GentlePlacement

Placement service · Los Angeles County

Homes where your parent can stay on hospice

A licensed home that holds a hospice care waiver, so your parent can receive hospice care in place, with family close by, and is not moved again at the end of life.

Two people holding hands at a bedside

What it is

In California, a residential care home must hold a hospice care waiver from the Department of Social Services before it can keep a resident who is receiving hospice care. Under the rules, each resident contracts with a licensed, Medicare-certified hospice agency of their choice, and the hospice and the home agree on a written care plan before services begin.

In practice this means a quiet bedroom in a house, caregivers who are there all the time, and the hospice nurse, aide, social worker, and chaplain visiting on schedule. Many families find it a gentler setting than a hospital or nursing home, and far more manageable than providing all of the care at home.

Signs this may be the right fit

  • Their doctor has said hospice may be appropriate
  • They are already on hospice at home and the family cannot manage
  • The current home does not hold a hospice waiver
  • You want them somewhere calm, not in a hospital

What to look for

  • The hospice waiver. Ask to see it. It is specific to the home.
  • Clearance for bedridden residents, since many hospice residents become bedridden.
  • Experience with end-of-life care, and how the caregivers support families.
  • Visiting. Ask whether family can visit at any hour, and stay overnight near the end.

What it costs and who pays

Medicare's hospice benefit pays the hospice agency for its services, medications related to the terminal illness, and equipment. It does not pay the care home's monthly rate. The family pays the home's room and board, typically $3,000 to $6,000 a month (California statewide range). For eligible members, Medi-Cal programs may cover the care services, but not rent.

How we help

No cost to your family, start to finish

We only show waivered homes

Every home we suggest holds a current hospice care waiver.

We move gently and fast

Time matters at this stage. We can often confirm a bed the same day.

We coordinate with the hospice

So the hospice agency is ready to start care the day your parent arrives.

Questions families ask

Does Medicare pay for a board and care home on hospice?

Medicare pays the hospice agency for hospice services, but not the home's monthly room, board and care. The family pays room and board. For eligible members, Medi-Cal programs may cover the care services, but not rent.

Can we choose our own hospice agency?

Yes. Under California rules each resident contracts with the hospice agency individually, so you can keep the agency you already have.

Why do some homes ask a resident to leave when they start hospice?

Because a home without a hospice care waiver is not permitted to keep them. That is why we only place hospice residents in waivered homes.

Licensed care homes by community

Local numbers, named homes and costs for the 49 LA County communities with the most licensed care homes. The count is licensed homes in each community. See every community.

Tell us about your situation

We will call you back the same business day. There is no cost to your family. The care home pays our placement fee.

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