Introduction
When you or a loved one needs extra support at home, it can be hard to know which type of care is the best fit. Many families wonder when Home Health is appropriate and when a transition to Hospice might be right. Some are surprised to learn that the two services can work together during different stages of an illness. At Ozark Total Healthcare, our goal is to make these decisions easier and to support families throughout every step of the care journey.
This guide explains how Home Health and Hospice serve different needs, when a patient may move from one program to the other, and how having both programs under one coordinated team in Poplar Bluff and Southeast Missouri helps families feel confident and supported.
Understanding the Difference: Home Health and Hospice
Home Health Care
Home Health provides short-term skilled care for individuals who are recovering from an illness, injury, hospital stay, or surgery. It is designed for people who want to regain strength, improve mobility, or manage a chronic condition at home. Common services include:
- Skilled nursing visits
- Medication management
- Wound care
- Physical, occupational, and speech therapy
- Support with chronic illnesses like heart disease, COPD, or diabetes
The goal of Home Health is to help patients maintain independence and improve their overall health.
Hospice Care
Hospice is specialized care for individuals with a life-limiting illness. Instead of focusing on cure or recovery, hospice focuses on comfort, symptom management, and emotional support. Core hospice services include:
- Pain and symptom relief
- Regular nursing visits
- Aide, Social Worker, and Chaplain visits
- Emotional, spiritual, and caregiver support
- Access to supplies, equipment, and medications related to the terminal diagnosis
- On-call support for urgent needs
Hospice helps individuals experience comfort and dignity in the place they feel most at home.
When a Patient May Move From Home Health to Hospice
A patient may start in Home Health while they are working toward recovery. Over time, their needs may change. Families often consider hospice when:
- A chronic condition becomes more advanced
- Medical treatments are no longer improving symptoms
- There are more frequent hospital visits
- The focus shifts from getting stronger to staying comfortable
- Pain, shortness of breath, or fatigue become more difficult to manage
Moving from Home Health to Hospice is not a sign of giving up. It is a decision to put comfort and quality of life first. Hospice can also provide important support for family members who are caring for their loved one.
Because Ozark offers both programs through one organization, our teams work closely together to ensure a smooth transition. Patients and families often see familiar faces and do not have to repeat their history or start over with a new provider.
Can Someone Receive Both at the Same Time
Under Medicare rules, a patient cannot receive Home Health and Hospice for the same diagnosis at the same time. However, a patient can receive both programs together if they are being treated for different conditions.
For example, a patient may be on hospice for end-stage cancer while also receiving Home Health physical therapy for a recent shoulder injury. Although this is not common, it can be appropriate in certain situations.
How Ozark Hospice Makes the Transition Easier
The biggest benefit of having Home Health and Hospice together under Ozark Total Healthcare is the shared communication and coordinated approach. Our teams work side by side, which helps families experience:

Clear communication between providers

Faster evaluations when needs change

Familiar, consistent support from caregivers who know the patient

Guidance through insurance questions and paperwork
Families do not have to navigate the healthcare system alone. One call connects you to a team that listens, explains options, and helps you make the best choice for your loved one.
How To Know Which Program Is Right
Choosing between Home Health and Hospice does not have to feel overwhelming. It helps to consider your goals.
Home Health May Be Right If:
- The goal is recovery or improvement
- You need short-term skilled therapy
- You need help managing medications or wounds
- You recently left the hospital or had surgery
Hospice May Be Right If:
- The goal is recovery or improvement
- You need short-term skilled therapy
- You need help managing medications or wounds
- You recently left the hospital or had surgery
If you are unsure, our team can help you understand your options. Many families tell us that a simple phone call brought them more clarity and relief than they expected.
Frequently Asked Questions
Yes. If a patient’s condition stabilizes or they decide they want to pursue more active treatment again, they can revoke hospice and re-enroll in Home Health.
Medicare covers most hospice services at one hundred percent. Home Health is also covered for eligible patients who meet medical criteria. Our team can verify coverage and explain what to expect.
If treatment is no longer helping, or if comfort and quality of life are more important than pursuing recovery, it may be time to explore hospice. Our nurses can help assess your loved one’s needs.
Yes. Hospice and Home Health are designed to be provided wherever the patient calls home, including private residences, nursing homes, and assisted living communities.
Evaluations are completed the same day, usually within 2 hours.
We’re Here to Help You Navigate Every Step
Care needs can change quickly. Whether your loved one is working toward recovery or needs comfort-focused support, Ozark Total Healthcare is here to guide you. Our Home Health and Hospice teams work together to provide compassionate, coordinated care across Poplar Bluff and Southeast Missouri.
If you would like help understanding which program is right for your family, we are here for you.
One call connects you to the support you need.


