Comfort of your Own home.

Levels of Care

At Golden Rule Hospice, we offer five levels of care. These include the four levels of care that Medicare covers, along with an additional level of care called Transitional Care.

1. Routine Home Care

One of our goals at Golden Rule is to ensure that our patients can spend as much time at home as possible.

With Routine Home Care, our interdisciplinary team visits the patient in their residence. That might be their home, your home, an assisted living facility, a nursing home, or another location.

We administer care at home so that patients can stay where they feel safest and most at ease with minimal disruptions.

2. Continuous Care

This level of care also takes place in the patient’s home. Whereas routine home care is about the management of daily symptoms and needs, Continuous Care is what we provide during a medical crisis.

What constitutes a crisis is based on Medicare’s definitions, since Medicare covers the cost of this level of care.

The Centers for Medicare and Medicaid Services (CMS) regulations state: “Continuous home care may only be provided during a period of crisis, as necessary to maintain an individual at home. A period of crisis is a period in which a patient requires continuous care that is predominantly nursing care to achieve palliation or management of acute medical symptoms.”

Symptoms which call for continuous care include:

  • Severe unmanageable pain
  • Bleeding from various orifices
  • Acute respiratory distress that cannot be managed with medications
  • Unrelenting nausea and vomiting
  • Terminal agitation or restlessness

During each 24-hour period, we administer care for a minimum of 8 hours. This is a short-term service, unlike Routine Care and is revisited every 24 hours.

Continuous Care is one of two levels of care that fall into the category of “Supportive Care.” The other is Transitional Care.

3. Respite Care

Respite is a service in which the patient is placed in a contracted nursing facility, contracted hospital, or an inpatient facility, for up to 5 consecutive days.

This type of care allows the caregiver to rest. It also allows the caregiver to fulfill obligations that may take them out of town or provide time for healing, if they encounter a medical emergency.

Finally, burnout provides sufficient grounds to request Respite Care. Caregiver burnout and compassion fatigue can have serious health consequences for both caretaker and dependent. For that reason, Respite Care is available to offer a much-needed break.

4. In-Patient Care

At times, it may be necessary for a patient to be treated in a clinical setting, such as a contracted hospital, contracted nursing facility, or an in-patient facility. In-patient care usually lasts 8 days or less.

With In-Patient Care, our goal is to get the patient’s symptoms under control so that they can return to at-home care.

Here are some symptoms which would warrant in-patient care:

  • Severe acute pain that cannot be controlled outside a clinical setting
  • Nausea and vomiting that cannot be controlled outside a clinical setting
  • Respiratory distress requiring clinical intervention
  • Continuous or complex wound care
  • Seizures that are uncontrolled

Those are just some examples. There are other cases that necessitate In-Patient Care as well.

Golden Rule uses In-Patient Care facilities that offer peaceful, comfortable environments for patients. Homey, inviting settings and caring staff help patients to feel as “at home” as possible while they are under In-Patient care.

Transitional Care

Transitional Care is a benefit unique to Golden Rule Hospice. Routine Home Care, Continuous Care, Respite Care, and In-Patient Care are all covered by the Hospice Medicare benefit. At Golden Rule Hospice, we know that there will be times when additional supportive care is needed. When we identify that a hospice patient is actively declining and they do not qualify for Continuous Care under CMS’ regulation but additional support is needed, Transitional Care is initiated.

Here are some examples of types of decline that may make Transitional Care an option:

  • An unarousable or comatose state
  • A decrease in vital signs (blood pressure, pulse, and irregular respirations)
  • An increase in temperature
  • A decrease in urine output

Should one of these types of decline take place, we contact the family and ask whether they would like to receive support through our Transitional Care program.

Transitional Care is not a reimbursable level of care. It is strictly a supportive care service by Golden Rule Hospice. Support is often provided by a certified nursing assistant.

The goal of Supportive Care is to ensure that our patients transition with peace and dignity and the family can focus on their loved ones.

Golden Rule Hospice Caring Staff in Alpharetta GA

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See What Our Clients Are Saying About Us!

This company made the loss of our father a much less stressful situation than it could have been. They were incredibly compassionate and kind and RESPONSIVE.The nurses were kind and very helpful. We knew exactly what to look for throughout the process.And Chaplain Joe has become a family favorite and in fact, we have reached out to him as we mourn the loss of another family member.Do not hesitate to call this wonderful group of people if you’re experiencing a loss. Your loved one will appreciate the care they receive and you will not believe how light your burden can be made.
Such a great experience with Golden Rule Hospice! The whole staff is so helpful and wonderful about giving updates. Everyone who cared for my mother did their job professionally as well as being friendly and easy to talk to. So very thankful for all of the services including social worker, nurses, CNAs, pastors and office staff among others. It is comforting to know you have a team to help your loved one and their family. Our family cannot thank Golden Rule enough.
Excellent!! My husband and I really appreciated the support and assistance extend to our family during this difficult time from Golden Rule. Everyone that cared for my husband were great from Victoria, Reggie and the many other staff that help us along the way.We especially loved having Caroline. She is the gem!! She maded sure my husband had adequate supplies,and he was bathed properly, and she was always willing to teach me and share helpful tips regarding his care. She met all our expectations and more.Thank you Caroline!!John and Linda Paschal
Thank you!!!My husband and I really appreciated the support and assistance extend to our family during this difficult time. We especially loved our home health aide Caroline. She is the gem!! She maded sure my husband had adequate supplies,was bathed properly, and was comfortable sharing helpful tips on his care.
Caroline is professional, caring, knowledgeable, compassionate and has a great sense of humor. She thorough and able to assess and adjust to any situation to make her patients comfortable. My Mom loves Caroline and is excited to see her every time she visits.
Roudy F.

Denise N.

Call Now to Schedule Your Consultation for Hospice Care in Georgia

Golden Rule Hospice provides more support in the last 7 days of life than 90% of area hospices. We were voted the best hospice in Alpharetta in 2019.

With our five levels of care, our compassionate team is ready to provide the considerate and dignified treatment your loved one needs in any situation.

To find out how we can help now, please call (470) 395-6567 to set up your consultation.

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