HOSPICE SUPPORT CARE SERVICES
Tier H1 — Gentle Hospice Care (Presence)
Minimum: 4 hours per visit
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Companion-level care with increased attentiveness
Medication administration (per physician instructions, with documentation)
Light comfort care and environmental support
Observation of condition changes
Communication with family as needed
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No intensive or continuous coverage
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Increased decline or need for continuous or proactive care.
Tier H2 — Hospice Support (General) (Advocacy)
Minimum: 4 hours per visit
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Extended or continuous bedside presence
Comfort care (repositioning, hygiene support, environmental calm)
Coordinated support for mobility needs (including 2-person assist when required)
Proactive communication with hospice teams, facility staff, and family
Monitoring condition changes and escalating concerns
Emotional support for both patient and family
Full continuation of Tier 2 services
Coverage for most hospice care needs, including light support for Alzheimer’s and dementia patients*
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We are no longer just assisting, we are actively advocating
We are operating in a dynamic, changing condition environment
Family communication becomes a core responsibility
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Rapid decline, active transitioning, or need for continuous 24/7 support.
Tier H3 — Final Phase Support (Full Responsibility)
Structure: 24/7 Coverage Flat-rate engagement
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This is not hourly care.
This is managed, continuous, end-of-life support.
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Coordination responsibility
Scheduling complexity
Emotional labor
Availability and responsiveness
End-of-life expertise
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24-hour / 7-day care coverage and coordination
Continuous bedside presence
High-touch comfort care and vigilance
Real-time communication with family and care teams
Oversight of caregivers and scheduling
Support during the active transition phase
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Observable decline, new diagnosis, or increased need for physical assistance.
Billing Note:
Minimum: 4 hours per visit
Alzheimer’s & Dementia Care Notice
Patients experiencing advanced Alzheimer’s or dementia may exhibit behaviors such as agitation, aggression, or resistance to care.
In these situations:
Care may require additional or specially qualified personnel, which may result in adjusted rates
We will make every reasonable effort to continue providing care and support
However, Servants of Grace Care reserves the right to decline or discontinue services if
behaviors create an unsafe environment for caregivers
My parents need Hospice Support care!
Servants of Grace Care is not a hospice provider. We provide private caregiving and end-of-life support that complements hospice services, offering additional presence, assistance, and family support when it is needed most.
Looking for trusted elder care for an aging parent?
Tell us what your family needs, including in-home senior care, companionship, personal support, facility-based care, hospice support, and end-of-life care.