MONARCH HOSPICE CARE, INC
Provider Information
- Address
- 19608 CAMINO DE ROSA, SUITE 201
WALNUT, CA 91789 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 26, 2016
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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) | 5 |
| Licensed Practical Nurses (LPN) | 3 |
| Physicians | 3 |
| Volunteers | 2 |
19
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 CARE, INC reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Both provided directly and arranged with other facilities
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Both supplied directly and through outside suppliers
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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how MONARCH HOSPICE CARE, INC compares to hospices nationwide.
13.8 minutes
of nurse care per routine home care day, on average
That is the 66th percentile among hospices nationally. The national median is about 12 minutes.
9
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 day13.8 min
Ranks better than about 66% 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 weekends10.1%
Ranks better than about 70% 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 life78.9%
Ranks better than about 13% 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 visits85.3%
Ranks better than about 8% 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 care16.7%
Ranks better than about 6% 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 months22.2%
Ranks better than about 84% 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 care11.1%
Ranks better than about 30% 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 hospice5.6%
Ranks better than about 9% 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)85th 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$16,485 · 42nd 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 30% of patients or more. Most hospices score above 90 percent.
- Pain screening99%
- Pain assessment88.3%
- Breathing difficulty screening100%
- Breathing difficulty treatment69.1%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids30%
- All care steps completed68.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia37%
- Heart and circulatory disease39%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Supportive Care in Walnut
Monarch Hospice Care, Inc. serves families throughout Walnut, California, and the surrounding Los Angeles County area. They provide specialized end-of-life care focused on comfort, dignity, and quality of life for patients. Their team works to manage pain and symptoms while supporting the emotional needs of the entire family. Choosing a provider in your own community often makes a big difference in how quickly they can respond to your needs. This team is dedicated to keeping patients comfortable in their own homes or care facilities. Having local support means the staff is nearby when you need them most. It is about making each day count. They bring professional care directly to your door to help you focus on spending time with the people you love most.
About Monarch Hospice Care, Inc.
Monarch Hospice Care, Inc. is a for-profit hospice provider that has been Medicare-certified since August 26, 2016. This long history of certification shows they meet the federal standards set for hospice agencies. Being a for-profit agency means they operate under specific business structures, but they must still follow strict Medicare guidelines to keep their certification. What families should know is that all Medicare-certified hospices must provide the same basic level of care, including nursing, social work, and chaplain support. The differences usually come down to their specific team culture and how they communicate with you. That is why checking their quality scores is a smart first step. You want a team that feels right for your family. Their track record gives you a clear picture of their experience in the field.
Quality Performance
Understanding Hospice Care in Walnut
Walnut is part of a large network of care options in Los Angeles County. Many families find it helpful to know that hospice is not a place you go to, but a service that comes to you. Whether your loved one is at home, in an assisted living center, or a nursing home, hospice teams can visit them there. The main goal is always comfort rather than a cure. Here is the thing—hospice care is covered by Medicare for those who qualify. This means you do not have to worry about the cost of most hospice services. And since there are several providers in the area, you have the right to choose the one that aligns with your values. Take your time to interview them. Asking about their response times and their specific approach to pain relief is always a good idea.
What to Ask When Choosing a Hospice Provider
It can be overwhelming to pick a provider, but asking the right questions helps clear the fog. Start by asking how quickly a nurse can reach your home if a crisis happens at night or on the weekend. You should also ask how they handle pain management and if they have a doctor who specializes in hospice care. Another good question is how they support the family emotionally after the patient passes. Do they offer grief counseling? And how often will a volunteer or aide visit your loved one? The answers to these questions will tell you a lot about their priorities. A good hospice team will be happy to answer everything clearly and patiently. Do not feel rushed to decide. You deserve a team that listens to your concerns and respects your family's wishes every single step of the way.
Preserving Your Family's Story
During this time, your family's stories and memories are more precious than ever. We offer resources to help you record these moments for future generations to cherish.
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Helpful Guides for Families
Understanding Medicare Hospice Benefit: A Family Guide
Confused by hospice coverage? Our guide to understanding Medicare hospice benefits helps you navigate care options and costs with confidence and clarity.
Starting the End-of-Life Conversation: A Family Guide
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Creating a Living Will Checklist: A Hospice Care Guide
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Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.