End-of-life care
Conversations about end-of-life care are never easy, but having them early makes the time that follows easier for everyone. Firstat provides comfort-focused skilled nursing at home or in a facility. We are not a hospice. If your family has chosen one, our nurses can add support alongside the hospice team.
Why families choose Firstat for this.
A plan built for this patient
No fixed package. The plan of care follows the diagnosis, not the other way around.
Licensed clinical care
RN, LVN, and HHA staff performing real clinical work under a physician's plan of care.
Continuity whenever possible
We work to keep a consistent nurse on a case when scheduling allows, so care doesn't reset every visit.
Direct, private billing
Private pay, long-term care insurance, and workers' comp, billed directly.
End-of-life care: what's included

What to expect
- Assessment and planning with family members
- A customized plan of care addressing pain, oxygen needs, and palliative measures
- Family training on providing comfort and administering medications
- Guidance recognizing the signs that death is near, so families aren't caught off guard
- Support for care at home, or coordination if a facility-based option is preferred
Getting started is simple.
We start with an assessment and planning conversation with the family.
Assessment & family planning
We meet with the family to understand what matters most for this stage.
Customized plan of care
Addressing pain, oxygen needs, and palliative measures specific to the patient.
Family training
Families learn what to expect and how to provide comfort between visits.
Ongoing skilled support
Nursing visits continue at home, or coordinated with a facility if that's preferred.
What we work toward.
A more comfortable patient
Skilled pain and symptom management focused on dignity, not just clinical measures.
A family that knows what to expect
Guidance on the signs that death is near means families aren't caught off guard.
Comfort-focused care, wherever it happens
Skilled nursing focused on comfort, at home or in a facility, alongside a hospice team if your family has one.
Less to navigate alone
A nurse handling the clinical side frees family members to focus on being present.
Other ways we help San Diego families.
Home health & skilled nursing
Wound care, injections, ventilator and tracheostomy support, and intermittent skilled nursing under physician orders.
Learn more about Home health & skilled nursingHospital discharge
A smoother, monitored transition home after an injury, surgery, or extended hospital stay.
Learn more about Hospital dischargeStroke & fall recovery
Support through the physical, communication, and behavioral changes recovery brings.
Learn more about Stroke & fall recovery