Hospice Care in Royal Oak, MI

Updated September 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 Royal Oak from our family-owned office in Troy, 15 minutes away. An admission nurse can usually come the same day, and a real person answers (248) 955-5100 at any hour.

A lot of Royal Oak hospice stories start the same way: a room at Corewell Health William Beaumont University Hospital on Thirteen Mile at Woodward, a doctor saying “no more treatment,” and a discharge planner asking which hospice you want. You have maybe a day to decide. This page is for that moment, and for the quieter version, where your mother is still in her bungalow on the north end and you have noticed she is sleeping most of the day.

Coming home from the hospital to a Royal Oak house

Royal Oak’s housing is what makes hospice here different from, say, Rochester Hills. Much of the city was built between the 1920s and the 1950s: bungalows, Cape Cods and small colonials on narrow lots in Vinsetta Park, Northwood, the streets between Main and Campbell, the blocks near the Detroit Zoo. Bedrooms upstairs. One bathroom, often upstairs. Narrow stairways with a turn.

So the first question is where your father will sleep. Our nurse plans it with you on the admission visit: a hospital bed in the front room, a bedside commode, a shower chair if the bath is reachable. Medicare covers the equipment, delivered often the same day.

If he is being discharged from Corewell Health William Beaumont University Hospital, tell the case manager you want Lily. We coordinate the timing so the bed is in the house before the car pulls up. Nobody should come home to an empty living room and a folded-up set of instructions. For families in the condos and apartments along Woodward and near downtown, the plan is simpler: single-floor living and a team that comes to the door. Hospice also comes to Royal Oak’s assisted living, memory care and skilled nursing communities; see hospice in assisted living and memory care.

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 father’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 him. Within a day or two the 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. That first visit is described in more detail in what happens on the first hospice visit.

What each week looks like after that

A Lily nurse visits one to three times a week at first, more as needed, and adjusts medications for pain, breathing and restlessness. A hospice aide comes for bathing and skin care. A social worker handles paperwork you did not know existed and helps with family logistics, including a spouse who is exhausted and will not admit it. A chaplain is available. Volunteers can sit with him for a couple of hours so you can get to the Farmers Market on Eleven Mile. After a death, bereavement support continues for your family.

At any hour, you call (248) 955-5100 and a real person answers. When a nurse needs to come out to Royal Oak at 2 a.m., a nurse comes out; see who answers a hospice phone at night.

Eligibility, in plain terms

Medicare hospice requires two things: a physician certifies a prognosis of six months or less if the illness runs its normal course, and the patient chooses comfort-focused care instead of treatment meant to cure the terminal illness. No requirement to be bedbound or to have exhausted every option, and hospice can be revoked at any time. If you are not sure whether it is time, our Is It Time for Hospice? guide walks through the signs illness by illness, and signs it’s time for hospice is the short version.

For the middle ground, when your mother is still seeing her oncologist at Corewell Health in Royal Oak and is not ready to stop, the Pathways Palliative Program provides symptom control alongside treatment. It is billed through Medicare Part B visits, so the six-month certification does not apply. See the Pathways Palliative Program.

What Medicare pays, and what it does not

Medicare Part A pays Lily directly. That covers the team, medications for pain and symptoms related to the terminal illness, equipment and supplies, short-term inpatient care, respite and bereavement support. You may owe up to $5 per prescription for symptom-control drugs and 5% of the Medicare-approved amount for inpatient respite. Medicaid and most private plans mirror the benefit. 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, continuous home care during a short crisis, inpatient respite (up to five consecutive days per occurrence) and general inpatient care. Details: medicare.gov; the National Alliance for Care at Home.

What it does not pay for: round-the-clock custodial care at home, or facility room and board.

The Royal Oak version of “who is caring for whom”

Royal Oak has become a young city, which changes the shape of caregiving. Often it is a daughter in her forties on Vinsetta Boulevard bringing her mother in from a farther-out suburb, or a couple in their thirties setting up a hospital bed for a father-in-law in the finished basement. Or, still very often, a widow who has lived in the same house since 1971 and will not leave it.

Each looks different, and the plan should too. Inpatient respite, up to five consecutive days, matters for the daughter with a full-time job and school pickups; see what hospice respite care is. The widow needs a nurse who checks on her as much as on her husband, and if she is the one who is ill and lives alone, we build the plan around that; see hospice when your parent lives alone. We build the plan around who is actually in the house.

Resources near Royal Oak

In September 2026 Lily Hospice and Balanced Home Care sponsored and walked in the Detroit Walk to End Alzheimer’s at the Detroit Zoo, right here in Royal Oak. The Alzheimer’s Association 24/7 Helpline is 800-272-3900.

• The Mahany/Meininger Senior Community Center at 3500 Marais Avenue, Royal Oak’s senior center, for meals, programs and transportation.
• 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 Medicaid waiver.
• Oakland County Veterans’ Services in Pontiac, for VA benefits including Aid and Attendance. Lily’s Veteran Advisory Committee, Veteran Rapid Response program, veteran volunteers who visit veteran patients, and pinning ceremonies to honor service are at our veterans page; we are working toward VA Community Care Network participation. Lily is family-owned, not veteran-owned.
• Our guides on recognizing when it is time: Is It Time for Hospice? and signs it’s time for hospice.

Why Royal Oak families call Lily

We are 15 minutes up the road, family-owned, Medicare-certified and ACHC-accredited. A real person answers every hour of every day. Our Journey Program brings virtual reality experiences to patients who can no longer get out, whether that is a Lake Michigan shore or a cathedral in a country they have not seen since childhood. Our Medicare Care Compare results, including the measures we are still working on, are public on our quality scores page. Read more at why families choose Lily and our reviews.

How to reach us from Royal Oak

Our office is at 2125 Butterfield Dr, Suite 299, Troy, MI 48084, about 15 minutes away via I-75, Crooks or Rochester Road. Most families never make the drive. Call, and we come to you.

Nearby: Hospice care in Troy, our Oakland County hub and Southfield.

Common questions

My father is being discharged from Beaumont tomorrow. Is that enough time? Usually, yes. Call us today. We will contact the case manager, arrange the certification, and work to have equipment in the house before he arrives.

Does hospice mean stopping all medications? No. Comfort medications continue. Medications that no longer help are reviewed with you and your physician; nothing is stopped without a conversation.

Can he keep seeing his own doctor? Yes. Your father’s physician can remain the attending physician and work with our team. See keeping your own doctor on hospice.

How quickly can hospice start in Royal Oak? 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; see how to start hospice this weekend.

Can hospice work in a two-story Royal Oak bungalow with the only bathroom upstairs? Yes. On the admission visit the nurse plans the first-floor setup with you: a hospital bed in the front room, a bedside commode and a shower chair or sponge-bath routine so nobody has to manage the stairs.

Do you serve the neighborhoods around Royal Oak too? Yes. Berkley, Huntington Woods, Clawson, Madison Heights, Ferndale, Pleasant Ridge and Birmingham are all in our Oakland County service area.

Talk to us

Call (248) 955-5100 and a real person will answer, day or night. Or reach us at our contact page. Lily Hospice serves Royal Oak from our office in Troy.

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

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