The discharge nurse handed you a stack of papers, a pulse oximeter, and a follow-up appointment three weeks out. Then they wheeled your father to the curb.
You’re now alone in the house with a 78-year-old who can’t reach his own meds, hasn’t bathed since Tuesday, and isn’t supposed to put weight on his left leg.
This is the moment most readmissions are made.
Bathing and repositioning
Built by RN Founder
Family relief
From Hospital Discharge
The Reality
Hospice — the Medicare-covered medical benefit — provides skilled nursing visits, an aide for limited hours, social work, chaplaincy, and bereavement support. It is profoundly important work. But hospice does not provide round-the-clock daily care. That’s not what it’s for, and it never was.
The daily care — the bathing every other day, the repositioning every two hours, the soft food at lunch, the companionship through the long afternoons, the presence when family can’t be there — falls on family. And families weren’t designed to do this for weeks or months without help.
We don’t replace hospice. We work alongside it.
The Comfi-Kare Difference
Caregivers assigned to hospice support clients are trained in:
End-of-life comfort care — repositioning, oral care, mouth swabs, skin protection
Recognition of dying signs — and how to respond, who to call, what to say
Communication with someone unresponsive — because hearing is the last sense to go
Communication with someone unresponsive — because hearing is the last sense to go
Working alongside hospice nurses and aides — clear roles, no overlap, smooth communication
Spiritual and cultural sensitivity — every family does death differently
This is sacred work. We treat it that way.
Magna Johnston, RN
MSN, CMSRN, CSA · Founder of Comfi-Kare
From Our Founder
“Hospice doesn’t cover the long quiet hours. That’s where we come in, so families can be families in the time they have left.”
“In Chevy Chase, caregiver Denise noticed Mrs. Halloway’s breathing change at 2 a.m. She called the family immediately. They gathered in time — held her hands, said goodbye, together. She passed peacefully, surrounded by love. That night, Denise gave a family something hospice hours couldn’t time.”
WHAT’s INCLUDED
Daily personal care — bathing, repositioning, oral care
Meal prep, feeding, and hydration support as appropriate
Family relief — letting the spouse or child sleep and breathe
24-hour care available for the final days
Mouth and skin care for end-of-life comfort
Companionship — sitting with, reading, music, presence
Coordination with the hospice nurse, aide, social worker, chaplain
Bereavement-aware caregivers who don't disappear at the moment of passing
What we do not do
WHAT’s INCLUDED
Coordinated with the family's hospice agency
From our specialized White Glove pool
For active-dying situations, often the same day
Without hospice support at home
What a good recovery looks like
SERVING MARYLAND
Rockville · Bethesda · Potomac · Gaithersburg · Germantown · Silver Spring · Olney
Columbia · Ellicott City
Frederick
Westminster
Common Questions
No — hospice is a Medicare-certified medical service provided by licensed hospice agencies. Comfi-Kare provides non-medical hospice support that works alongside the family’s chosen hospice agency.
Original Medicare’s hospice benefit does not cover non-medical home care from Comfi-Kare. Most families pay privately, use long-term care insurance, or use VA Aid & Attendance benefits.
Yes. We work alongside any Maryland hospice agency the family chooses — including Montgomery Hospice, Casey House, Hospice of the Chesapeake, Capital Caring, and others.
Yes. For the final days, many families bring in 24-hour Comfi-Kare coverage so no one is alone and family can rest.
Our caregivers are trained to remain present and supportive in the immediate hours after death — calling hospice, sitting with family, helping with practical needs — until the family is ready to continue alone.
Non-medical support alongside your hospice agency — often starting the same day.