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Serving the San Francisco Bay Area · Free in-home visit · (925) 407-5879
Serving the San Francisco Bay Area

In-home hospice care, with gentleness and presence

During life’s final chapter, our caregivers provide gentle, non-medical comfort and companionship alongside your hospice team — for your loved one, and for your family.

  • Licensed, bonded & insured
  • Background-checked caregivers
  • Free in-home assessment
The short answer

What hospice care means at home

Hospice care is comfort-focused care for a person nearing the end of life, provided by a licensed hospice team of nurses, physicians, aides, social workers, and chaplains. What we add is a separate, non-medical layer: additional hours of attentive presence and daily support between those visits.

Families are often surprised by how few hours hospice itself provides. A hospice aide might visit a few times a week. The rest of the time, the household is on its own, frequently around the clock, frequently exhausted. That is the gap we fill.

The work is quiet. Sitting with someone so they are not alone. Keeping them clean and comfortable. Moistening lips, adjusting pillows, playing familiar music. Making tea for a daughter who has not left the house in four days. It is not complicated, and it matters enormously.

Day to day

What hospice care includes

Every plan is written for one household. These are the tasks caregivers most often take on, and the plan changes as needs do.

  • Comfort-focused, compassionate presence
  • Gentle assistance with bathing, grooming, and dressing
  • Repositioning for comfort
  • Companionship and simply being present
  • Light housekeeping, laundry, and meals for the household
  • Overnight and extended-hours coverage
  • Coordination alongside your hospice team
  • Emotional support and respite for family members
Is it time?

Signs hospice care would help

Additional in-home support alongside hospice often helps when:

  • Hospice visits are a few hours a week and the rest falls to family
  • Someone in the family has not slept properly in days
  • Overnight hours feel frightening to manage alone
  • Family members want to be present rather than performing tasks
  • Relatives are traveling in and the household needs steadying
  • You simply do not want your loved one to be alone

If several of these sound familiar, a free in-home visit costs nothing and will tell you more than another week of wondering.

How we work

Our approach to hospice care

Anyone can promise compassion. Here is the substance behind ours.

We work under your hospice team, not beside it

Your hospice nurse sets the comfort plan. Our caregivers follow it, report what they observe, and never override clinical guidance.

Presence is the service

Much of this work is sitting quietly with someone. Our caregivers are chosen for their steadiness and comfort with stillness, not their speed.

We carry the household

Meals, laundry, tidying, the dog, the endless cups of tea. Families should be able to spend these days as family, and that only happens if someone else handles the rest.

Overnight coverage when nights are hardest

Nights are often the most frightening stretch. Awake overnight care means someone is present and watching, and the family can sleep.

What this service does not cover

We provide non-medical comfort and companionship only. We do not administer medication, manage pain, provide nursing care, or make clinical decisions — all of that belongs to your licensed hospice team. If your family has not yet been connected with hospice, your physician can make the referral, and Medicare information on the hospice benefit is available at medicare.gov.

Getting started

How to begin, in four steps

Most families go from first phone call to first shift within a week. Urgent situations move faster.

  1. Call or send a note

    Tell us what is going on. There is no script and no pressure, and the conversation is free.

  2. We visit the home

    We meet your loved one, walk the house, and look for risks. Bring your questions and your siblings.

  3. We build the plan

    You get a written care plan with tasks, schedule, and cost. Nothing is hidden, and nothing is assumed.

  4. Care begins

    We introduce the caregiver personally, then check in after the first week to make sure the match feels right.

Common questions

Questions families ask about hospice care

If we already have hospice, why would we need a caregiver?

Hospice provides clinical care, medications, equipment, and visiting staff, but the visits are intermittent — often a few hours a week. The remaining hours fall to family. Private caregivers fill those hours with hands-on comfort care and presence, which is especially valuable overnight and during the final days.

Do you provide overnight hospice support?

Yes. Awake overnight coverage is one of the most requested services at this stage, because nights are frequently the hardest and most frightening part for families.

What exactly will the caregiver do?

Gentle personal care, repositioning for comfort, mouth and lip care, quiet companionship, and household support — meals, laundry, tidying. They also support family members present in the home. All clinical care remains with the hospice team.

Can care start immediately?

We prioritize hospice requests and can often begin within 24 hours, sometimes the same day. Call us and describe the situation, and we will tell you honestly what we can staff.

Does Medicare hospice cover private caregivers?

No. The Medicare hospice benefit covers the hospice team services, medications related to the terminal diagnosis, and equipment. Additional private caregiver hours are generally private pay or covered by long-term care insurance. We will be direct with you about cost and never pressure a family in this situation.

Let’s talk about what your family needs

The first conversation is free, and there is nothing to sign. Call us, or send a note and we will get back to you the same business day.