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Who is the Primary Caregiver in Hospice?

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When a patient “enters” hospice, hospice is not a location, but a type of service. Most of the care a hospice patient receives takes place at home. But the primary caregiver for the patient is not a hospice worker. It is generally a family member or friend.

Primary Caregiver in Hospice

Sometimes the primary caregiver will be the person who was emotionally closest to the patient. Other times it may be the person who is geographically nearest. It might be decided by availability, the patient’s preferences, or simply by necessity if no one else can help. Legal considerations may also play a role in determining the primary caregiver.

There may be a single primary caregiver for the entire time that the patient needs care, or the primary caregiver could switch to a new person at some point based on the needs of the patient and the family.

What are the Duties of the Primary Caregiver?

It is important to be aware that the primary caregiver is the primary person who is seeing to the patient’s needs and wellbeing. Hospice supports the primary caregiver in this job, but does not take over their role.

Here are some of the duties expected of the primary caregiver.

  • Manage the patient’s medication use.
  • Take care of personal grooming such as bathing and dressing the patient, ensuring they can use the toilet, and helping them eat and drink.
  • Manage the finances, including paying bills, dealing with insurance, and so on.
  • Making legal care decisions in accordance with the advance directive.
  • Coordinating with healthcare providers and hospice workers.
  • Delivering groceries, meals, etc.
  • Maintaining the patient’s home.

When the patient first enters hospice, depending on their capabilities, they may still be able to independently do some of these things. As time goes on and their condition progresses, however, they may lose more of their abilities. At that point, the role over the caretaker expands, requiring them to take on more duties.

What if the Primary Caregiver Cannot Always Be Present?

Often, there are challenges to family or friends providing care for a patient in hospice. Most people have to work, and may also have other obligations, like taking care of children. Sometimes no one lives in the same state or has any ability to relocate. There is also the matter of burnout. The primary caregiver may barely be able to maintain their own life while also caring for their loved one.

If the primary caregiver cannot always be present, here are some options:

  • Coordinate with other family or friends for assistance. Sometimes even neighbors, church members, or acquaintances may be available.
  • Pay for additional at-home care.
  • Seek a volunteer to provide additional care through a local non-profit or hospital program.

It is becoming more common for situations to arise where there is no primary caregiver available at all. In some states, there are public guardianship programs. A patient with no family or friend who can serve as their primary caregiver can have an attorney appointed as one by the state social services agency. In these scenarios, detailed advance care planning and documentation becomes extra important.

Compassionate Hospice Care in Texas

Homage Hospice is based in McKinney, TX, and provides hospice services throughout

Dallas County, Collin County and Tarrant County. We work hard to support your loved one and family as much as possible during hospice. To learn more about our services for your loved one and family, please give us a call at (469) 625-0705 to schedule your hospice consultation.

Hospice Care and Quality of Life: What Dallas Physicians Should Know

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Hospice is not a signal to stop caring. In Dallas and the broader DFW area, it is a way to care differently, with a team that focuses on pain control, calm breathing, and emotional support right where you live. Hospice care in Dallas is directed to provide steady relief, fewer crises, and more space for moments that matter. 

This guide is clinicians caring for patients and families who may benefit from hospice. This highlights practical referral triggers, clarifies hospice levels of care, and outlines how to discuss goals and readiness with patients and families. You will find how hospice supports comfort, stability, and meaningful time together.

What Hospice Care Looks Like Day to Day

Hospice and Quality of Life

You receive coordinated, in-home support. A nurse manages pain and symptoms, a CNA helps with personal care, and a social worker and chaplain addresses stress, coping, and spiritual needs. This team approach is designed to protect daily routines and reduce avoidable emergencies so you can focus on comfort and connection. Many reputable Dallas programs describe hospice as “intense care wherever the patient calls home,” which captures the real intent of hospice services. 

Care adapts when needs change. Most care happens at home, but if symptoms spike, short-term inpatient care can stabilize pain, breathing, agitation, or nausea. Respite stays may also be available to give caregivers needed rest. These care levels are part of standard hospice benefits and are used as needed to keep you safe and comfortable. 

How Hospice Improves Quality of Life

  1. Consistent Symptom Relief
    • Hospice nurses tailor medications and non-drug strategies to reduce pain, shortness of breath, anxiety, insomnia, nausea, and other symptoms that interrupt daily life. The aim is steady control rather than last-minute trips to the hospital, which helps conserve energy for relationships and routines. 
  2. Emotional and Spiritual Support
    • Serious illness affects mood, identity, and family dynamics. Hospice chaplains and social workers help you process fear and loss, hold family meetings, and connect you with practical resources. This kind of support reduces caregiver strain and can improve how everyone copes day to day.
  3. Family Education And 24/7 Access
    • You learn what to expect, what is normal, and when to call. Round-the-clock phone support means you can get guidance after hours, which often prevents unnecessary ER visits and helps symptoms get addressed early. 
  4. Meaningful Time Together
    • With symptoms more controlled and logistics coordinated, families can spend energy on visits, legacies, faith practices, or simply sharing meals and stories. This is the heart of hospice: more room for the moments that matter.

Considerations For Families in Dallas

  • Care Where You Live
    Across Dallas County and neighboring counties, hospice is available in homes, senior living communities, skilled nursing facilities, and, when clinically necessary, contracted inpatient settings for acute symptom management. Knowing these options ahead of time helps you plan calmly rather than in a crisis.
  • Coverage and Costs
    Eligible patients may receive hospice through Medicare, Medicaid, or private insurance plans. Your hospice team can help you review coverage specifics and out-of-pocket questions so finances do not delay needed comfort care. Explore more information about hospice eligibility in Dallas, read: Hospice Eligibility in Texas: A Simple Checklist for Families
  • Veterans and Special Populations
    Dallas providers often offer dedicated support for veterans and people living with dementia, heart failure, COPD, end-stage renal disease, or advanced cancer. If your family has unique needs, ask how the team tailors care plans. 

When To Consider Hospice in Dallas

You do not need to wait for a crisis. Consider hospice if you notice patterns like:

  • Increasing pain or shortness of breath that interferes with sleep or meals
  • Unplanned weight loss, frequent infections, or repeating hospital stays
  • Help needed with daily activities such as bathing or dressing
  • More time in bed, less interest in food, or new confusion
  • Treatment burden now outweighs likely benefit, given your goals

Local organizations emphasize that earlier hospice involvement can improve comfort and reduce stress for everyone involved. If you are unsure, request an informational visit. 

What To Expect in the First Week

  • Intake and Plan: A nurse completes a head-to-toe assessment, reviews medications, and creates a symptom plan aligned with your goals.
  • Equipment and Supplies: The team arranges needed equipment and comfort items.
  • Team Introductions: You meet your nurse, CNA, social worker, and chaplain, and set preferred visit times.
  • 24/7 Phone Access: You are given a direct number to call any time, day or night, with questions or concerns.

If you are thinking about starting hospice, get an in-depth explanation and step-by-step instructions and what to expect about the care services and timing.

How Hospice Supports Caregivers

  • Education: Clear instructions for safe transfers, bathing, and medication routines
  • Respite Options: Short breaks to protect caregiver health and sleep when available
  • Coaching: Help navigating tough conversations and decisions
  • Grief Support: Bereavement resources after a death, offered to the family for a period of time 

How Homage Hospice Helps Patients and Clinicians in Dallas

You deserve steady comfort, clear guidance, and a responsive team. Homage Hospice brings coordinated support to homes and senior living communities across Dallas, Collin, Denton, Tarrant, and Parker counties so you can focus on what matters most.

For Patients and Families

  • Symptom relief at home with clear, simple plans
  • Help with bathing, meals, and daily routines
  • Social work and chaplain support for coping and grief
  • Equipment and supplies arranged for you
  • 24/7 phone guidance to prevent crises

For Clinicians

  • Fast eligibility reviews and start of care
  • Goal aligned plans with timely updates
  • Medication safety checks and caregiver teaching
  • Support for complex diagnoses and veterans

If you are a clinician, we can review referral triggers, discuss goals, and create a first week plan that fits your patient’s values.

Frequently Asked Questions

  • Is hospice only for the last days of life?
    No. Many families benefit from weeks to months of support. Earlier involvement often means better symptom control and fewer crises.
  • Can I keep my current physician?
    Yes. Your hospice medical team coordinates with your existing doctors to keep care aligned with your wishes.
  • Can hospice help with bathing and personal care?
    Yes. Certified nursing assistants provide scheduled visits for personal care to protect dignity and reduce fall risk.
  • Do I have to stop all medications?
    Your team reviews medications with you. Treatments that improve comfort and quality of life are continued or adjusted to meet your goals.

Get Started with Hospice in Dallas 

If you are considering hospice in Dallas, call (469) 625-0705. Homage Hospice brings symptom relief at home, 24/7 nurse guidance, caregiver teaching, and support for complex conditions and veterans across Dallas, Collin, Denton, Tarrant, and Parker counties. You can explore our hospice care services, or request contact and referrals so we can help you start a plan that fits your values.

Signs It’s Time For Hospice Care In Dallas

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Knowing when to consider hospice can feel complicated. This guide explains the most common signs, what Medicare looks for, and how to take next steps in Dallas County. You will see how hospice focuses on comfort, reduces hospital trips, and supports both you and your family. Hospice eligibility under Medicare generally requires a doctor’s certification that life expectancy is six months or less, choosing comfort-focused care, and signing an election of hospice benefits.

When you partner with a trusted hospice team, you gain steady guidance, clear communication, and care that honors what matters most.

Understanding Hospice Eligibility

Hospice is appropriate when your physician and the hospice medical director certify a life expectancy of six months or less if the illness follows its usual course. You choose comfort-focused care instead of treatment meant to cure the illness. You sign a hospice election statement and can continue hospice beyond six months if you remain eligible. 

Common Signs It May Be Time For Hospice

If several of the signs below are happening together, talk with your doctor or a hospice team about an evaluation. Hospice care brings a coordinated plan for comfort, medications, equipment, and caregiver education so daily life feels safer and more manageable.

  • Frequent Hospitalizations or ER Visits: Multiple unplanned visits in the past six months can signal that symptoms are hard to control at home.
  • Rapid Or Ongoing Decline: Weight loss, reduced strength, or spending most of the day in bed or a chair.
  • Increasing Symptom Burden: Pain, breathlessness at rest, nausea, anxiety, or confusion that is harder to manage.
  • More Help Needed With Daily Activities: Bathing, dressing, eating, or moving now require regular assistance.
  • Multiple Medication Changes Without Relief: Escalating or frequently adjusted medications to control symptoms.
  • Caregiver Strain: Safety concerns, burnout, or uncertainty about what to do during symptom flares.

Condition-Specific Clues Families Often Notice

Each illness has patterns that can make timing clearer.

  • Advanced Dementia: Late-stage dementia with significant functional decline, repeated infections, or difficulty swallowing can indicate eligibility.
  • Advanced Heart Or Lung Disease: Breathlessness at rest, low activity tolerance, and frequent exacerbations despite optimal therapy.
  • Progressive Cancer: Decline despite treatment, recurrent hospitalizations, or symptoms that remain difficult to control.

Why Considering Hospice Early Can Help

Starting hospice soon after eligibility is confirmed can improve quality of life, stabilize symptoms, and reduce stress for patients and caregivers. Many families are surprised that hospice can support them for months, not just days. For a deeper look at how comfort-focused care affects day-to-day living, read How Does Hospice Improve Quality Of Life.

Hospice Versus Palliative Care: How They Work Together

Palliative care can begin any time during a serious illness and can be provided with curative treatments. When treatments are no longer helping and life expectancy is about six months, palliative care can transition to hospice, which focuses fully on comfort.

A Gentle Decision Guide For Families

Ask yourself and your loved one’s physician:

  1. Have There Been Two Or More Unplanned Hospital Or ER Visits In Six Months?
  2. Are Symptoms Increasing Despite Best Medical Care?
  3. Is Daily Life Impacted By Fatigue, Breathlessness, Pain, Or Confusion?
  4. Are Caregivers Feeling Overwhelmed Or Unsafe At Home?
  5. Would You Prefer Care That Focuses On Comfort And Time Together Rather Than Hospital Trips?

If your answers are mostly yes, request a hospice evaluation. Medicare allows hospice to begin as soon as eligibility is certified and you choose comfort-focused care.

What Happens After You Call

  • Nurse Evaluation: A hospice nurse reviews symptoms, medications, and safety at home.
  • Plan Of Care: Your team sets visit schedules and requests medications, supplies, and equipment related to comfort.
  • Education And Support: You learn what to do if pain rises, breathing changes, or anxiety appears.
  • Ongoing Review: The plan adjusts as needs change. If eligibility continues beyond six months, hospice can continue with recertification

Compassion matters. Partner with a Dallas-based team that listens, explains, and shows up when you need it. 

Practical Next Steps In Dallas County

  • Talk With Your Doctor: Share the signs you are seeing and ask whether hospice criteria may be met.
  • Request An Evaluation: You can contact a hospice directly or ask your physician for a referral. Services can begin promptly once eligibility is confirmed.
  • Ask About Care Settings: Hospice supports you at home, in assisted living or a nursing facility, and can arrange inpatient care when symptoms require short-term intensive management.
  • Gather Important Information: Medication list, allergy list, advance directives, and preferred contacts.
  • Include Your Values: Share what matters most so your plan of care supports your goals.

Frequently Asked Questions

  • Is Hospice Only For The Last Days Of Life?
    No. Hospice can support you for months when you meet eligibility and choose comfort-focused care. Early support often improves quality of life.
  • Can I Keep My Personal Doctor Involved?
    Yes. Your attending physician can collaborate with the hospice team on your plan of care. 
  • What Does Medicare Require For Hospice?
    Two physician certifications of a terminal illness with a life expectancy of six months or less, choosing comfort-focused care, and signing a hospice election. Benefits can continue with recertification when criteria are met. 
  • What If Symptoms Worsen Suddenly?
    Call your hospice team’s 24-hour number. Nurses can visit, adjust medications, or arrange short-term inpatient care for symptom control.

Is Time For Hospice Care? Confirm With Us

You do not need to decide this alone. Talk with a trusted, Dallas-based team about what you are seeing and the next right step. We offer same-day conversations when appropriate, 24/7 guidance, and a plan tailored to your goals. Call (469) 625-0705 or send a message here. We support families across Dallas County, Tarrant County, and Collin County.

Your First Week With Hospice: What to Expect, Calmly

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The first week sets the rhythm for care. You do not have to figure this out alone. This guide walks you through the first seven days after enrollment in Hospice in the Dallas area, so you know who comes, what gets delivered, and how your care plan begins to bring calm.

What “Starting Hospice” Really Means

First Week With Hospice

When you begin hospice, your care focuses on comfort and quality of life. For Medicare beneficiaries, hospice can be provided at home, in assisted living, a nursing facility, or an inpatient hospice unit when needed. Hospice includes medical care, medications for symptom control, durable medical equipment, and supplies related to the terminal illness. You also receive support from nurses, aides, social workers, chaplains, and a physician or nurse practitioner. 

Before Day 1: The Referral and Consent

A referral can come from a hospital, clinic, or your primary doctor. You or your representative review and sign the hospice election forms. Your first benefit period begins the day hospice care starts. If you live longer than six months, hospice can continue with recertification.

Day 1: Welcome Visit and Safety Check

What to expect:

  • A hospice nurse meets you where you live. The nurse completes an initial assessment, reviews your medications, checks vital signs, and asks about symptoms such as pain, shortness of breath, nausea, or anxiety.
  • You help set goals. For example, you might want better sleep, less pain with movement, or enough energy to visit with family.
  • You receive the 24/7 phone number. You can call at any hour if symptoms change or if you are unsure about something. A nurse will guide you by phone and can visit if needed.

Equipment delivery
Durable medical equipment arrives based on your plan. This can include a hospital bed, oxygen, bedside commode, or wheelchair. The delivery team shows you how to use each item safely.

Medicare covers medical equipment related to the terminal illness under the hospice benefit. Room and board in a facility are not typically covered.

Your calm step: Keep all current medications nearby. Place important documents, advance directives, and emergency contacts in one folder. Discover more tips and what to expect when starting hospice care in Dallas.

Day 2: Aide Support and Your Personal Plan of Care & Routines

What to expect:

  • A hospice aide visits to help with bathing, grooming, and light personal care. The aide can also show caregivers safe techniques for transfers and skin care.
  • The nurse checks your response to any new medications and adjusts the plan if needed.
  • The interdisciplinary team, often called the IDG, creates a written plan that covers medical, emotional, social, and spiritual needs. It includes visit frequencies, medication changes, and equipment requests.
  • If you take medications that are no longer helpful for comfort, the nurse may suggest changes. If new comfort medications are needed, the nurse explains what they do and when to take them.

Supply delivery
Basic supplies like briefs, underpads, and skincare items begin to arrive on a set schedule.

Your calm step: Keep a small “comfort caddy” by the bed with lip balm, lotion, tissues, a favorite blanket, and the symptom relief medications your nurse reviewed. Post your medication schedule on the fridge. Use a simple checklist for morning, afternoon, evening, and bedtime.

Day 3: Spiritual Care and Meaning-Making

What to expect:

  • A chaplain, if you wish, visits to support your beliefs and values. Spiritual care is about aligning care with what matters most to you.
  • If you prefer, your own faith leader can coordinate with the hospice chaplain.

Your calm step: Share a favorite story, song, or memory. Invite family to record or write these memories if you feel comfortable.

Day 4: Continued Aide Support, Check-In and Comfort Kit

What to expect:

A hospice nurse practitioner or physician checks how you are doing since admission, reviews medications, and answers questions about side effects and dosing. They confirm which 

Many programs provide a small “comfort kit,” sometimes called an emergency kit, with a few as-needed medications for common symptoms such as pain, anxiety, nausea, or shortness of breath. Your nurse explains what each item is for and exactly when to use it. Only use items from the kit under direction from your hospice nurse or provider.

Your calm step: Keep a one-page “When to Call” list near the bed with clear thresholds, such as pain above 6 out of 10, new trouble breathing, or repeated vomiting. Store the comfort kit in one labeled container and log any as-needed doses so your team can fine-tune the plan. 

Day 5: Social Work and Practical Peace of Mind

What to expect:

  • A social worker visits to help with practical concerns. This may include advance directives, caregiver resources, veteran support, or planning for time off for family caregivers.
  • If you are a veteran, ask about veteran-specific honors and benefits.

Write a short list of three practical tasks that would help most, such as arranging meal support, organizing transportation, or coordinating family time.

Day 6: Volunteer Support and Respite Options

What to expect:

You may meet a volunteer coordinator to discuss companionship visits, brief caregiver breaks, help with life-review projects, or bedside presence during serious declines. Medicare requires hospice programs to include volunteers as part of care.

Your team also reviews short-term respite care. This is a Medicare-covered option that allows a brief stay in an approved facility so primary caregivers can rest, typically up to five days at a time.

Your calm step: Choose one or two tasks to delegate to a volunteer, such as reading aloud, companionship while a caregiver showers, or organizing photos.

Day 7: Look Back, Adjust, and Settle Into Rhythm

What to expect:

  • Your team reviews the week. You discuss what went well and what still feels challenging.
  • Visit frequencies can change. If symptoms are stable, you may see fewer visits. If symptoms rise, visits increase. There is also a higher-intensity level of care for short periods when symptoms are not controlled at home. Your nurse explains when that is appropriate.

Keep using the 24/7 number. Many problems can be solved quickly with a phone call and clear guidance.

Common Questions In Week One

Who is on my hospice team?
Physician or nurse practitioner, registered nurse, hospice aide, social worker, chaplain, and trained volunteers. Your team works from an individualized plan of care that you help shape. 

What does Medicare usually cover in hospice?
For eligible patients, Medicare generally covers nursing care, medications for symptom control or pain relief, medical equipment and supplies, hospice aide services, social work, chaplain support, and grief counseling. You may owe copays for some medications. If you live in a facility, room and board are usually not covered. 

How long does hospice last?
You can receive hospice in periods: two 90-day periods, then an unlimited number of 60-day periods, as long as the hospice physician recertifies eligibility. Many people continue beyond six months when appropriate.

Can I keep my personal doctor?
Yes. Your attending physician can remain involved and collaborate with the hospice team on your plan of care.

What if symptoms get worse suddenly?
Call the 24/7 number. Your nurse can visit, adjust medications, or arrange a higher level of care for short-term symptom management if needed. 

How To Prepare Your Home in Dallas County

  • Choose a calm space with good lighting and room for equipment.
  • Post emergency contacts and the hospice number by the main phone.
  • Keep an updated medication list in one place.
  • Make simple plans for meals and hydration. Ask your social worker about community resources if needed.
  • If you live in Tarrant or Collin County, let your team know about any gate codes, facility rules, or parking details that affect visit timing.

Call our Hospice Care Team in Dallas County

Speak with our compassionate hospice team about starting hospice or a same-day evaluation when appropriate. Call (469) 625-0705 or send us a message through our contact form here. Homage Hospice cares for patients across Dallas County, and we also

Continuous Care vs. General Inpatient Hospice: How Each Level Helps

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When symptoms become hard to manage, you need the right level of hospice care at the right time. This guide explains how continuous home care and general inpatient hospice support you in North Texas. You will learn when each level is used, how they differ, how Medicare views coverage, and how to take the next step in Dallas County, Collin County, and Tarrant County.

Understanding The Four Levels of Hospice Care

Levels of care exist so you receive just enough support without losing the comfort of home when that is possible. The four levels are:

  • Routine Home Care: Ongoing visits at home or in a facility with nursing, CNA, social work, and chaplain support.
  • Continuous Home Care: Short-term, time-limited nursing in the home during a crisis.
  • General Inpatient Hospice: Short-term inpatient care for complex symptoms that require 24-hour nursing oversight.
  • Respite Care: Up to five days of inpatient support to give caregivers a rest.

What Is Continuous Home Care

Continuous home care is designed for a brief crisis that can be stabilized at home. A nurse stays for extended periods during the day or night, often in blocks of time, to manage symptoms that have suddenly escalated.

When it helps most

  • Severe pain that is not controlled with the current plan.
  • Breathing distress, agitation, or sudden anxiety.
  • Complex medication changes that must be monitored closely.

What you can expect

  • A nurse at the bedside for extended hours, teaching and adjusting medications in real time.
  • Close coordination with your hospice physician or nurse practitioner.
  • A plan to step back to routine home care once symptoms settle.

What Is General Inpatient Hospice

General inpatient hospice is short-term care in an inpatient setting, such as a contracted hospital unit or hospice inpatient center. This level is used when symptoms require continuous nursing assessment and rapid interventions that are not realistic at home.

When it helps most

  • Refractory pain despite aggressive home management.
  • Uncontrolled nausea or vomiting that prevents oral medications.
  • Severe restlessness or delirium that places the person at risk.
  • Complex breathing issues that require frequent interventions.

What you can expect

  • 24-hour nursing, frequent assessments, and rapid medication adjustments.
  • A quiet, family-focused environment with privacy and space for loved ones.
  • A plan to return home when symptoms are stable, or to continue inpatient care if needed.

How to Choose the Right Level Today

Use this simple checklist. If you answer yes to two or more, call your hospice right away.

  • Are symptoms changing every few hours despite recent medication adjustments
  • Are you considering an ER visit due to pain, breathing, or agitation
  • Are you afraid to be alone with your loved one because of sudden changes
  • Are oral medications ineffective or not tolerated

Transitions Between Levels of Care

Moving between levels is normal. You might start with continuous home care for 24 to 48 hours, then step down to routine home care once symptoms settle. If control is not achieved at home, you may transition to general inpatient hospice for intensive stabilization. The goal is comfort with the least disruption to your daily life.

Medicare Coverage 

Medicare, Medicaid, and many private plans recognize all four hospice levels. Medications related to the terminal diagnosis, medical equipment, supplies, and professional services are typically covered. Inpatient room and board is covered during general inpatient hospice or respite when criteria are met. For details, review the Medicare Hospice Benefit (opens in a new tab), then ask your hospice team to explain any potential out-of-pocket costs before you begin.

Start the Right Level of Care in Dallas County, Collin County, or Tarrant County

You deserve calm, clear guidance. If symptoms are escalating, you do not have to decide alone. A quick conversation can help you understand whether continuous home care or general inpatient hospice is the safest next step for your loved one in North Texas; call (469) 625-0705 to speak with our care team now, or contact us if you prefer to send a message.

See What Our Clients Are Saying About Us!

Homage Hospice
Homage Hospice
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Based on 21 reviews
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tina G.
tina G.
23:24 06 Nov 25
Jamie is great with Elodia,time management with her medication. Thank you Jamie for all you do.
tanner H.
tanner H.
18:20 05 Nov 25
Love the services
Elizabeth W.
Elizabeth W.
22:53 31 Oct 25
Virginia Ramirez has been my mother’s caretaker for some time. She is caring and compassionate and made sure my mother received the best care.
Jackie G.
Jackie G.
16:05 30 Oct 25
I would like to commend Homage Hospice on such great work they do. From the owner Ryan then it starts to trickle down to the front office staff, Laura F (Chief Marketing Officer). Now Laura I think she holds more than one title I can call her anytime and ask her any and everything. She is Johnny on the spot. She gets on it. The nurse Irene is very kind, respectful and another one on top of things. The patients at Enhancing Life Care love when Irene comes to the home. I like to say thank you for everything you do. From the hearts at Enhancing Life Care-Jackie G.
Durenda M.
Durenda M.
14:08 27 Oct 25
Director of Assisted Living in Keller Texas, we have been blessed to have Homage Hospice assigned to one of our residents. Compassion, care and timely responses. I have highly recommended them to other families. Director of Nursing, Tracy and community liaison Mona have gone above and beyond for my residents. Thank you Homage
Astonishing A.
Astonishing A.
21:16 26 Aug 25
Laura E. F.
Laura E. F.
19:46 09 Aug 25
The love and compassion that the staff provided was truly amazing
Steven R.
Steven R.
00:51 25 Jun 25
Shann F.
Shann F.
12:41 28 Mar 25
Homage Hospice. The name says it all. Paying homage to your loved one by making sure that they have the loving care of such an excellent hospice is very honorable.
Leah M.
Leah M.
03:21 16 Mar 25
I will be forever grateful to the staff of Homage Hospice for taking such good care of my father.
Keven
Keven
00:19 09 Nov 24
A couple of weeks after we moved to Texas my mother’s health declined unexpectedly and getting her connected to medical providers proved to be challenging. Two hours after calling, Homage was at our door. All medical equipment arrived same day and the next morning my mother’s medication was delivered. I honestly couldn’t believe how seamlessly the process was from beginning to end. Everyone we interacted with was very professional and empathetic. We will forever be grateful to everyone at Homage for their transparency, guidance and support during this difficult time. Tammy, Olivia and Vernon THANK YOU!
Cassandra C.
Cassandra C.
18:57 03 May 24
After my grandfather had his second stroke he needed round the clock care and no one in the family was able to provide it. We all felt terrible that we had to get a stranger to come and take care of him when we couldn't. It was such a relief when we met his medical team. Everyone was so compassionate and professional. We had a lot of particularities and they were not a problem. I am very grateful that Homage Hospice made Grandpa's last moments so comfortable.
Charlie L.
Charlie L.
14:05 02 May 24
Homage hospice staff was very nice on providing me with attentive courteous service from the start. I only called to get information for a friend, the staff demonstrated patience, answered all my questions and breaking down all the services that they offer.
Desiree E.
Desiree E.
21:29 30 Apr 24
I am so impressed by the personalized care my aunt received. Rest assured that it's not a cookie-cutting type of care that is offered in most other places. These are people that understand, empathize, and professionally expedite the best possible outcome when it's regarding the care of your loved one. The medical staff surpasses anything I've ever experienced and the peace of mind it gives the family is priceless. Thank you for everything. My aunt now watches over us and we are grateful for all you did for her in her final days.
Shyla B.
Shyla B.
19:01 29 Apr 24
They were like angels during his final days, ensuring he was comfortable and at peace....Their support didn't stop with him; they were there for our entire family, offering guidance and comfort when we needed it most .. I became very close with the staff and plan on staying in touch. They are now family.I highly recommend them to anyone in need of compassionate hospice care. They truly deserve every star and more for their dedication.
Christy M.
Christy M.
18:46 25 Apr 24
We have been lost without the guidance from the staff of Homage Hospice. We feel very grateful and lucky to have had the staff helping us with our loved one. The staff felt more like family than anything. Very compassionate.
Tracie B.
Tracie B.
14:25 22 Apr 24
Homage Hospice was there for the entire family when my father was in his last days. I can’t express enough gratitude for how they handled this horrible time in my families life. The nurses and staff went beyond and above to make sure he didn’t suffer. They were amazing. I highly recommend them.
Sarah C.
Sarah C.
13:48 21 Apr 24
Our time at Homage Hospice was so much better than I could have ever imagined. Going into the hospice process, we were scared, sad, and very confused. From the initial consultation to the follow grief counseling services that were offered, we were never rushed into any decisions, we were met with dignity and respect, and everything was explained so perfectly so we understood it all. Thank you so much for making this already difficult season of life so much easier to bear. You really blessed our family so much!
Jennifer H.
Jennifer H.
18:26 19 Apr 24
Homage Hospice truly knows compassion. The staff went above and beyond during the most difficult and overwhelming part of my mom's journey. I never imagined losing my mom so quickly! Not only did they provide the best possible care for her, they did so while providing comfort and guidance for me and my family. Thank you!
Joc R.
Joc R.
19:47 18 Apr 24
I am honored to give Homage Hospice care 5 stars. The staff is very nice and gave my grandmother the best treatment. Reasonable prices and I will recommend Homage Hospice to anyone in need of hospice care for their loved one.
Smarter L.
Smarter L.
18:03 17 Apr 24
Homage Hospice is said to deliver top-tier medical expertise wrapped in genuine compassion, beginning with a thorough consultation to understand each patient's specific needs. They also describe the focus on comfort, dignity, and emotional well-being setting a high standard of care, emphasizing respect and understanding in every interaction. The team's commitment is said to ensure that your care journey enhances your quality of life, respecting your values and preferences throughout.
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Find Support for Your Loved Ones Today

Choose hospice care that embraces every moment with dignity and care, like Homage Hospice. Our dedicated team is committed to providing our patients with the highest quality of care, meeting them in their moment with hearts and hands of compassion. Call our team at (469) 625-0705 to learn how we can help you or your loved one.

Explore Your Care Options
tina G.
tina G.
23:24 06 Nov 25
Jamie is great with Elodia,time management with her medication. Thank you Jamie for all you do.
tanner H.
tanner H.
18:20 05 Nov 25
Love the services
Elizabeth W.
Elizabeth W.
22:53 31 Oct 25
Virginia Ramirez has been my mother’s caretaker for some time. She is caring and compassionate and made sure my mother received the best care.
Jackie G.
Jackie G.
16:05 30 Oct 25
I would like to commend Homage Hospice on such great work they do. From the owner Ryan then it starts to trickle down to the front office staff, Laura F (Chief Marketing Officer). Now Laura I think she holds more than one title I can call her anytime and ask her any and everything. She is Johnny on the spot. She gets on it. The nurse Irene is very kind, respectful and another one on top of things. The patients at Enhancing Life Care love when Irene comes to the home. I like to say thank you for everything you do. From the hearts at Enhancing Life Care-Jackie G.
Durenda M.
Durenda M.
14:08 27 Oct 25
Director of Assisted Living in Keller Texas, we have been blessed to have Homage Hospice assigned to one of our residents. Compassion, care and timely responses. I have highly recommended them to other families. Director of Nursing, Tracy and community liaison Mona have gone above and beyond for my residents. Thank you Homage
Astonishing A.
Astonishing A.
21:16 26 Aug 25
Laura E. F.
Laura E. F.
19:46 09 Aug 25
The love and compassion that the staff provided was truly amazing
Steven R.
Steven R.
00:51 25 Jun 25
Shann F.
Shann F.
12:41 28 Mar 25
Homage Hospice. The name says it all. Paying homage to your loved one by making sure that they have the loving care of such an excellent hospice is very honorable.
Leah M.
Leah M.
03:21 16 Mar 25
I will be forever grateful to the staff of Homage Hospice for taking such good care of my father.
Keven
Keven
00:19 09 Nov 24
A couple of weeks after we moved to Texas my mother’s health declined unexpectedly and getting her connected to medical providers proved to be challenging. Two hours after calling, Homage was at our door. All medical equipment arrived same day and the next morning my mother’s medication was delivered. I honestly couldn’t believe how seamlessly the process was from beginning to end. Everyone we interacted with was very professional and empathetic. We will forever be grateful to everyone at Homage for their transparency, guidance and support during this difficult time. Tammy, Olivia and Vernon THANK YOU!
Cassandra C.
Cassandra C.
18:57 03 May 24
After my grandfather had his second stroke he needed round the clock care and no one in the family was able to provide it. We all felt terrible that we had to get a stranger to come and take care of him when we couldn't. It was such a relief when we met his medical team. Everyone was so compassionate and professional. We had a lot of particularities and they were not a problem. I am very grateful that Homage Hospice made Grandpa's last moments so comfortable.
Charlie L.
Charlie L.
14:05 02 May 24
Homage hospice staff was very nice on providing me with attentive courteous service from the start. I only called to get information for a friend, the staff demonstrated patience, answered all my questions and breaking down all the services that they offer.
Desiree E.
Desiree E.
21:29 30 Apr 24
I am so impressed by the personalized care my aunt received. Rest assured that it's not a cookie-cutting type of care that is offered in most other places. These are people that understand, empathize, and professionally expedite the best possible outcome when it's regarding the care of your loved one. The medical staff surpasses anything I've ever experienced and the peace of mind it gives the family is priceless. Thank you for everything. My aunt now watches over us and we are grateful for all you did for her in her final days.
Shyla B.
Shyla B.
19:01 29 Apr 24
They were like angels during his final days, ensuring he was comfortable and at peace....Their support didn't stop with him; they were there for our entire family, offering guidance and comfort when we needed it most .. I became very close with the staff and plan on staying in touch. They are now family.I highly recommend them to anyone in need of compassionate hospice care. They truly deserve every star and more for their dedication.
Christy M.
Christy M.
18:46 25 Apr 24
We have been lost without the guidance from the staff of Homage Hospice. We feel very grateful and lucky to have had the staff helping us with our loved one. The staff felt more like family than anything. Very compassionate.
Tracie B.
Tracie B.
14:25 22 Apr 24
Homage Hospice was there for the entire family when my father was in his last days. I can’t express enough gratitude for how they handled this horrible time in my families life. The nurses and staff went beyond and above to make sure he didn’t suffer. They were amazing. I highly recommend them.
Sarah C.
Sarah C.
13:48 21 Apr 24
Our time at Homage Hospice was so much better than I could have ever imagined. Going into the hospice process, we were scared, sad, and very confused. From the initial consultation to the follow grief counseling services that were offered, we were never rushed into any decisions, we were met with dignity and respect, and everything was explained so perfectly so we understood it all. Thank you so much for making this already difficult season of life so much easier to bear. You really blessed our family so much!
Jennifer H.
Jennifer H.
18:26 19 Apr 24
Homage Hospice truly knows compassion. The staff went above and beyond during the most difficult and overwhelming part of my mom's journey. I never imagined losing my mom so quickly! Not only did they provide the best possible care for her, they did so while providing comfort and guidance for me and my family. Thank you!
Joc R.
Joc R.
19:47 18 Apr 24
I am honored to give Homage Hospice care 5 stars. The staff is very nice and gave my grandmother the best treatment. Reasonable prices and I will recommend Homage Hospice to anyone in need of hospice care for their loved one.
Smarter L.
Smarter L.
18:03 17 Apr 24
Homage Hospice is said to deliver top-tier medical expertise wrapped in genuine compassion, beginning with a thorough consultation to understand each patient's specific needs. They also describe the focus on comfort, dignity, and emotional well-being setting a high standard of care, emphasizing respect and understanding in every interaction. The team's commitment is said to ensure that your care journey enhances your quality of life, respecting your values and preferences throughout.
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