Our Care

Hospice Care

Hospice provides care for persons with an irreversible illness where medical care not offer a cure, but where managing symptoms, pain control and emotional support can improve the quality of life. 

Who Pays for Hospice? 

There is NO COST to the patient or family because the Hospice Benefit is covered under Medicare Part A and Medi-Cal. This allows the patient to choose their preferred hospice agency regardless of the type of insurance patient has at time of enrollment into hospice. Patients do not have to utilize a hospice agency connected with their insurance or HMO. The Choice is YOURS. 

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Hospice provides care for persons with irreversible illness where medical care cannot offer a cure, but where managing symptoms makes sense. Persons with life-limiting illness are allowed to be cared for in the comfort of their residence with hospice physicians, skilled nursing, certified personal caregivers referred to as CHHAs, social workers, spiritual counselors and trained volunteers. The goal of hospice is to keep the patient as pain and symptom-free as possible while offering support from the hospice team. It is a journey where there is a family-centered team approach with the patient being at the focal point in providing optimal care focusing on their needs. Hospice services are provided for the entire length of the natural progression of the patient’s disease.

History of Hospice Care

The term “hospice” (from the same linguistic root as “hospitality”) can be traced back to medieval times when it referred to a place of shelter and rest for weary or ill travelers on a long journey. A physician named Dame Cicely Saunders, who began her work in 1948 and eventually went on to create the first modern hospice—St. Christopher’s Hospice—in a residential suburb of London. Saunders introduced the idea of specialized care for those with a life-limiting illness where a cure to reverse the disease is no longer available, but where symptom management and comfort, is essential. In 1963 during a visit to Yale University, she presented to medical students, nurses, social workers, and chaplains about the concept of holistic hospice care showing the dramatic differences before and after the symptom control care. This lecture resulted in the development of hospice care as we know it today. Source: National Hospice and Palliative Care Organization

When to Begin Hospice?

Now is the best time to learn more about hospice and ask questions about what to expect from hospice services. Although end-of-life care may be difficult to discuss, it is best for family members to share their wishes as this can reduce stress and allows patients and families to make educated decisions.

How to Begin Hospice?

Hospice begins with you. Patients, family and loved ones should begin the conversation about the hospice program at any time. If there is an irreversible disease that has impacted the patients ability to conduct regular daily activities and there is a lot of symptom management and pain issues, then the time to discuss is NOW. Call First Serenity to learn more.

How long can a patient have hospice services?

A person who is on hospice, will continue to be on the service for the entire length that their condition remains.

Palliative care

Palliative care is patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering.  Palliative care focuses on comfort.  In regards to hospice patients this care is provided to treat pain and symptom management. The goal of palliative care is to ease physical and emotional suffering and improve the quality of life for both the patient and their family.


Hospice care at home is available to any person at any age. The criteria for hospice eligibility requires certification by a hospice physician stating an individual has a life-limiting illness. There are no illnesses or treatments that automatically exclude access to hospice care. Eligibility is established on a case by case basis.

Service Areas

We cover a 50 mile radius from our Century City office. 


Care Team

Our team members include:

·      Hospice Physician

·      Nurse

·      Licensed Medical Social Worker

·      Spiritual Support Counselor

·      Hospice Aide

·      Volunteer

The patient’s own physician is also part of our team and included in decisions about the patients plan of care.

Our Visits include this type of CARE:

·      Pain and Symptom Management

·      Medical supplies

·      General medical care

·      Assistance with ensuring physical safety of your living environment

We offer patients:

·      Medical Supplies and equipment

·      Incontinence supplies

·      Hospice Medications and overall medication management including ordering and delivery

·      Personal care, including bathing, dressing, companionship and feeding

·      Psycho-social support with counseling about advance directives, planning, referrals to other resources.

·      Assist with IHHS application for in-home support for those families and patients that qualify

·      Emotional counseling and grief support for patients and loved ones