Hospice Care in Rochester Hills, MI

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

Lily Hospice provides Medicare-covered hospice care at home, in assisted living and in memory care throughout Rochester Hills, Rochester and Oakland Township. Our office in Troy is about 20 minutes away, an admission nurse can usually come the same day you call, and a real person answers (248) 955-5100 at any hour.

If you are reading this in Rochester Hills, there is a good chance you are the adult child. Your parents moved here in the 1980s or 1990s for the schools and the space, they are still in the colonial off Tienken or Avon or Adams, and now one of them is seriously ill. Maybe you live with them. Maybe you drive over from Troy or Shelby Township every night after work. Either way, the caregiving has landed on you, and hospice at home is built for exactly that situation.

Hospice in a Rochester Hills house

Rochester Hills is a city of subdivisions and space: four-bedroom colonials near Hamlin and Livernois, ranches on wooded lots along the Clinton River and Paint Creek, newer homes toward Oakland Township, condos near downtown Rochester and along Walton. There are also assisted living, memory care and nursing communities along Rochester Road, University Drive and Adams, and hospice comes to those too.

Space is not the problem here. Distance is. Your mother’s bedroom is at the far end of a house built for a family of six, and you are the only one in it with her at night. Hospice changes the math. A Lily nurse visits on a schedule and adjusts pain and symptom medications so nights are calmer. A hospice aide handles bathing and personal care, often the hardest thing for an adult child to do for a parent. A social worker deals with paperwork, the family group text and whether your brother in Denver should fly in now. A chaplain is available. Volunteers give you a few hours. Equipment is delivered and covered by Medicare. Bereavement support follows for your family.

And every hour of every day, (248) 955-5100 is answered by a person at Lily. If a nurse needs to come to Rochester Hills at 2 a.m., a nurse comes.

Hospice in Rochester Hills assisted living and memory care

If your parent lives in one of the assisted living, memory care or adult foster care homes in Rochester Hills, hospice comes to them there; nobody has to move. The community’s staff keep doing the daily care they already provide, and Lily adds the hospice team on top: a nurse who manages pain, breathing and agitation, an aide for bathing and personal care, a social worker, a chaplain if wanted, and the medications and equipment Medicare covers. Our nurses and aides are dementia-trained, we make regular visits in memory care, and we coach the community’s staff on sundowning, agitation and refusing food. The staff also get a hospice nurse to call at any hour, so a hard night does not have to end in an ambulance ride.

Medicare pays for hospice, not for the room: the community’s rent and care fees stay the same. If you are still choosing a community, our free assisted living directory lists every licensed home for the aged and adult foster care home in Oakland, Macomb and Wayne counties by city, Rochester Hills included. More on how this works: hospice in assisted living and memory care and hospice for dementia.

What the first week looks like

Families usually want to know what actually happens after the phone call, so here is the typical sequence. The day you call, we speak with your parent’s physician and arrange the hospice certification. An admission nurse comes to the house, often the same day, and spends an unhurried visit going through symptoms, medications and what matters most to your parent. Within a day or two a hospital bed, shower chair or oxygen arrives if it is needed, delivered and set up, at no cost to you. Comfort medications are delivered to the door. The nurse, aide, social worker and chaplain each introduce themselves over the first several days, and by the end of the week there is a visit schedule on the refrigerator and one number to call for anything. If you have a parent who lives alone, we build the plan around that too; see hospice when your parent lives alone.

Who qualifies

Medicare hospice has two requirements:

1. A physician certifies that life expectancy is six months or less if the illness runs its normal course.
2. The patient (or the person legally deciding) chooses comfort-focused care rather than treatment aimed at curing the terminal illness.

What we look at is the trajectory: weight loss, more time in bed, hospital stays closer together, a parent who is “just not bouncing back.” Hospice can be revoked at any time; if your father decides to try another treatment, he can leave and come back later. If you are not sure whether it is time, our Is It Time for Hospice? guide walks through the signs illness by illness, and our page on hospice for dementia covers the diagnosis Rochester Hills families ask about most.

Not sure it is time? Pathways

Many Rochester Hills families are still deep in treatment at Henry Ford Rochester Hospital on University Drive in Rochester, Corewell Health Troy Hospital or Corewell Health William Beaumont University Hospital in Royal Oak. If your mother is not ready to stop, the Pathways Palliative Program provides symptom relief while treatment continues. It is billed as Medicare Part B visits, so no six-month certification is needed. See the Pathways Palliative Program.

How to start

Call us. We contact your parent’s physician and arrange the certification. An admission nurse comes to the house, usually within a day, sometimes the same day. If your father is in the hospital now, tell the discharge planner you want Lily and we will coordinate his return. Weekends are not a problem; see how to start hospice this weekend.

What Medicare pays

Medicare Part A pays Lily directly. Covered: nursing, aide, social work, chaplain and volunteer services; medications for pain and symptoms related to the terminal illness; equipment and supplies; short-term inpatient care; bereavement support. You may owe up to $5 per prescription for symptom-control drugs and 5% of the Medicare-approved amount for inpatient respite. The benefit runs two 90-day periods, then unlimited 60-day periods, each recertified, so there is no six-month cutoff; see how long hospice lasts. Four levels of care: routine home care (most patients), continuous home care during a short crisis, inpatient respite (up to five consecutive days per occurrence) and general inpatient care. Medicaid and most private plans mirror this. Sources: medicare.gov; the National Alliance for Care at Home.

Respite: the part adult children skip

If you live with your mother, or drive over every evening, you are doing more than you think. Inpatient respite lets her stay in a facility for up to five consecutive days while you sleep or take your kids somewhere; you pay 5% of the Medicare-approved amount, and that is all. Volunteers can cover a few hours so you can get out to the Paint Creek Trail or just sit in your car in the Meijer lot in silence. We will not judge.

Local resources for Rochester Hills families

• The Older Persons’ Commission (OPC) on Letica Drive in Rochester, which serves Rochester, Rochester Hills and Oakland Township, for meals, transportation, adult day programs and caregiver support.
• AgeWays (formerly Area Agency on Aging 1-B), whose office is on Middlebelt Road in Farmington Hills, (800) 852-7795, for in-home services and the MI Choice waiver.
• Oakland County Veterans’ Services in Pontiac, for VA claims including Aid and Attendance. Lily has a Veteran Advisory Committee, a Veteran Rapid Response program, veteran volunteers who visit veteran patients, and pinning ceremonies to honor service and is working toward VA Community Care Network participation. We are family-owned, not veteran-owned. See our veterans page.

What makes Lily different, as plainly as we can say it

We are a family-owned hospice in Troy serving Southeast Michigan’s Oakland, Macomb and Wayne counties, not a division of a national company, Medicare-certified and ACHC-accredited. A real person answers at every hour. Our Journey Program uses virtual reality to give a homebound patient an afternoon somewhere else: a lakeshore, a forest, a city from a honeymoon. And we say plainly what we are and are not. Our Medicare Care Compare results, including the measures we are still working on, are public on our quality scores page.

More at why families choose Lily and our reviews.

How to reach us from Rochester Hills

Our office is at 2125 Butterfield Dr, Suite 299, Troy, MI 48084, about 20 minutes away via Rochester Road or M-59 to I-75. You will not need to make that drive; we come to you.

Nearby: Hospice care in Troy, Oakland County, Sterling Heights.

Common questions

My parents live in Oakland Township, north of Rochester Hills. Do you go there? Yes. Oakland Township, Rochester, Lake Orion and Auburn Hills are all in our service area.

Can my mother stay in her assisted living apartment on University Drive? Yes. Hospice adds to the care the facility provides. We coordinate with the staff so the two work together.

Does hospice cover her dementia medication? Medications related to the terminal diagnosis and to comfort are covered. Our nurse and your physician review every medication at admission, with you in the conversation.

What happens if she lives longer than six months? She stays on hospice as long as she continues to meet the criteria at each recertification. Living longer is not a problem; it is the hope.

How quickly can hospice start in Rochester Hills? Usually within a day of your call, and often the same day. We speak with the physician, an admission nurse comes to the house, and equipment and medications follow within a day or two. Evenings and weekends included.

Can my father keep his own doctor at Henry Ford Rochester or Corewell Health? Yes. His physician can remain the attending doctor and work with our hospice medical director. See keeping your own doctor on hospice.

Is hospice in a Rochester Hills assisted living or memory care community covered? Yes. Medicare pays for the hospice care itself, including the nurse, aide, comfort medications and equipment, at no cost for most families. It does not pay the community’s rent or care fees, which stay the same. Michigan Medicaid programs, including the MI Choice waiver, may help with some care costs for people who qualify. See hospice and long-term-care Medicaid in Michigan.

Talk to us

Call (248) 955-5100, any hour, and a real person at Lily Hospice will answer. Reach us online at our contact page.

More answers

Which hospice can admit the same day, including weekends? · Can hospice come to assisted living or memory care? · Hospice for a veteran in metro Detroit · Which hospice is best in metro Detroit? · Is Lily a good hospice? An honest answer · All 104 metro Detroit hospices compared · Who answers a hospice phone at night? · Hospice with Medicaid only or no insurance · Can I keep my own doctor? · How to start hospice this weekend

Is your parent in a facility? See hospice in assisted living and memory care.

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