Understanding the levels of hospice care
Hospice care is tailored to meet changing needs. These levels help ensure patients receive the right support at the right time.
What are levels of hospice care?
Hospice care is not one-size-fits-all. Medicare defines different levels of care to ensure patients receive the appropriate type and intensity of support based on their condition and needs.
These levels allow care to adjust as symptoms change, without interrupting continuity or comfort.
Most patients receive care at home, and levels may change temporarily if additional support is needed.
Routine home care
Routine Home Care is the most common level of hospice care. It provides regular visits from the hospice care team to manage symptoms, provide support, and assist families.
This level of care typically includes:
- Skilled nursing visits
- Pain and symptom management
- Medication oversight
- Emotional and spiritual support
- Access to on-call support, available 24/7
Routine Home Care is designed to help patients remain comfortable in familiar surroundings.
Continuous home care
Continuous Home Care is provided during short periods when symptoms become more severe and require increased attention.
This level may include:
- Extended nursing care in the home
- Intensive symptom management
- Close monitoring to stabilize the patient
Continuous care is temporary and intended to help patients return to routine care once symptoms are under control.
General inpatient care
General Inpatient Care is used when symptoms cannot be adequately managed at home.
This level of care may take place in:
- A hospital
- A hospice inpatient facility
- A skilled nursing facility
The focus remains on comfort and symptom relief, with the goal of returning the patient to their preferred care setting when possible.
Respite care
Respite Care provides short-term relief for family caregivers.
This level of care allows caregivers time to rest while ensuring the patient continues to receive attentive, compassionate care in a safe setting. Respite care is typically available for up to five days at a time.
Care that adjusts to your needs
A change in level of care does not mean care is ending or worsening. It simply reflects a shift in needs.
The hospice team continuously evaluates the patient’s condition and works closely with families to ensure care remains appropriate, supportive, and focused on comfort.