Pain & symptom management
Aggressive, unhurried attention to pain, breathlessness, nausea, restlessness and anxiety — adjusted as often as it takes, not on a monthly schedule. How we do it
St. George · Washington County, Utah
Hospice care at home, across Southern Utah. “Compassion That Feels Like Family.”
We are a small, locally owned team of nurses and certified nursing assistants (CNAs), caring for people in the place they already call home. You will know our names. We will know yours.
Let’s clear something up
Hospice is not giving up. It is choosing comfort.
Hospice is a Medicare benefit for someone with a prognosis of six months or less if their illness runs its usual course. It moves the goal from curing a disease to making a person comfortable — and it brings an entire team to the house to do it. Most families tell us the same thing afterward: we wish we had called sooner.
The myth
“Hospice means we’ve stopped trying.”
Care doesn’t stop — it changes direction. Pain gets treated aggressively. Breathing gets easier. Anxiety gets addressed. The work becomes making good days possible.
What’s true
People often feel better on hospice
When symptoms are managed well and someone is sleeping in their own bed instead of a hospital, quality of life usually goes up. Some people improve enough to be discharged — and that is a good outcome, not a mistake.
The myth
“Hospice is a building you go to.”
For nearly everyone we serve, hospice comes to you — a private home, a family member’s house, an assisted living apartment, or a skilled nursing facility.
What’s true
It’s a whole team, not just a nurse
- Nursing and personal care
- A medical director overseeing the plan of care
- Chaplain support and social work
- Volunteers and comfort therapies like massage
- Medications, equipment, and 13 months of grief support for the family
What we bring to the house
One team, coordinated around one person
Every plan of care is written for the individual and reviewed by our medical director, Dr. Karen Radley. Here is what that team looks like in practice.
Skilled nursing visits
Regular visits from a registered nurse (RN) who knows the whole story, plus a nurse reachable by phone every hour of every day — including weekends and holidays.
Personal care from CNAs
- Bathing, grooming and dressing
- Mouth care, repositioning and comfort
- Familiar faces, every visit
Chaplain & spiritual support
- Latter-day Saint, Catholic, Protestant, other faiths, or none at all
- Present for whatever a person believes
- We follow your lead, never ours
Social work & paperwork help
Advance directives, benefits, family meetings and the phone calls nobody wants to make. Practical help, handled. Veteran benefits
Comfort therapies
- Massage therapy and music
- Presence and volunteer companionship
- The small things that turn a long afternoon into a good one
Medications & equipment
- Medications for the hospice diagnosis
- Hospital bed, oxygen, wheelchair and supplies
- Delivered and set up at home
After-hours response
Nights, weekends, holidays. The 2am call is not an inconvenience — it is the job. Our weekend and end-of-life visit rates are part of why our Care Index score is what it is.
Bereavement for 13 months
Support for the family continues for thirteen months after a death — through the first birthday, the first holiday and the anniversary. Grief support
How it starts
Three steps and we do most of the work
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You call, or a doctor refers
Anyone can start the conversation — a patient, a daughter, a neighbor, a hospitalist, a facility nurse. No referral is needed to ask questions.
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We come out and explain everything
A free, no-pressure visit at the kitchen table. We review the situation, coordinate with the physician and confirm eligibility and coverage before anyone signs anything.
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Care begins — often the same day
Medications, equipment and the first nursing visit get arranged immediately. In the first 48 hours you will meet your nurse, your CNA and know exactly who to call.
What families ask first
- Medicare Part A covers hospice — most families pay nothing out of pocket for care related to the hospice diagnosis.
- Choosing hospice is not permanent. You can revoke it, seek treatment again and return later.
- You can change hospice agencies. If you are already with one and it isn’t working, you are allowed to switch.
- Hospice does not replace family — it supports the family doing the caring.
How do I talk to my loved one about this? (opens in a new tab)
The people who show up
A small team, not a call center
We are locally owned and deliberately small. That is the whole strategy: the nurse who answers at midnight is the nurse who was in your living room on Tuesday.
Dr. Karen Radley
Medical Director
Oversees every plan of care and works directly with each patient’s own physician.
Brandon Hagler
Community Liaison
The person you call when you don’t know who to call. Text or phone, day or night.
Mahogani Madrigal
Administrator
Creates the best environment for the hospice team, so that they in turn provide the best care for our patients.
Our nurses & CNAs
Our nurses and CNAs
Registered nurses and certified nursing assistants, caring for people at home across Washington County.
Where we go
Serving Washington County — at home
If you are inside our service area, we come to you: private homes, assisted living, memory care and skilled nursing facilities. Not sure whether your address is covered? Call and ask — the answer is usually yes.
St. George Hospice care →
Hurricane Hospice care →
Washington Hospice care →
Ivins Hospice care →
Santa Clara Hospice care →
Also serving La Verkin, Toquerville, Springdale, Hildale, Leeds, Virgin, Rockville, New Harmony and Apple Valley — plus Bloomington, Bloomington Hills, Dammeron Valley, Enterprise and Veyo.
In families’ words
What families say
We only publish a family’s words with their written permission — so these spots are reserved, not invented. Real reviews and stories go here as consent comes in.
Reserved for a real review
A family’s own words about the nursing team will appear here once written consent is on file.
Reserved for a real review
A story about the first 48 hours of care will appear here once written consent is on file.
Reserved for a real review
A note about bereavement support will appear here once written consent is on file.
Why the blanks? Patient privacy is protected by HIPAA (the Health Insurance Portability and Accountability Act, the federal health-privacy law). We never publish a name, photo, or story without written consent — including on this website.
For physicians, hospitals & facilities
Referrals answered the same day
Send the provider details and we will call you back — usually within the hour during business hours. Clinical information is taken by phone or secure fax, never through a web form.