01
RN case manager
One registered nurse who leads your care, visits on schedule and calls your doctor.
MedicareHospice · Texarkana, Texas & Arkansas
One team, two states, and a nurse who always picks up.
Hospice nurses, aides, chaplains and social workers licensed and working on both sides of State Line Avenue, so the care stays the same no matter which side of the street you live on.
- 1999serving the Four States area
- 2states, one care team
- 20 minaverage after-hours call-back
Why families call us
Comfort without the paperwork maze.
Texarkana families know the State Line problem: a doctor in Texas, a house in Arkansas, a daughter in Louisiana and insurance that seems to care which is which. We are licensed in both states and we sort out the details, so you don't have to.
What you get is one hospice team that knows your family, visits on a schedule you can count on, and answers the phone at 2 a.m. with a real nurse's voice.
— Monica Ellison, RN, MBA, Executive Director
What we're known for
Three things we do well
02
After-hours nursing
A nurse answers the phone, and comes out at night when a call isn't enough.
24/7
03
Bereavement support
Calls, mailings, visits and a grief group on Thursday evenings.
13 monthsPhoto tour
Days that still belong to them
Sample family reviews
In families' own words
Mama lived in Arkansas, her doctor was in Texas, and nobody else could figure out the paperwork. Four States had it sorted in one afternoon.
Luis came at three in the morning and stayed until Daddy was comfortable. Then he made me eat something.
Our volunteer, Mr. Earl, came every Wednesday to watch the Razorbacks reruns with my husband. Bill looked forward to it all week.
Dr. Tran sat on our porch and explained exactly what to expect. Nobody had been that honest with us before.
They held a pinning ceremony for Granddaddy in his recliner. He was a Marine and he sat up straight for it.
Amber helped me fill out every form and then checked on me for a year afterward. I'm not sure I'd have managed without her.
My kids went to the grief camp the spring after their grandmother died. It was the first time they talked about her without crying.
For families
For the family
Caring for someone at home is hard work. Here is what we do for you.
- 01
A real nurse, any hour
Call day or night and a hospice nurse answers. Our average call-back after hours is about twenty minutes.
- 02
The plan, written down
Medicines, visit days and phone numbers in a binder on the kitchen counter, updated every visit.
- 03
Rest for the caregiver
Volunteers for a few hours, respite stays for a few nights.
- 04
No surprises
Our nurses explain the changes that come near the end, gently and ahead of time.
Insurance & payment
Paying for hospice
Most families owe nothing for hospice care. Here's how coverage usually works; our business office will check your specific plan.
Medicare
The Medicare hospice benefit covers the team, medicines, equipment and supplies related to the hospice diagnosis, usually with no cost to the family.
Texas and Arkansas Medicaid
Both states' Medicaid programs cover hospice. If your loved one lives in a nursing home on Medicaid, room and board continues to be covered.
VA benefits
Veterans enrolled in VA health care are eligible for hospice. We help coordinate with the VA.
Private insurance
Most employer and marketplace plans include a hospice benefit. We verify coverage before care begins.
Room and board
Hospice does not pay rent or room and board in a nursing home or assisted living. Our social worker can explain the options.
- 1999serving the Four States area
- 2states, one care team
- 20 minaverage after-hours call-back
- 13 mo.of grief support for families
Where we care
Hospice goes where they live
The same team and the same benefit, in any of these settings.
01
At home
Most patients stay in their own bed. We bring the equipment, medicines and team to the house.
- Equipment delivered
- Nurse visits on schedule
- 24/7 phone line
02
In assisted living or a nursing home
If home is a facility, our team works alongside the staff there and adds hospice comfort care.
- Same hospice team
- Facility staff coordination
- Family support
03
Short inpatient stay
When symptoms can't be managed at home, a short stay at a contracted hospital unit, with our team still involved.
- Covered by Medicare
- Short-term
- Home again when stable
Our team
The people at your door
Monica Ellison, RN, MBA
Executive Director
Dr. Kenneth Tran
Hospice Medical Director
Darnell Hayes, RN
Director of Nursing
Rev. Gerald Pierce
Chaplain
Ratings & recognition · sample
- Readers’ Choice · Best Senior Care
- Community Choice Awards · Winner
- Regional Business Journal · Top Workplaces
- County Chamber · Small Business of the Year
- Family Caregiver Alliance · Partner
Contact
On Richmond Road
- 2410 Richmond Road, Suite 110
Texarkana, TX
Free parking in front of our building on Richmond Road. The main entrance is at ground level with an automatic door. - (903) 555-0157
- Text us
- care@fourstateshospice.example
- Four States Hospice
Reaching us
- Office, Mon – Fri8a – 5p
- Hospice nurse on call24 hours, both states
- Admissions7 days a week
One number for both states. Nights and weekends, it rings straight to the nurse on call.
Call tonight. We're up.
A hospice nurse answers every hour of every day. Ask anything; nothing is decided until you say so.