM handles discharge urgency.

Discharge day: we can help.

Same-day call. Same-day caregiver. NP-reviewed care plan. Call now and we'll have someone in the home before sunset.