Hospice in Senior Living

Author

Oasis Senior Advisors

For more information about the author, click to view their website: Oasis Senior Advisors of Salt Lake City

Posted on

Sep 10, 2026

Book/Edition

Utah - Utah

Hospice is often thought of as a place that you go to at the end of life, but it is actually a type of care rather than a location. People can receive hospice care in different settings, including where they currently live. Many people receive hospice care in their senior living community so they don’t need to move. Here, we explain how hospice care works within senior living communities, including the services offered and who pays for them, to help seniors and their adult children understand what to expect.

What is hospice care?

Hospice care is a type of care provided to people at the end of life. It is an alternative to traditional medical care in the sense that it emphasizes comfort, symptom management, and quality of life instead of curative treatment for illness. In fact, part of accepting hospice care includes agreeing not to pursue treatments. 

That might sound scary, but remember that hospice is for a point in time where treatments aren’t effective. Attempts to treat the condition could even be causing considerable discomfort for little benefit.

Hospice care usually includes a range of services and support for both the patient and family. Depending on the person’s needs, care may be provided by several members of the hospice team, each playing a different role. Hospice care may include the following types of support:

  • Pain and symptom management.
  • Nursing care.
  • Personal care support.
  • Social work services.
  • Spiritual support.

Hospice is provided by an interdisciplinary team that can include:

  • Hospice physicians.
  • Nurses.
  • Medical social workers.
  • Home health aides.
  • Volunteers.
  • Chaplains or spiritual counselors.

There are two main forms of hospice. The first is inpatient care, which is provided in a hospital or a stand-alone hospice facility. The second is routine home care, which is provided where the individual lives. This second type is what we’re focusing on today.

Can hospice be provided in senior care communities?

Hospice can often be provided in senior care communities, which means a resident may be able to stay in a familiar setting rather than having to move elsewhere for end-of-life care. That said, how this works depends on the type of community, the resident’s needs, state rules, and the policies of the specific community.

Hospice in assisted living

Hospice is often available in assisted living, but it is not automatic in every case. Assisted living communities generally focus on personal care rather than ongoing skilled medical care, so hospice services are usually brought in through an outside provider.

Whether a resident can stay in assisted living while receiving hospice often depends on state regulations and the community’s own policies. In some cases, hospice makes it possible for a resident to remain in assisted living longer than they otherwise could. In others, the resident may still need to move if their needs become too great for the setting.

Hospice in nursing homes

Hospice is commonly provided in nursing homes. Because nursing homes already provide 24/7 nursing oversight and a higher level of medical support, they are often well equipped to care for residents who are also receiving hospice.

In this setting, the nursing home staff continues handling the resident’s day-to-day care, while the hospice team adds comfort-focused services, symptom management, and support for the resident and family.

Hospice in memory care

Hospice can also be provided in memory care. In many cases, this allows a person with dementia to remain in a secure and familiar environment while receiving end-of-life support.

How hospice works in memory care depends on the community’s licensing. Some memory care neighborhoods are part of assisted living, while others are part of nursing homes, and stand-alone communities are typically licensed as one or the other. Because of that, the rules and care capacity can vary. Even so, hospice is often an important added layer of support for residents with advanced dementia or other terminal conditions.

Hospice in independent living

Hospice can usually be provided in independent living because these communities are residential rather than medical. Residents are often free to bring in outside hospice providers just as they would in a private home, but rules around hospice will vary by community.

The main challenge is that independent living does not provide hands-on care. Hospice provides important comfort-focused services, but it does not replace full-time caregiving. If a resident in independent living needs significant help with daily activities, the family may also need to arrange additional private-duty care or consider whether another care setting is more appropriate.

How hospice and senior living staff work together

When a senior living resident is receiving hospice care, the facility staff continues to provide many of the services it did before, such as:

  • Assistance with daily living tasks, including hygiene needs.
  • Room, board, and activities.
  • Skilled medical care if the facility is a nursing home.

Hospice teams provide:

  • Medical, physical, spiritual, and psychosocial support provided through a multidisciplinary care team.
  • Short-term inpatient care when required for crises or caregiver respite.
  • Support and guidance with care goals and end-of-life conversations.
  • Specialized medical equipment like wheelchairs and oxygen.
  • Support for the family at the time of their loved one’s passing.

Once hospice care has been ordered, the hospice team and senior living staff work together to create a care plan and organize responsibilities. The care plan developed by the hospice provider in consultation with the senior and their family may involve reducing some of the care currently provided by the senior living staff. 

Who pays for hospice in senior living?

Hospice care is fully covered by Medicare. It’s also covered by Medicaid in most places and by many private insurance providers. Families often have no additional costs, but they may sometimes be responsible for copays for medication or short-term inpatient respite care. 

To be eligible for funding, seniors must meet hospice eligibility requirements. The individual must be certified as terminally ill with six months or less to live, forgo curative treatment for their illness, and choose a provider that accepts their payment method (e.g., Medicare). 

Medicare’s hospice benefit does not pay for room, board, or care provided by the senior living community.

Hospice in senior care focuses on comfort, dignity, and quality of life

It’s easy to assume that hospice care means you’re giving up on life. This may be why many people avoid hospice for as long as possible. However, hospice isn’t about giving up at all. It’s simply about focusing on quality of life, comfort, and dignity at the time when those things matter the most. 

This shift in focus gives seniors time to connect with their loved ones and focus on what matters to them while feeling more comfortable. Hospice providers take a person-centered approach, ensuring the senior’s values, wishes, and faith are respected at every step. 

It’s also important to keep in mind that hospice isn’t an irreversible step. Some people decide to stop hospice care and seek curative treatment because their health improves. Others might opt out because they want to try a new treatment. Some may simply change their minds. The choice is ultimately the patient’s, every step of the way.

Learning about hospice and senior care available to you

You don’t need to make this journey on your own. Since state regulations about admissions to senior care communities may vary and be more or less inclusive of hospice care recipients, senior care advisors, including those from your local Oasis Senior Advisors, can help you understand what hospice care might look like in your situation and location. 

Such support can make a big difference, especially given the many variations across states and communities. There can also be more options than you realize for receiving hospice in residential care settings.

Senior care facility rules and requirements vary based on company-specific policies and state-level regulations. The content above represents common guidelines but may differ from a particular facility’s policies or requirements. To learn the regulations that apply in your state, contact your local Oasis Senior Advisor.

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