Hospice Facilities and Hospice Houses in Metro Detroit

Updated October 2026. Written and reviewed by the Lily Hospice clinical team.

Metro Detroit has only a handful of dedicated hospice facilities: a small number of hospice houses, plus a few inpatient hospice units inside hospitals. Most stays in them are short. Most hospice care happens where the person already lives: at home, in assisted living, in memory care or in a nursing home.

If you searched for a “hospice facility near me,” you are probably in one of three situations. Someone you love is in the hospital and cannot go back to the way things were. Or you are caring for them at home and you are worn out. Or symptoms have become more than the family can manage. This page explains what hospice facilities actually exist in Oakland, Macomb and Wayne counties, what Medicare pays for in each, and the options most families end up using.

“Hospice facility” can mean three different things

What people mean	What it is	How long	Who pays for the room
Inpatient hospice unit	Hospital-level hospice care for pain or symptoms that cannot be controlled anywhere else. Medicare calls this general inpatient care.	Days, until symptoms are under control	Medicare, when the hospice team documents the medical need
Respite stay	A short stay in a facility so the family caregiver can rest.	Up to five days at a time	Medicare (the patient may owe a small coinsurance)
Hospice house or residence	A home-like building where a person on hospice lives for their last weeks, with staff around the clock.	Weeks	The family. Medicare pays for the hospice care but not for room and board.

The fourth and most common setting is not a hospice facility at all: hospice care brought to the person’s own home, assisted living apartment, memory care room or nursing home bed. See hospice at home or in a facility: how families decide.

Hospice houses in Oakland, Macomb and Wayne counties

Metro Detroit has only a small number of dedicated hospice houses, and each is run by its own hospice organization, not by Lily Hospice. Room counts, waiting lists, admission rules and room and board charges differ from house to house and change often, so call the house directly before you plan around a bed, and ask the questions below. Some hospice organizations also operate inpatient hospice units inside Detroit-area hospitals; if your loved one is in the hospital now, the case manager or palliative care team can tell you whether that hospital has one. For every Medicare-certified hospice serving the three counties, see the metro Detroit hospice directory, or compare hospices by ZIP code.

What Medicare pays for, and what it does not

• The hospice care itself (nurses, aides, social worker, chaplain, medications for comfort, equipment and supplies) is covered by the Medicare hospice benefit in every setting.
• Short-term inpatient care for pain and symptom management is covered when the hospice team determines it is needed.
• Inpatient respite is covered for up to five days at a time so a caregiver can rest.
• Room and board is not covered. Medicare says so plainly: the hospice benefit does not pay room and board when a person lives at home, in a nursing home or in a hospice inpatient facility. That is why a long stay in a hospice house, assisted living or a nursing home has a daily or monthly charge.

Source: Medicare.gov, hospice care coverage. For Michigan specifics, including when Medicaid pays the nursing home, see hospice and long-term-care Medicaid in Michigan and how much hospice costs in Michigan.

If there is no bed, or a facility is not the right fit

With so few hospice house rooms across three counties, many families who start out looking for a facility choose one of these instead:

• Hospice at home, set up fast. Evaluation is usually within 24 hours of the first call, and admission, with the hospital bed, oxygen and comfort medications, is often the same day. See same-day hospice admission and going home on hospice from the hospital.
• Hospice inside assisted living or memory care. The community provides the room, meals and daily help; the hospice team adds nursing, aide visits, equipment and a 24-hour line. See hospice in assisted living and memory care and the metro Detroit assisted living directory.
• Hospice in a nursing home. Often the answer when someone needs hands-on care around the clock and the family cannot provide it. See nursing home ratings for Oakland, Macomb and Wayne counties.
• A respite stay. Five days of facility care so the caregiver can sleep, travel or recover. See hospice respite care.

Where Lily Hospice fits

Lily Hospice is a family-owned, Medicare-certified hospice based in Troy. We do not run our own freestanding inpatient building; our care goes wherever the patient is, across Oakland, Macomb and Wayne counties. When symptoms cannot be managed at home, Lily provides continuous care at the bedside during a crisis and arranges short-term general inpatient care or inpatient respite at partner facilities when medically necessary, covered by Medicare.

If you are deciding between a facility and home tonight, a short phone call usually settles it. Tell us where your loved one is now, what the symptoms are and who can help at home, and we will tell you honestly which setting we think fits, even when the answer is a hospice house.

Questions to ask any hospice house

• Is this stay inpatient care, respite, or residential? Who decides, and what happens when symptoms settle?
• What is the daily room and board charge, and is any payment due at admission?
• Do I have to use your hospice to stay here, or can my current hospice follow my loved one in?
• Is there a waiting list, and how long is it today?
• Can family stay overnight, and are there visiting hours?

For a longer list, print the hospice scorecard.

Common questions

Is there a hospice facility near me in metro Detroit?

There are a small number of dedicated hospice houses, and inpatient hospice units inside some Detroit-area hospitals. There are far more hospice patients than hospice house rooms, so most people receive hospice at home or in the assisted living or nursing home where they already live.

Does Medicare pay for a hospice house?

Medicare pays for the hospice care, and for short-term inpatient or respite stays when they are medically needed. It does not pay room and board for living in a hospice house long term, so residential stays are usually private pay.

How long can someone stay in an inpatient hospice unit?

Inpatient hospice care is meant for days, not months. It lasts until pain or other symptoms are under control, and then the person returns home or to their facility with hospice continuing there. Respite stays are limited to five days at a time.

Can hospice provide 24-hour care at home?

Under routine home care the hospice team visits and is on call 24 hours a day, but does not staff the home around the clock. During a medical crisis, Medicare covers continuous care at the bedside for a short period. Families who need someone present all day and night usually combine hospice with family shifts, hired caregivers, or a move to assisted living or a nursing home.

My mother is in the hospital and cannot go home alone. What are the options?

Ask the case manager about three paths: home with hospice and family or hired help, a nursing home or assisted living with hospice, or a hospice house. A hospice can evaluate her in the hospital, often the same day, and help the family compare them.

Does Lily Hospice have its own hospice house?

No. Lily brings hospice to the patient’s home, assisted living, memory care or nursing home, and arranges short-term inpatient care or respite at partner facilities when it is medically necessary.

Hospice isn’t giving up. It’s showing up. Call (248) 955-5100; a real person answers, 24 hours a day.