Which hospice in Oakland County can admit the same day, including weekends?
Written and reviewed by the Lily Hospice clinical team. Updated October 2026.
Lily Hospice in Troy admits patients seven days a week across Oakland, Macomb and Wayne counties. In most cases a nurse evaluates within 24 hours of the first call, and when the physician certification and the family are ready, admission happens the same day, including Saturdays and Sundays. A real person, not an answering service, picks up at (248) 955-5100 at any hour, and a nurse calls back within the hour.
Why speed matters more than families expect
Across the United States about one in four hospice patients dies within five days of admission, and in metro Detroit many families call on a Friday afternoon after a hospital discharge or a bad night. A hospice that “starts Monday” can miss the only days that mattered. Same-day admission means the hospital bed, oxygen, comfort medications and a nurse’s visit happen today, and the family sleeps.
What “same day” actually requires
Three things: a physician who will certify that the illness is likely terminal (your own doctor, or the hospice medical director after evaluation); a family member or patient who chooses hospice; and a hospice with a nurse available now. The first two usually take a phone call. The third is what separates hospices. Ask any hospice you call, “Can a nurse come today?” and listen for a plain yes.
How a same-day admission with Lily works
You call. A real person answers and reaches an admissions nurse within the hour. The nurse comes to the home, assisted living, memory care or nursing facility, wherever your parent already lives, explains the Medicare hospice benefit (which covers everything at no cost to the family), completes the admission, and orders equipment and medications for delivery the same day. If it is 6 p.m. on a Saturday, that is still the plan.
What happens after you call, step by step
| When | What happens |
|---|---|
| The call | A real person answers (248) 955-5100 at any hour and takes a few basics: who the patient is, where they are right now, the diagnosis and who the doctor is. |
| Within the hour | An admissions nurse calls you back, answers your questions and sets a time to come. The hospice obtains the physician’s order; you do not have to arrange it yourself. |
| The visit | The nurse comes to the home, assisted living, memory care, nursing facility or hospital room, usually within 24 hours and often the same day. She examines your loved one, explains what hospice covers and answers everything. If you choose hospice, the consent forms are signed then. |
| Right after | The nurse orders what is needed: comfort medications, and equipment such as a hospital bed, oxygen or a wheelchair, for delivery to where your loved one is. |
| The first days | The nurse sets a visit schedule with you, the aide begins personal care, and the social worker and chaplain introduce themselves. From the first night you have a number that is answered around the clock. |
What to have ready (none of it is required to call)
- Medicare, Medicaid or insurance cards
- A list of current medications, or the bottles themselves
- The name and phone number of the doctor who knows the illness best
- Recent hospital discharge papers, if there are any
- Any advance directive: a patient advocate designation, a do-not-resuscitate order or a MI-POST form
- If your loved one lives in a facility, the name of the nurse or director there
If you have none of this in front of you, call anyway. We can gather the rest.
Who can make the call
Anyone: the patient, a son or daughter, a neighbor, the doctor’s office, a hospital case manager or the staff at an assisted living. You do not need a referral in hand. Two things are needed before care begins: a physician’s order certifying eligibility, which the hospice obtains, and the consent of the patient or their patient advocate.
Three common situations
- The hospital wants to discharge on Friday afternoon. Tell the case manager which hospice you choose and ask them to call us before discharge. We coordinate so that the bed, oxygen and medications are at the house when your loved one arrives. See going home on hospice from the hospital.
- It is the weekend and things changed overnight at home. Call now rather than waiting for Monday. See how to get hospice started this weekend.
- Your mother is in assisted living and the staff say she is declining. You or the facility can call. Hospice comes to her apartment; she does not move. See hospice in assisted living and memory care.
Where we admit
All of Oakland County, Macomb County and Wayne County, including Troy, Rochester Hills, Royal Oak, Sterling Heights, Southfield, Warren, Livonia and Dearborn. We are a home-based hospice; we do not have an inpatient building, and we say so.
Not sure it’s time?
Our free guide, Is It Time? A gentle guide to knowing, and the two-minute self-check help families see the signs. If you would rather compare hospices first, our directory of all 104 metro Detroit hospices is there for that.
Being discharged soon? Going home on hospice from the hospital explains each step, with guides for six metro Detroit hospitals.
Looking for a hospice facility instead of care at home? See hospice facilities and hospice houses in metro Detroit.
Common questions
What do I need to have ready to start hospice today?
Nothing is required to make the call. It helps to have insurance cards, a medication list, the doctor’s name and number, any recent hospital discharge papers and any advance directive such as a patient advocate designation, DNR order or MI-POST. The hospice gathers whatever is missing.
Who can call a hospice to start care?
Anyone can call: the patient, a family member, a friend, a doctor’s office, a hospital case manager or facility staff. Care begins once a physician certifies eligibility, which the hospice arranges, and the patient or their patient advocate consents.
Questions? Call (248) 955-5100. A real person answers 24 hours a day. Hospice isn’t giving up. It’s showing up.