About Hospice

It’s hard to face serious illness. It can be scary, stressful and expensive, but Sonata Hospice is here when you need help caring for yourself or your loved one. Hospice has helped those with serious, life-limiting illnesses manage their pain and symptoms in the comfort of their own home or wherever their home is.

You can have hospice at:

  • Your private home
  • Nursing Home
  • Assisted Living
  • Hospital

Hospice care is paid for by:

  • Medicare
  • Medical
  • Most private insurance plans

One of the challenges for family members and caregivers of loved ones who are near the end of life is knowing when it is time to consider hospice. In making this decision, consider these questions:

  • Have you or your loved one’s condition and symptoms progressed to the point that they cannot be adequately controlled?
  • Have you or your loved one endured multiple hospitalizations, emergency department visits or repeated use of other healthcare services?
  • Are you or a loved one experiencing pain, weakness, shortness of breath or rapid weight loss?
  • Has the attending physician or specialist said there is nothing more that can be done to slow or cure the condition?
  • Have you or your loved one indicated that the side effects of aggresive medical treatments outweigh the benefits?

If you answered yes to one or more of these questions, hospice may be able to help you.

Let us show you how we can help you remain comfortable in your current living environment. Call us for a free evaluation of hospice eligibility. If you are hospice appropriate, we can have the conversation with your physician.

Sonata Hospice services are covered by Medicare, MediCal and most insurers. Core hospice services include:

  • Board certified hospice and palliative care physician services
  • 24 hour on-call support by a hospice nurse, social worker and chaplain
  • Medications related to the hospice diagnosis
  • Medical supplies related to the hospice diagnosis
  • Durable medical equipment (DME) related to hospice diagnosis
  • Bereavement support for the family caregivers
  • Volunteer staff support

To inquire about hospice services for yourself or someone you know, contact us at (858) 277-2161 or info@sonatahospice.com

The appropiate level of care will be determined by the Medical Director.

  • Routine Level of Care: This type of hospice care is provided in the patient’s home and includes: assisted living communities, nursing homes, and long-term care facilities.
  • Hospice General in Patient Care: This type of hospice care is available for those patients experiencing acute or severe pain or symptoms that cannot be managed in the home. This level of care allows for patients to be admitted to a hospice in-patient unit, hospital or a skilled nursing facility until pain and symptoms can be managed.
  • Continuous Care: This level of care is offered to patients during a period of crisis in order to keep them at home. Continuous Care is provided by Nurses and Certified Hospice Aides to monitor and gain control over the acute symptoms and pain. Other members of the hospice team may participate in patient care during this time.
  • Respite Care: Respite care is commonly used when the patient’s caregiver(s) would benefit from a break from the day-to-day responsibilities of caring for a patient in a home setting. Specifically, respite care is provided in an approved facility and is generally limited to five (5) consecutive days per benefit period.

When you elect hospice services, Sonata Hospice will assign a special interdisciplinary team to work with you and your family to make sure that your care is coordinated and safe so that you feel comfortable with the treatment and care you will receive. Our team will keep your doctor informed about your progress.

  • Hospice Physician: Our hospice physician oversees each patient’s symptoms, working closely with the hospice team and the patient’s primary care physician to determine appropriate medical interventions.
  • Hospice Nurse: Our nurse case manager will make regularly scheduled visits; assessing pain and providing symptom management. The nurse will educate patients and their families about disease progression, use of medication and daily care needs.
  • Certified Hospice Aides: The certified hospice aide provides personal care services under the supervision of the registered nurse. These duties may include assistance in activities of daily living (e.g., bathing, personal hygiene, exercise, and assistance in retaining self-help skills).
  • Social Workers: Our social workers have specialized training in addressing the practical and financial needs of each patient. This may include emotional support, counseling, and serving as a liaison to community agencies. Social workers will also provide bereavement counseling. They will also assist in navigation throughout the complex healthcare system.
  • Chaplain: Chaplains provide spiritual support and counseling to the patient and their family. This may include assisting with memorial services, serving as a friendly visitor, or connecting patients to spiritual support services within the individual faith tradition.
  • Volunteers: Volunteers are the heart and soul of Sonata Hospice. Trained volunteers give a wide range of loving support such as providing respite to the family, assisting with meal preparation, running errands, music therapy, pet therapy, reading, and facilitating special projects and providing companionship.

Additional team members available as necessary include a consulting pharmacist and a dietitian.


Hospice is a special kind of care for people who are living with an end-stage disease. With hospice, pain and discomfort are controlled. The patient and family can choose from many services that help with physical pain and symptoms, personal care, social support and spiritual conflict. The family receives ongoing grief support after the patient dies.

Seriously ill people and their loved ones should know about hospice as early as possible —long before care is needed. Understanding hospice helps the patient to have more control and choice about his or her end-of-life care.

Choosing hospice care is not giving up. Choosing hospice is simply changing the focus of care from curing the disease to controlling the symptoms. There is still a place for hope. With good pain and symptom management, information and support, patients are able to concentrate on what is meaningful to them. Most hospice patients still have plans and goals and see value in every day.

Hospice patients do improve! A patient is discharged from hospice any time his or her condition stabilizes, improves or the goals change from comfort care to aggressive, curative treatment.

Hospice is very cost effective care. It is covered fully by Medicare, MediCal and most private insurers.

Twenty-four hour care is the responsibility of the patient and family. Hospice patients who live alone or need assistance with 24-hour care will need to consider nursing home placement or other care alternatives. Support is available at any time it is needed. In addition to visits by the hospice team throughout the week, a hospice nurse, social worker and chaplain are on-call 24 hours a day to handle questions and emergencies that arise outside of normal business hours.

Very well. One of the basic goals of hospice is that patients will be comfortable and pain free. Hospice nurses work closely with the patient, family and physician to achieve comfort by using medications, counseling and complementary therapies.

Sonata Hospice is not affiliated with any religious organizations. While some religious groups have started hospices, all hospices serve a broad community and do not require patients to adhere to any particular set of beliefs.

Throughout this journey the plan of care can change. In best supporting you, we will always help you achieve the care you desire and help you think through different treatment options. Hospice is a benefit meant to help enhance the quality of life with the life we have left. It is a single option out of many and you will always keep the right to choose the care you want.