LATREIA HCS- AJBGF Rights reserved: 2018 --Updated January 2019

Contact Us:

6608 Mercy Court, Ste. C. Fair Oaks, Ca 95628-3171

Telephone: (916)476-6519 Or

Fax/Tel:1-877-LATREIA    (5287342)


All about Hospice..

What is HOSPICE?

Hospice focuses on terminal ill patients ,

           ..... who wants to have more quality of life,

                    .....away from series of medical appointments,

                       ... away from tiring trips to hospitals, numerous needle sticks

   and patient who  just wants to spend more time with themselves,

   their  Love ones,  friends and families.


Hospice is  designed to provide comfort care and and support  specially designed for  patients with a life-limiting illness and their families.

Comfort care Is   providing  aggressive pain and symptom management

with spiritual and emotional support for patient and families. The Interdisciplinary Hospice team helps to formulate a plan of care with the goal of meeting the individual needs of the patient and family:

Our Team of  experienced Professionals are:

  • Medical Director,

  • Registered Nurses,

  • Social Workers,

  • Chaplains/Spiritual Counselors,

  • Certified Hospice Aides,

  • Volunteers,

  • Bereavement Counselors,

  • Therapists


Hospice care can be provided at  home, in a skilled nursing facility, an assisted-living environment, or at a board and care. 


Our hospice team helps the patient and family make informed decisions about caregiving.

We teach the necessary skills for hands-on care, and provide all desired assistance throughout the approach of death.  We do not take away the care provided by their loved ones, instead we SUPPLEMENT them with regular visits from our Clinicians. Hospice also offers help through the bereavement period.

Hospice eligibility


A common misconception about hospice is that it is a service provided only to cancer patients. The fact is that we provide care to patients with any end stage diagnosis. These may include, but are not limited to:


  • Metastatic Cancer

  • Heart Disease

  • Kidney Disease

  • Liver Disease

  • Lung Disease

  • Stroke and/or Coma

  • AIDS

  • Neurological Diseases (Alzheimer’s, Parkinson’s, Dementia, etc.)

  • Lou Gehrig’s Disease (ALS)

  • Failure of Multiple Organ Systems

  • Failure to Thrive

  • Debility and Decline


Is it true that you must have only six months to live to be eligible for the Medicare Hospice Benefit?
Another common, and unfortunate, misconception about hospice is that the use of hospice care somehow guarantees the patient has less than six months to live.  Medicare has provided the following explanation and clarification regarding the hospice benefit eligibility guidelines.


“Generally speaking, the hospice benefit is intended primarily for use by patients whose prognosis is terminal, with six months or less life expectancy. [However], the Medicare program recognizes that terminal illnesses do not have entirely predictable courses.”


“Recognizing that prognoses can be unpredictable and may change, Medicare’s benefit is not limited in terms of time. Hospice care is available as long as the patient’s prognosis meets the law’s six month test. This test is a general one… based on the [attending] physician’s and/or Medical Director’s clinical judgment regarding the normal course of the individual’s illness. Medicare recognizes that making medical prognostications of life expectancy is not always an exact science.”


Under this philosophy, Medicare has specified a procedure for certification and periodic recertification of the patient’s eligibility for care under the Medicare Hospice Benefit.

This procedure provides two 90-day eligibility certification periods followed by an UNLIMITED number of 60-day eligibility certification periods. As long as the patient, in the judgment of the primary physician and hospice Medical Director, continues to meet the six month criteria during each certification period, the patient can continue to receive care under the Medicare Hospice Benefit.

Criteria for Admission

Admission to our Hospice program is made upon the recommendation of your physician, and is based on your needs. Typically, appropriate candidates for hospice are patients

– With a life expectancy of six months or less
– Who desire palliative care / comfort care
– Who want to stay at home, which is defined as the patient’s residence
– Who desire no aggressive medical treatment


The following guidelines are used to assist the physician and hospice Medical Director in making a judgment regarding an individual’s eligibility for hospice care.


The patient has a declining functional status as determined by either:


  • A Karnofsky Performance Status of 50% or less (The Karnofsky Performance Status is an evaluation that assesses a person’s ability to function independently)

  • Dependence in 3 out of 6 Activities of Daily Living

  • Frequent hospitalizations

  • Frequent trips to the Emergency Room

  • Weight loss of 10% or more in the last 4 to 6 months

  • Serum Albumin less than 2.5 gm / dl (Albumin is a component of protein and makes up one half of plasma protein)

  • Patient and family have elected comfort care rather than curative treatment


Informal Hospice Eligibility Questionnaire
We have also prepared the following brief questionnaire that can help you determine whether hospice care is right for you or your loved one.


You or your loved one may be eligible for hospice care if you check 4 or more statements. However, your primary physician and our Medical Director will make the final decision regarding eligibility.


Please review the following statements as they apply to you or your loved one to see if hospice care may be appropriate.


  • I have started feeling more tired and weak

  • I experience shortness of breath, even when resting

  • I spend most of the day in bed or in a chair

  • I have noticed an increased weight loss in the past six months

  • I make frequent phone calls to my physician

  • I take medications to lessen physical pain

  • I have fallen several times in the past six months

  • I have made frequent trips to the emergency room in the past six months

  • I need help from others with important daily activities (bathing, dressing, eating, cooking, walking, getting out of bed)

  • My doctor has told me my life expectancy is limited


If you have checked 4 or more items on the questionnaire, you may want to begin your research into hospice care by seeking the opinion and advice of your (or the affected individual’s) primary physician. If you do not have a primary physician, we will be happy to refer you to our Medical Director, who is a Doctor of Internal Medicine.

Levels of Care in Hospice

Different Care for different needs.

4 levels of Care


Patient may be admitted to any level of care depending on their need . Patient can also transfer from one level to another. These are determined by the Hospice team.


Routine Care

Care is provided regularly or  routinely. Patient is visited by  Hospice team members

many times in a week depending on the patient's need.  

Inpatient Care

Care is provided at a contracted facility for patients who require pain control, acute/

chronic symptom management. The necessity of inpatient care, and paid length of stay

for inpatient care, are determined by the Hospice Interdisciplinary Team. If a Hospice patient requires hospitalization for any reason unrelated to the terminal diagnosis, Medicare Part A will be utilized.

Respite Care

Under the direction of the Hospice Interdisciplinary Team, up to five days of respite

care at a contracted skilled nursing facility will be paid by Hospice. This benefit may be

used to provide the family or caregiver a rest. The patient does not need to meet acute

care standards in order to participate in respite care.

Continuous Home Care

Care is provided only during periods of crisis, in order to maintain the patient at home. Criteria for continuous home care are the same as inpatient care. Hospice staff will

provide a minimum of eight hours of care per calendar day. Once the patient's

symptom is managed and/or the family or primary caregiver  knows how to managed

the patient's symptoms with the help of the hospice team, then this Intensive care is discontinued.



If you have questions, please call LATREIA HEALTHCARE SERVICES, LLC. 916-476-6519 send an email message at