MONARCH HOSPICE AND PALLIATIVE CARE
Provider Information
- Address
- 3600 AMERICAN RIVER DRIVE
SACRAMENTO, CA 95864 - Ownership Type
- Other
- Medicare Certified Since
- March 13, 2023
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 3 |
| Physicians | 2 |
| Volunteers | 1 |
8
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what MONARCH HOSPICE AND PALLIATIVE CARE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Respite care (up to five days at a time, to give family caregivers a break)
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2023.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how MONARCH HOSPICE AND PALLIATIVE CARE compares to hospices nationwide.
25.2 minutes
of nurse care per routine home care day, on average
That is the 98th percentile among hospices nationally. The national median is about 12 minutes.
4
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day25.2 min
Ranks better than about 98% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends18.3%
Ranks better than about 93% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life100%
Ranks better than about 99% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits11.8%
Ranks better than about 95% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care100%
Ranks better than about 1% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months0%
Ranks better than about 97% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care100%
Ranks better than about 1% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)67th percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$8,800 · 7th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 8 required care steps for new patients here, completed for 76.1% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment78.4%
- Treatment preferences discussed93.7%
- Beliefs and values discussed84.5%
- Bowel care for patients on opioids97.4%
- All care steps completed76.1%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia62%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Monarch Hospice and Palliative Care
Monarch Hospice and Palliative Care serves families throughout Sacramento, California. They offer supportive end-of-life care focused on comfort and dignity. Their team works out of their office on American River Drive to reach patients across the county. The goal is simple. They want to help patients spend their final days in a peaceful, supportive environment. Whether at home or in a care facility, they bring the care to you. It is a vital service for our neighbors in Sacramento.
About Monarch Hospice and Palliative Care
This provider has been Medicare certified since March 13, 2023. They operate under an 'other' ownership structure. That said, what matters most to your family is their commitment to quality. They have earned an overall rating of 4 out of 5 stars from Medicare. That is a strong score. It shows a clear focus on meeting high standards for patient care. Choosing a provider can feel like a heavy task. Knowing they have been vetted by federal standards can provide some peace of mind. They are relatively new to the area but have already shown a commitment to quality. Ask them about their specific experience in Sacramento to see if they are the right fit for your loved one.
Quality Care Rating
Understanding Hospice Care in Sacramento
Sacramento has a variety of hospice choices available for local families. The thing is, not all providers are the same. Some focus on large hospital networks. Others are smaller, independent groups like Monarch. You should look for a team that knows the local area well. Why does that matter? Because a local team knows the doctors, the pharmacies, and the community resources nearby. They can get supplies to your home faster. They can coordinate with your regular doctor more easily. That is a big deal when you are managing pain or complex symptoms. Take your time to compare your options. You deserve a partner who makes this hard time just a little bit easier to manage.
What to Ask When Choosing a Hospice Provider
Choosing care is a personal decision. Start by asking these questions to get a clear picture. First, ask how quickly they can respond to an urgent call in the middle of the night. You need to know someone will be there. Second, ask how they manage pain and other difficult symptoms. Do they have a specific plan for your loved one? Third, ask about their staff. Will you see the same nurse every week, or does it change often? Consistency helps build trust. Finally, ask what happens if your loved one needs more care than you can give at home. They should have clear answers for you. Trust your gut during these talks. You are the expert on your family's needs.
Keep Your Family Stories Alive
The end of life is a time to reflect on the stories that define us. Preserve these memories and hear the voices of your loved ones for years to come.
Start Your StoryOther Hospice Providers Nearby
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