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Horizons Home Care


Our health care professionals work closely with you, your patients and their families to develop an individualized home care plan designed for their health care needs. Home Health Care is a viable, cost effective alternative to hospitalization, especially during the transitional stage between curative and palliative treatment options.

We address the physical, psychosocial, and spiritual needs and expectations of patients with life-threatening illnesses at any time during that life-threatening illness—even if life expectancies extend to years. Although the focus intensifies at the end-of-life, the core issues of relief of suffering and improvement of quality of life are important throughout the course of the illness.

People might consider Home Health Care when they are sick with a progressive condition that is expected to end in death, and for which there is no treatment that can substantially alter the outcome. Thus, people who have illnesses such as advanced dementia, severe congestive heart failure, Parkinson’s disease, or COPD, in addition to illnesses more routinely recognized as terminal, such as advanced cancer, may benefit from this program.

For more information about Horizons Home Care, call (919) 828-0890 or Contact Us.



Who is Eligible?

Individuals are eligible for home health care services if they are under the care of a physician who verifies medical care is necessary, they are confined to the home except for infrequent trips out of the home for short duration, and skilled nursing care is required on an intermittent basis.

Some key functional questions related to screening patients for palliative home health care would be:

  • Does the patient have a chronic condition which can be treated, but not reversed?
  • Does the patient have to visit his or her physician more than once a month?
  • Has the patient changed the amount or type of food he or she is eating?
  • Has there been a weight loss or gain of more than 10 pounds in 30 days?
  • Has the patient experienced a change in sensory perception, i.e., loss of visual acuity, loss of hearing ability?
  • Does the patient often feel sad or depressed?
  • Does the patient have problems with blood pressure or with an irregular heart rhythm?
  • Does the patient get short of breath after walking less than 20 feet or while performing normal activities of daily living such as bathing, eating or getting themselves dressed?

Admission Criteria

  • Presence of life-limiting diagnosis with discomfort/pain coupled with patient/family in need of more information and slower transitional process.
  • The Palliative Care Pathway can either stand alone or run concurrently with treatment of other co-morbid conditions, i.e., post surgical care and wound care.
  • Patient/family lacks understanding of disease progression and treatment effects.
  • Patient/family demonstrates need for understanding of end-of-life decisions, issues and options.
  • Patient needs to maximize pain control/symptom management.
  • Need to maximize psychosocial support within home health model.
  • Need to maximize Activities of Daily Living within patient’s ability/choice.
  • Need to facilitate a smooth and seamless transition into Hospice if selected.
  • Case manager (RN) to provide pain and symptom management, instruction and support.
  • Case manager (RN) to order/supply any necessary durable medical equipment and medical supplies needed for optimum comfort of patient.
  • Medical social worker to assist with access to community resources and to review 5 Wishes and Hard Choices with patient/family.
  • Hospice-trained certified nursing assistant to transition with patient if level of care changes.



Registered Nurses

Coordination of care plan, symptom management, skilled nursing care to assist with disease management, instruction on medications, medication management, safety, care giving skills, and observation for signs and symptoms of complications. Provide medically necessary treatments and/or wound care.

Social Workers

Advanced health care planning, understanding health care terminology, advance directives, community resource coordination and referrals to a variety of community resources.


Home safety evaluation, strengthening exercise, gait training, and/or transfer techniques. Occupational and Speech therapy evaluations.

Home Health Aides

Home health aides can help with bathing, grooming, dressing, feeding, light housekeeping, and preparing a light meal.

Spiritual Care Counselors

Coping with illness, support for loved ones.

Private Duty Nursing Assistants

Companionship, safety monitoring, light housekeeping, light laundry, and simple meal preparation.



Every individual deserves the quality of life that he or she wants near life's end. Although we receive reimbursement from Medicare, Medicaid and private insurance, no family is ever denied the care they request due to lack of payor source.

Payors accepted:

  • Medicare
  • Medicaid
  • Most private insurers
  • Private pay



Referrals are accepted 7 days a week, 24 hours a day:

To make a referral to any of our services, please call our Access Department at 919-828-0890, Monday – Friday, 8am to 6pm. This number can also be called for evening and weekend referrals. Click here for access to referral forms.


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