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Frequently Asked Questions

Home Health

Our nurses and therapists are available in the following areas:

Sacramento – Greater Sacramento area including Yolo, El Dorado, Placer, Nevada, Yuba and Sutter County

NorthBay – Napa, Sonoma, Solano, and Contra Costa County

San Diego – Greater San Diego area

Home Health services are beneficial in a variety of scenarios:

Recovery – While recovering from a surgery, injury or illness

Education – To better understand how to manage a complex medical diagnosis

Rehabilitation – To prevent an injury by focusing on strengthening and safety

Yes, most services are covered by either Medicare, Medi-Cal or private insurance.

Yes. Advanced Home Health is licensed with California’s Department of Public Health and is Medicare certified. We are also accredited by the Joint Commission and ACHC.

We consider: experience, compassion, and ability. We also carefully screen all employees for criminal records and driving violations. And of course, we check all references thoroughly.

Your nurse or therapist will perform their first assessment within 24-48 hours of receiving an order from your physician.

Another experienced, caring nurse or therapist will provide the needed services. And of course, we inform clients of any changes prior to sending a substitute.

Advanced Home Health is locally owned and operated and provides superior customer service. We are also active and  involved in the communities that we serve.

You must have a medical need for skilled nursing, physical therapy or speech pathology.

You require intermittent services. Continuous care is not covered.

You must be under the care of a doctor who is willing to participate in managing your home health plan of care.

You are homebound, meaning that your condition keeps you from leaving home without the help of an assistive device or another person to help you. You doctor may also advise that leaving your home home isn’t recommended because of your condition.


At any time during a life-limiting illness, it’s appropriate to discuss all options available, including hospice. Hospice accepts patients who have a life-expectancy of six months or less.

You should feel free to ask your physician for more information about hospice care at any time. If you are interested in how hospice might be able to assist you, our staff is also available to answer any questions you might have.

No. Many communities have more than one hospice. Medicare requires certified hospices provide a basic level of care, but the quantity and quality of all services can vary significantly from one hospice to another. To find the best hospice for your needs, ask your doctor, healthcare professionals, clergy, social workers or friends who have received care for a family member. You may want to call or meet with the hospices and ask questions about their services.

Certainly. If the patient’s condition improves and the disease seems to be in remission, patients can be discharged from hospice and return to aggressive therapy or go on about their daily life. If the discharged patient should later need to return to hospice care, Medicare and most private insurance will allow additional coverage for this purpose.

One of the first things the hospice program will do is contact the patient’s physician to make sure he or she agrees that hospice care is appropriate for this patient at this time. (Most hospices have medical staff available to help patients who have no physician). The patient will be asked to sign consent and insurance forms. These are similar to the forms patients sign when they enter a hospital. The form Medicare patients sign also tells how electing the Medicare hospice benefit affects other Medicare coverage.

Your hospice provider will assess your needs, recommend any equipment, and help make arrangements to obtain any necessary equipment. Often the need for equipment is minimal at first and increases as the disease progresses. In general, hospice will assist in any way it can to make home care as convenient, clean and safe as possible.

There’s no set number. One of the first things a hospice team will do is to prepare an individualized care plan that will, among other things, address the amount of caregiving needed by the patient. Hospice staff visit regularly and are always accessible to answer medical questions.

In the early weeks of care, it’s usually not necessary for osmeone to be with the patient all the time. Later, however, since one of the most common fears of patients is the fear of dying alone, hospice generally recommends someone be there continuously. While family and friends do deliver most of the care, hospices may have volunteers to assist with errands and to provide a break and time away for primary caregivers.

Hospice patients are cared for by a team consisting of a physician, a nurse, social workers, counselors, home health aides, clergy, therapists, and volunteers. Each one provides assistance based on his or her own area of expertise. In addition, hospices provide medications, supplies, equipment, and other services related to the terminal illness.

Hospice staff is on call for emergencies 24 hours a day. Hospice care does not include a nurse in the home 24/7. If you require more care than can be provided in the home, some hospices have their own inpatient facilities. Most communities have nursing homes, inpatient residential centers and hospitals with hospice care options.

Does hospice do anything to make death come sooner?

No. Hospice neither hastens nor postpones dying. Just as doctors and midwives lend support and expertise during the time of childbirth, hospice provides its presence and specialized knowledge during the dying process.

Is caring for the patient at home the only place hospice care can be delivered?

No. Hospice patients receive care in their personal residences, nursing homes, hospital hospice units and inpatient hospice centers.

How does hospice “manage pain”?

Hospice believes that emotional and spiritual pain are just as real and in need of attention as physical pain, so it can address each. Hospice nurses and doctors are up to date on the latest medications and devices for pain and symptom relief. In addition, physical and occupational therapists can assist patients to be as mobile and self sufficient as they wish, and they are sometimes joined by specialists schooled in music therapy, art therapy, massage and diet counseling. Finally, various counselors, including clergy, are available to assist family members as well as patients.