This is where my precious husband took his last breath. He was here for 32 days. The facility is…read morebeautiful inside and out. They have a quiet room, kitchen, vending machines, library and a beautiful outside with plants. The rooms are spacious and clean. Some of the staff is here are very helpful, considerate and nice. Others are sneaky and rough. Overall his stay wasn't too bad. Everyone respected my husband and our family during this time. The food is very basic and the nurses don't do well checking on the patients during the night. I am forever grateful for all of the staff that helped my family during this difficult

I'm full of emotion writing this review- This is a beautiful Pavilion inside & out - with an…read more outside veranda complete with rocking chairs. Strict Covid Protocol in place -sanitizing & mask required plus a sign sheet. The decor is uniquely done -with homeliest atmosphere in mind. There is a library area with an oasis of books. The room I visited was very clean and spacious- every consideration tastefully in place. The atmosphere was serenely bittersweet- I tell you. Anthony a the nurse showed so much compassion to me - I cannot tell you just how much his kindness meant to me during this difficult time. If a ten star was available- that I would give. This Pavilion & staff is truly a place to be proud situated in the RTP.

My mom passed away at Transitions. Everyone we worked with was kind and compassionate. Volunteers…read morecame in with a dog, to sing, and one even offered a Reiki session, which was something my mom had offered to others years ago. My mom's passing was gentle and peaceful. The staff was kind and respectful.

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.

One visit and done. Duke Home Health is not interested in the welfare of the patient. After an…read moreinitial assessment by a gum chewing open mouthed unprofessional nurse, I got one visit by a male nurse who was definitely not working for me. He was not concerned with the reason I needed a home health nurse after a hospital stay. This nurse wanted to send me to a nursing home. He was not interested in my correct meds but only interested in his own viewpoint rather than my doctor's prescriptions. When Duke's nurse started talking about what he would say in a "court of law", I became concerned that he was not concerned with my health concerns, but in kicking me out of my house. I immediately fired this Home Health group and treated myself with much better care. You can do much better than this group. If you want to stay in your home, do not contract this agency.

The nurse case manager was pleasant and responded to messages. Yet, she never remembered the actual…read morestatements expressed regarding my mother's care. The medication management appeared extremely regimented. It seems that the NPs uphold anti-psychotic drug use for the elderly with dementia. It stuns me that they do not consider the lack of research data on the elderly population with dementia. Most data do not advocate the use of these type of drugs due to the "risk of increased mortality". Maybe they do not care? To complicate the situation, the dose of drugs do not take into account my mother's size and weight. Basically, she is considered pediatric size. It seems that the drug dosing is made for the typical adult. Long story short, the NPs and Medical Director will not respond to the current drug challenges. It is unfortunate that there are drug alternatives, but the medical staff will not think "out of the box". I have made several phone calls to Hospice staff with no response. Do they care? Probably not. Last, the CNA is competent. That is the only positive thing I can recall at the present moment,.