VITAS Advantage: Helping Nursing Homes with Patients Requiring High-Acuity Care

With help from the right hospice provider patients with high-acuity needs can be managed in a nursing home.
Is Your Patient Hospice-Eligible?

How VITAS Helps You

When most people approach the end of life, they want to be at home. For many Americans, that means in the familiar setting of their nursing home. While over 20 percent of older Americans die in a nursing home, 30 percent of all hospital deaths involve persons transferred from nursing homes in the last few days, indicating the presence of illnesses and symptoms that could not be managed at the facility.1

VITAS is equipped to take on patients requiring high-acuity care—nursing home patients for whom other hospice programs may lack resources or expertise to provide the necessary care, especially when complex modalities are required.

Improved Quality Metrics and Hospital Relationships

VITAS can help improve your short- and long-stay metrics, especially if your resident is coping with aggressive symptoms or unmanaged pain, makes frequent visits to the ED or has been readmitted to your feeder hospital.

No matter how complex or challenging your resident’s symptoms, VITAS offers hospice and palliative care solutions and protocols that many other hospice providers do not, improving quality of care and keeping your residents out of the ED to help maintain your quality metrics and relationships with referring hospitals.

24/7 Clinical Support

With VITAS, your staff always has support. VITAS clinicians are always available to answer questions and educate your staff. When a VITAS patient in your facility becomes acutely symptomatic or noncompliant, VITAS can send a clinician at any time–day, evening, weekend or holiday–to provide assistance and relief, reducing your staff’s burnout and stress.

Individualized Care Plan in Preferred Setting of Care

We tailor our care plans to residents’ wishes and goals at the end of life, producing more favorable outcomes for them, families, caregivers and your staff. For nursing home residents, this means receiving care where they currently live. VITAS offers four levels of hospice care to meet a patient’s varying needs throughout their disease trajectory, helping them stay in place and achieve an ideal death in their preferred setting.

Expert Dementia/Alzheimer’s Care

VITAS is prepared to meet the unique needs of patients who have Alzheimer’s/dementia and who wish to remain where they live. Our interdisciplinary team develops a care plan with the advice and consent of your resident’s neurologist or other physician; a team manager coordinates the flow of information between our personnel and your staff.

When patients become agitated or develop other high-acuity symptoms, VITAS can administer antipsychotics and provide other forms of relief–pharmacological and nonpharmacological–to keep the resident in your facility and improve your long-stay quality metrics.


1. Johnson, S. (2005). Making Room for Dying: End of Life Care in Nursing Homes. The Hastings Center Report, 35(6), S37-S41. Retrieved from