The Four Levels of Care

Tailored care specific to your needs.

Promise Care Hospice

Level of care that is based on specific needs.

The level of hospice care that is right for a patient is determined based on the patient’s specific needs and clinical eligibility, established through a conversation between the patient, family, hospice physician, and the patient’s attending physician (if the patient has an attending physician). Patients may qualify for higher levels of care for certain lengths of time depending on medical needs. The four levels of hospice care are meant to help hospice patients with their goals of care at different points along their hospice stay. Not all patients will be medically eligible for each level of care. Please contact your local hospice office if you have questions about the four levels of hospice care

4 Levels of Care

General Inpatient

Patient is having uncontrolled Symptoms (examples includes pain, respiratory distress, vomiting, bleeding). Physician determines when patient is stable for transfer & hospice SW coordinates transfer to Home, ALF, or NH (Routine Hospice with family).

  • Duration: Short Term (average length of stay in hours to days)
  • Location: Nursing Home, Hospital, or Hospice Unit
  • Primary Caregiver:
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4 Levels of Care

Continuous Care

Physician determines that a nurse is required to stay with the patient for a few hours to frequently medicate and reassess the uncontrolled symptoms

  • Duration:  Short Term (average length of stay 24-48 hours)
  • Location: Assisted Living Facility, Nursing Home or Home
  • Primary Caregiver:
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4 Levels of Care

Routine Care

Patient has terminal disease but has care plan in place for comfort. Hospice Team visits and oversees the plan of care.

  • Duration: Long Term
  • Location: Assisted Living Facility, Nursing Home or Home
  • Primary Caregiver: Family, Assisted Living or Nursing Home staff provide care and medications
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4 Levels of Care

Respite Care

Temporary care, providing relief for usual caregivers.

  • Duration: Max 5 Days
  • Location: At contracted Nursing Home
  • Primary Caregiver: NH staff care for patient while family has a “respite” period
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