Hospice Support at Home · Houston

Hospice support at home in Houston.

The trained, steady presence alongside hospice, so your loved one can stay home.

Hospice provides intermittent skilled care. Most of the hours someone needs at end of life are not nursing, they're presence, comfort, dignity, and family relief. We provide those hours, alongside whichever hospice team you've chosen.

A Homewatch CareGivers caregiver providing gentle hospice support to a Houston familyAlongside your hospice team
No.1
In Houston
Activated Insights · 2025
100%
Of cases coordinated
with your chosen hospice provider
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A note to families

If you're reading this, the conversation has probably turned to what dying at home actually looks like.

  • A spouse who hasn't slept properly in weeks.
  • A hospice visit that lasted an hour and left you alone again.
  • A bathroom trip that's become a two-person job.

You don't have to do this alone. Hospice provides excellent intermittent care; we provide the hours in between. When you call, you'll speak with a nurse, not a salesperson.

What matters most

What hospice support really protects.

Dignity in every hour

Bathing, repositioning, mouth care, and presence, handled with the gentleness end of life deserves.

Family who can rest

Spouses, adult children, and friends who can step out of the room, eat a meal, or sleep through the night.

Continuous presence

Awake overnight, 24-hour care, or daily blocks, so someone is always with your loved one.

Your care team

The nurses behind your care plan.

Every family is assigned a dedicated care manager who stays involved as needs change. Two of our three care managers are former Neuro ICU nurses from Houston Methodist.

Andrew Harris, RN

Andrew Harris, RN

Clinical Director
What gets noticed at home keeps you out of the hospital.
  • Former Neuro ICU nurse, Houston Methodist
  • Charge Nurse, Barnes-Jewish
  • Owner of Homewatch CareGivers Houston Galleria
Kimberly Pierce, RN

Kimberly Pierce, RN

Care Manager
Small changes often tell us the most.
  • 16+ yrs Neuro ICU
  • Charge Nurse, Houston Methodist
  • Houston Chronicle Top 150 Nurses
Chandeep Sharma, CSA

Chandeep Sharma, CSA

Care Manager
No family should have to navigate this alone.
  • 20+ yrs Houston senior care
  • Certified Senior Advisor
  • Alternate Administrator

Every client is assigned a named care manager, not a rotating coordinator. See our full team →

Our role alongside hospice

Hospice is the medical team. We're the household team.

Medicare hospice provides nurses, social workers, chaplains and aides, but the hours in between are usually on the family. We fill those hours.

What we do

Day-to-day comfort care

Personal care, repositioning, mouth care, gentle feeding where possible, music, conversation, and continuous presence.

WHAT WE MANAGE

Comfort, dignity, family relief

Care managers track comfort needs, coordinate with hospice on symptom management, and watch over the family caregiver's wellbeing too.

What we coordinate

Hospice nurses, social workers, chaplains

We work alongside your chosen hospice team, sharing observations on comfort and family needs, and never duplicating skilled visits.

How we think about hospice support

Comfort is the whole goal. Presence is the work.

End of life is not a problem to be solved. It is a season to be witnessed. We approach hospice support with that humility.

i.

Comfort is the whole goal.

Pain, breath, restlessness, mouth care, comfort is what we measure and what we report.

ii.

The family deserves to be present, not exhausted.

We carry the physical work so the family can carry the emotional work, and so neither runs out before the other.

iii.

Death is a process, not a moment.

We sit through the long hours and the quiet ones, both. The arrangement is shaped around the patient's pace.

iv.

After the last breath, we stay.

Bathing, dressing, calling the family, calling the funeral home. We don't leave you in the room alone.

Day to day

What hospice support actually looks like.

Hospice support at home is gentle, careful, and present. These are the hours we cover.

Gentle personal care

Bathing, repositioning, mouth care, and skin protection, all done patiently and with privacy.

Mouth and lip care

Often the most underrated comfort intervention, fresh, moist, clean.

Feeding where possible

Soft foods, sips of water, ice chips when those are what's wanted.

Awake overnight presence

So spouses sleep, and so the dying are never alone with the night.

Music and reading

Familiar voices, favorite songs, quiet reading, the day filled with what they love.

Conversation and presence

Sometimes a hand held in silence. Sometimes stories about the grandchildren. Whatever the moment wants.

Family respite

Spouses who can step out of the room, adult children who can sleep, friends who can come visit without staying twelve hours.

Safety supervision

Falls, agitation, restlessness, managed gently and without alarm.

Medication reminders

Working alongside hospice on comfort medications, never replacing the hospice nurse for skilled needs.

Coordination notes

Daily notes on comfort, sleep, mood, intake, shared with hospice and the family.

24-hour and overnight awake

Most hospice cases benefit from continuous coverage in the final weeks.

Bereavement transition

We don't disappear the morning after. We help the family transition out of the long arrangement.

How we work

Hospice support starts with respect for what's happening.

We never push. We listen, observe, and offer what helps. Then we do it with gentleness.

A care manager visits the family

We meet the patient where they are, talk with the spouse and family, learn the routine, and explain what we can offer alongside hospice.

We coordinate with the hospice team

Same week, before our first shift. We learn the hospice nurse, the medications, the comfort plan, and the family's wishes.

We staff with a small, gentle team

Caregivers chosen for warmth, patience, and end-of-life experience. Often one or two cover the entire arrangement.

We stay until the family doesn't need us

Most arrangements continue past the death by a day or two, until the household has done what it needs to do.

What families say

Trusted by Houston families.

Worth asking

Questions families ask us first.

Honest answers to the things that keep families up at night.

Are you a hospice agency?

No. Hospice is a Medicare-defined skilled service provided by hospice agencies (we recommend several excellent Houston ones). We provide non-medical companion and personal care that works alongside hospice.

Can we use hospice and your services together?

Yes, this is the ideal arrangement for most families. Hospice handles symptom management and skilled visits; we handle the hours of presence, personal care, and family respite that hospice doesn't cover.

Can you start before hospice begins?

Yes. Many families begin with us during the late-stage care that precedes hospice, then continue when hospice begins. The same trusted caregivers continue throughout.

What about 24-hour care during the last days?

Continuous awake coverage in the final days is one of the most life-changing things we provide. We're set up to staff it on short notice.

How do we pay for hospice support?

Hospice itself is usually covered 100% by Medicare. Our companion/personal-care hours alongside it are private-pay or covered by long-term care insurance, VA Aid & Attendance, or some Medicare Advantage plans. We bill long-term care insurers directly.

What happens after death?

We stay for a day or two as the family needs us, helping with the small logistics, the room, and the transition. We never disappear the morning after.

Which Houston areas do you serve?

Our hospice-support neighborhoods are River Oaks, Memorial, Tanglewood, West University, Bellaire, the Galleria, and Uptown, plus the wider Houston metro.

Concierge home care

Personal attention. Professional discretion.

End-of-life care is the most personal work we do. We limit our intake so every family gets the dedicated care manager and gentle, consistent caregivers this season requires.

DiscretionPrivacyTrusted referralsLimited intake
Begin with a conversation

Talk to a care manager who’s actually done this.

A 15-minute conversation. No pressure, no script, and no obligation. We’ll listen to what’s happening, help you understand your options, and tell you honestly what we’d recommend.

  1. 1
    We listen.

    Tell us what’s happening and what’s worrying you most.

  2. 2
    We assess.

    A care manager helps you understand the situation and available options.

  3. 3
    We recommend.

    If home care makes sense, we’ll explain what we’d do. If it doesn’t, we’ll tell you that too.

Take the first step

At home, as it should be.

You’ve read this far because someone you love needs care. The next step is simple: a private conversation with a Care Manager, not a coordinator, not a sales line.

Reply within two hours. After hours, our care team, the same people who manage your plan, picks up.