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!

Vivian R is my Dad's Hospice CNA, and has been taking care of my Dad for a month now. It (Vivian's help) has been wonderful for my Mom who is overwhelmed with all this. Vivian emits confidence and intelligence in her care of my father who is now bed bound and mostly sleeping. She collaborates with my Dad's private duty CNAs, and her knowledge and bedside manner rubs off on them. Golden Rule has been great, from the time Diana RN met with us and admitted Dad, to the consistency of care provided from his primary Hospice Nurse, Penny.
We've just started hospice Care for dad about 10 days ago. Don't know where to start so I'll start with Chris are Nurse. Outstanding communications never fails to respond to text or calls. Whether prescriptions or supplies he's on top of it. Kiera and Joe visited and I swear this happened. Joe asked dad what has kept him going for 89 years. Dad said family and watching nature out his back sliding glass door. Less than 2 minutes later a Doe and fawn walked by. Joe and Kiera couldn't believe it. Dad said "see what I mean". He has really improved with moms' constant care. 12 days ago in the hospital he was close to leaving us. I know this is a short time so far and who know how things will go but we are having more time with Pop than i ever thought we would Thank You Clay
Words can not express how grateful our family is for Golden Rule Hospice. From the first meeting with Dennis until the end of my mother's life, they were the most fantastic group of people!The care and love that our mother received during the last ten months of her life was exceptional.Penny, my mother's nurse, is one of the most amazing women I have ever known. She is a compassionate and caring nurse who loves her job and her patients. Penny was always there to answer any of our family's questions and quickly came up with solutions. She not only cared for my mother, but she listened to the life stories that my mom loved to share. She held my mom's hand and would give her a big ol' hug. She provided excellent care and respected my mom's wishes, even until the end. Penny is like a family member, and we all love her!Chaplain Joe was there to offer the spiritual support my mom and family needed, but he gave so much more of himself. Joe loves like Jesus. My mom loved sharing her faith with all that would listen, and Joe would undoubtedly listen. I can not imagine going through the experience of losing my mother without the support of Chaplain Joe. Our family will never forget the kindness Joe showed our mom and us!Every contact we had from Golden Rule Hospice was outstanding, but a few went above and beyond during this very emotional time of our lives. Thank you to Kiera for reaching out and ensuring our needs were met at all times. Thank you to Sunday for your gentleness with our mom during those last days. And last but certainly not least, thank you to Caroline for taking such loving care of mom and making sure her earthly body was at its best in those final days. Mama was always a classy lady, and you wanted to make sure that she lived up to that until the end.Everyone we dealt with at Golden Rule Hospice has earned a place in our hearts forever! Thank you for everything!
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.
Well…I don’t know how my grandson’s name is on this post and I can’t seem to change it. I’m actually 70 and really want everyone to know how pleased we have been with Golden Rule Hospice group. We have used them twice now when we needed help with my husband’s parents that moved in with us almost two years ago now. Mom passed with cancer last year and Golden Rule brought us through by seeing to it that every need was taken care of in detail. I am a retired nurse, but I can’t tell you how invaluable their attention to ALL of our needs meant to us…I did not expect the relief I felt knowing we had their total support — spiritually, caregiving supplies, equipment and meds without delay, delightful caregivers, phone conversations, on-call/after-hour calls, insightful experienced advice, right down to taking care of the funeral home arrangements the night she passed. So it’s no wonder we immediately asked for their services again with Dad, even though he has pulled through and is doing well now.Just can’t say enough … call Golden Rule Hospice!
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
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.
My experience with all of these lovely and caring people was beyond exceptional! Our nurse Penny, Minnie, Chaplain Joe, Kiera, and others showed so much compassion as my husband fought so hard from Cancer. I never had to worry about someone answering my calls in minutes to medicine getting delivered in record time. I will always have these people as friends and will always carry them in my heart. Excellent service with excellent compassion for their families!
Thank you Golden Rule. April you are always available and helpful. You are amazing with the patients and the family ❤️
Kia and Kathy are fantastic, they have helped so much with everything. They deserve high praise. Thank you so much.
Vivienne and Kia are amazing caregivers to our mother. Both of them exhibit, patience and attention to detail. They are kind and excellent in all they do! We are so grateful for their help and support!
I own a personal care where my residents receive care from Goldenrule hospice , our assigned CNA Vivian is one of the best if not best I have ever worked with that satisfied the expectations of good caregiving , she takes time with my residents, go above and beyond the call of duty to make the residents comfortable, thanks for allowing her to be a part of our care gong team here at Goldenrose and Graceliving.
Nurse Kathy and her assistant could not be nicer!Vivian our CNA makes my wife happy every time she sees her.It is nice to deal with good people!
Golden Rule Hospice provided EXCEPTIONAL care to my father. We are thankful for the teams support, especially Caroline, Reggie, Regina, Grissel, Chandra, Sunday & Dianna. They embody the Golden Rule & for that we are thankful. May God continue to bless each of you!
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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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