Hospice Coordination in a Board and Care Home
When someone is nearing the end of life, another move is the last thing they need. Our five licensed homes in Rancho Cucamonga, Claremont, and La Verne coordinate with your hospice agency so care comes to the room your loved one already knows.
Most Families Reach This Page in the Middle of a Hard Week
Usually it is a phone call. A physician has said the word hospice. Or a hospital case manager has explained that there is nothing more to treat, only to make comfortable. Or a nursing facility has said the stay is ending and asked where your parent is going next.
The question underneath all of that is simple. Where can this person be, safely and comfortably, for whatever time is left, without being moved again. A licensed board and care home is one of the answers, and it is the one families are least often told about. Six residents, a real house on a residential street, the same caregivers every day, and a hospice agency coming to that house instead of your family driving to a facility.
What Hospice Coordination Means, Plainly
Genesis Manor is a licensed Residential Care Facility for the Elderly. We are not a hospice agency and we do not provide hospice care. Hospice care is provided by a separate licensed hospice agency that your family or physician selects, and it is delivered wherever the person lives. When that place is one of our homes, the two roles sit side by side. Here is the division.
Your Hospice Agency Provides
Genesis Manor Provides
One practical note that families find reassuring: our caregivers are in the house all day, every day. The hospice nurse visits. The person who notices that your mother stopped finishing her breakfast is the caregiver who serves it to her every morning, and that observation is what triggers the call to hospice.
Our Position on Moving Someone at the End of Life
Many care settings discharge a resident when needs increase. That is the moment families dread, and it usually arrives at the worst possible time. Our homes are set up the other way. We work to keep a resident in place as their needs change, including through the end of life, so that the last move is not the hardest one.
We want to be precise about that, because it is a promise families deserve to have stated honestly rather than implied. Whether a specific resident can remain is determined by three things: the terms of the home’s hospice care waiver from the California Department of Social Services, the written hospice care plan developed by the hospice agency and agreed to before services begin, and whether the care described in that plan is care our staff is permitted and equipped to support. In practice, these three usually align, and the resident stays. When they do not, we say so early and help you find the right setting rather than letting a crisis decide it.
Gerry Markie, R.N., has been the licensee of record on these homes since 1999. Every administrator here is one of her children, and all four are licensed healthcare professionals. This is not a subject any of us is encountering for the first time.
How it Works, Step by Step
1. You call us
Tell us where things stand. If hospice has already been elected, tell us the agency name. If it has only been recommended, that is fine too.
2. We assess
An administrator visits your loved one in the hospital, the nursing facility, or at home, and reviews current needs, mobility, medications, and diagnosis.
3. You pick the agency
The choice of agency is yours, not ours. If you do not have one yet, the discharge planner or physician can give you options, and we can tell you which agencies already serve our area.
4. Care plan is written
Your hospice agency develops a written hospice care plan and we agree to it before services begin in the home. It defines who does what, and our staff follows it.
5. Equipment arrives
A hospital bed, an air mattress, oxygen, or whatever else the plan calls for is delivered to the home and set up in the room before or on the day of move-in.
6. Daily life continues
Caregivers handle bathing, changing, repositioning, and meals. The hospice nurse visits on schedule and on call. You visit whenever you want.
There is no fixed order to steps one through three. Sometimes hospice is already in place and we are the last piece. Sometimes we are the first call and hospice follows. Either way, nothing begins in the home until the care plan is written and agreed to.
If Your Loved One Is Already on Hospice
Families are sometimes told that a residential care home cannot take someone who is already enrolled in hospice. That is not the rule. California regulations were updated in 2015 to allow residents already receiving hospice care to be admitted to a licensed RCFE, provided the facility holds a hospice care waiver and the requirements around the care plan are met. If you have been told otherwise by a placement agency, ask them directly whether the homes they are showing you hold that waiver.
Bring us the diagnosis, the current hospice agency, the medication list, and the equipment already in use. We will tell you within a day or two whether the home is a fit. If it is not, we will say so.
What We Do Not Do
Being clear about the limits is part of doing this well.
If any of these is a problem for your situation, tell us on the first call and we will point you toward a setting that fits. Nobody benefits from a placement that has to be undone in three weeks.
Where This Care Happens
Five licensed homes across Rancho Cucamonga, Claremont, and La Verne. Six residents each. Every one is a real house on a residential street.
Paying for Care While Hospice Is Involved
These are two separate bills, and confusing them is the most common financial surprise families run into. Hospice services are billed by the hospice agency, generally through the Medicare hospice benefit or through private insurance. Room and board in a residential care home is not part of that benefit. It is paid separately, the same way it would be paid if hospice were not involved.
Our published monthly rate covers the room, the care, the meals, the laundry, and the supervision. It does not cover personal items, incontinence supplies, medication co-pays, or the services of outside providers. We accept private pay, the Medi-Cal Assisted Living Waiver, and VA Aid and Attendance benefits.
Questions Families Ask
For Hospice Liaisons, Discharge Planners, and Social Workers
If you are placing a patient rather than a parent, here is what you need. Five licensed RCFEs, six beds each, across Rancho Cucamonga, Claremont, and La Verne. Same ownership since 1999. Administrators are reachable directly, not through a call center. We will do an in-person assessment at your facility and give you a yes or no quickly, because we know your discharge window is not open-ended.
Call the main line at (909) 775-5180 or reach the administrator for a specific home using the numbers above. If you would like a one-page summary to keep on file, ask and we will send it.
Tell Us What Is Going On
You do not need to have all the answers before you call. Most families reach us in the middle of the situation, not after they have it figured out. Fill this out and an administrator will call you back.