Transitions LifeCare was an amazing facility. The staff, from start to finish, were genuine and…read morecared for my husband and all family and friends they came into contact with wonderfully. They listened to me and respected all of my wishes for my husband's care. They spent time with our family and listened to our stories. They were very quick to respond to all of the calls I made for nursing care. They kept my husband comfortable and free of pain in his last days. The nurses explained everything that would happen to my husband as his time drew near. It was really a comfort to my three teenage kids. When my husband passed they explained how they would prepare his body and gave us all the time and space we all needed. The room they provided to our family was large, clean, and well stocked with chairs, pillows and blankets. The social worker, chaplain, and nurses checked on us periodically to address any needs that may have arisen. We made the best decision by choosing Transitions LifeCare.

What I've come to understand about hospice orgs is that they seem to attract nurses who may be…read moreburned out from other jobs. This results in transactional care, checking off boxes to comply with Medicare but a lack of genuine compassion for the patient. (hospice enrollment recommendations below) Hospice affords more normal hours than working at a hospital. However, the trade off is probably that the nurses may have to drive 100 miles a day all over the county to serve patients. It's a crap shoot when it comes to the nurse case manager (weekly nurse) you get based on when you enroll in hospice care. And it's a crap shoot for the nurses too, who gets assigned to them. (see #4 below) Transitions was recommended to me by someone I trusted. I didn't know what I didn't know but my initial instinct during the first transaction with the intake nurse seemed off to me. She didn't listen, was not paying attention to what I said (about my Mom's care needs) and not educating us on how we should be looking at the whole hospice experience, especially medication management. We lasted a month and a half before I went to another company. The whole point of hospice is having continuity of care. The nurse case manager kept scheduling other nurses to come in her place which consequently caused us to have to orient a new nurse almost every week. Recommendations for Hospice Enrollment and Ongoing Management 1) Trust your instincts if your first interactions with the hospice org aren't stellar. Unless your family member is very close to death you probably have time to interview another company. 2) How medication is administration is explained and distributed (by mail or pharmacy pick up) is critical. 3) Understand that the first several intake people who call or visit may not be the regular providers you will be seeing. They have to check boxes for Medicare so they may only be marginally helpful. 4) The Clinical Manager who manages schedules and nurse performance is THE most critical role in the process. This person MUST be a great problem-solver, compassionate, caring, understanding and a good listener. Spend time up front describing your loved one's personality, likes and dislikes to hopefully get the best match possible nurse case manager (weekly nurse). 5) Once you get through the initial process, if you don't like the hospice care you're getting it's fairly easy to transition to another company (assuming you have POA for your loved one). 6) Make sure your POA and Healthcare POA are updated. If you had documents drafted years ago, they may not be specific enough for today's requirements. 7) If you have a life alert system you can give the hospice company number to the life alert system company so 9-1-1 won't get called in an emergency. 8) LPN's have more authority with medications than RN's but Medicare requires RN's to visit at least once every other week. 9) Hospice nurses understand that the closer to the end of life someone is, the less interested in eating they will be. Also, people at the end of life will sleep more. So keep track of eating and sleeping because the nurses will be most interested in that in addition to pain management. 10) Document changes in health in advance of nurse visits even if it's jotting small notes on a calendar because over time all the days blend together.

Recently we lost a loved one who was transferred here for hospice care. The staff was very kind and…read moreengaging whenever we visited or called the nurse's station. Joanne and the social worker on site really provided excellent bedside manner and compassion. Palliative care is difficult for families to navigate having worked in the field myself previously. The staff here truly care and the grounds and facility are in pristine condition. When it was time for my uncle to transition, the social worker had him discharged home to us so that everyone could say their final goodbyes at home. Thank you to the wonderful women who work here.

every one there from the staffs to the doctors were very professional kind and caring and very…read moreattentive. I received such "tlc" I didn't wanna leave! In the past I was afraid of needles and hated the smell of the hospitals and never thought that I would miss staying in one but I missed this one. I highly recommend this facility to anyone. Jamie defusco

Came in with a strong possibility of a blood clot in my husband's leg. He has a history of blood…read moreclots having had a pulmonary embolism and years prior open heart surgery, etc. On medication for blood clots. He woke up in the morning with a swollen red and very hot leg so of course that was our first thought. Got here at 8:50 AM. It is now 1215. We're still sitting here. They came in and did a Doppler on his leg a half hour ago but we're still waiting for word about their findings. Over three hours, we are starving and my patience is growing thin. I asked a nurse what is the delay? She seemed a little bit annoyed because she was not "our" nurse. I see signs everywhere saying they're driving for a five! They're not striving very hard. Even if they just sent someone in to check on us from time to time? We just feel very ignored. Finally released after 1pm. Dang! But so thankful it's not a clot, cellulitis ( still not good but not emergant. )