Now Offering Palliative Care
Comfort, Dignity, and Expert Care—Right Where You Belong.
We are proud to announce the launch of our Palliative Care Program! Made to work alongside your current doctors, our nurse-led team focuses on reducing pain and stress from the moment of diagnosis. You don’t have to wait for hospice to get the comfort you deserve.
Parrish Health Systems of Ohio | We Care About You.
Nurse Owned & Operated.
Choose our hospice care for compassionate support that honors life with dignity and comfort. We’re here to guide you with expertise, empathy, and personalized care every step of the way.
Years of Experience
- Alzheimer's & Dementia Trained Staff
Welcome to
Parrish Health Systems of Ohio provides high standards of hospice care focusing on comfort rather than just a cure. Our practice encourages our patients comfort in their own community with better quality end-of-life care inside their own home.
Our mission is simple: to enhance lives, empower families, and elevate healthcare standards—one person, one family, one business at a time. Thank you for trusting us to be part of your journey.
Welcome to the Parrish family—where care meets excellence.
We Welcome You.
At Parrish Health Systems of Ohio, we believe in providing compassionate care and expert guidance when it matters most. Whether you’re seeking supportive hospice care, personalized in-home assistance through Parrish at Home, or strategic solutions with Parrish Business Consulting, we’re here to serve you with integrity, expertise, and heartfelt dedication.
Explore Our Family of Services
Our Businesses: Dedicated to Your Well-being
We've built a network of services committed to providing exceptional care and support. Whether you're looking for home care, hospice, consulting expertise, or medical supplies, the Parrish family is here for you. Click on a logo to learn more what each of our businesses offers.
Let's talk about hospice.
What is
Hospice?
Hospice involves comprehensive care to ensure the comfort and support of patients and their families when there is a life limiting illness. Hospice care is delivered by a team of specialists with experience and expertise in end-of-life care.
Why
Hospice?
The hospice philosophy is that there is a lot of living to accomplish during all phases of life. With expert symptom management through hospice, patients can find dignity, meaning, and peace during their last months, weeks or even days of life.
Possible Indicators of Hospice Eligibility
If two or more are present, hospice should be considered.
Hospice professionals continue to be concerned about the number of people accessing hospice care late in the course of an illness. The NHPCO report indicates that 53.8 percent of Medicare beneficiaries received hospice care for 30 days or less in 2018. A quarter (27.9 percent) of beneficiaries received care for seven days or less, which is considered too short a period for patients to fully benefit from
the person-centered care available from hospice.
Understanding Code Status
Making Informed Decisions About Your Care
What is Code Status?
Code status refers to what medical actions healthcare providers should take if someone's heart stops beating or they stop breathing. This decision is deeply personal and reflects individual preferences for medical intervention in life-threatening situations.
Full Code
Full Code means that if a person’s heart stops or they stop breathing, the medical team will do everything possible to restart the heart and lungs. This includes:
- Chest compressions
- Rescue breathing
- Defibrillation
- Intubation
- Cardiac medications
- Surgical intervention
What are the main complications of CPR?
- Aspiration & Vomiting: During CPR, the forceful chest compressions triggers vomiting in the person being resuscitated (revive from unconsciousness or apparent death).
- Broken Ribs: The application of force during CPR chest compressions leads to the cracking or fracturing of ribs, particularly in older individuals or those with fragile bones.
- Internal Brain Injuries: CPR aims to maintain the oxygen supply to the brain, but it inadvertently cause injuries to the brain if not performed correctly.
- Abdominal Distension: In some cases, the forceful chest compressions during CPR leads to abdominal distension, causing the abdomen to swell due to the accumulation of air or other substances in the digestive tract.
Aspiration Pneumonia: Aspiration pneumonia is a severe complication that results from inhaling vomit during CPR.
DNR
DNR stands for “Do Not Resuscitate.” A DNR order tells healthcare providers not to perform CPR (cardiopulmonary resuscitation) if the person’s heart stops or they stop breathing. A DNR order does NOT mean “do not treat.”
With a DNR order, the person will be allowed to die naturally without aggressive resuscitation interventions:
- Comfort care and pain management
- Treatment for infections, injuries, or other medical conditions
- Assistance with daily activities
- All other appropriate medical care
DNR only applies to resuscitation efforts when the heart or breathing stops.
DNR complications:
- Potential for survival in reversible conditions
- Family guilt or conflict after death
- Uncertainty about the decision
Let's talk about hospice.
Services
All of our staff are trained in specialized care for Alzheimer’s and Dementia.
Services Provided
- Nurse on Call 24/7
- Skilled Nursing Services
- Medical Social Services
- Physician Services
- Hospice Aide Services
- Managing pain and symptoms of life-limiting illnesses
- Inpatient Care
- Inpatient Respite Care
- Counseling for physical, emotional and spiritual support
- Bereavement Support to Family
- Volunteer Services
- WISH Program
- Memory Book Program
Accepted Insurance
Medicare | Humana Medicare
Aetna Medicare | UHC Medicare
Molina Medicare | Buckeye Medicare
Caresource Medicare
Paramount Elite Medicare
All Medicare Advantage Plans
Ohio Medicaid Molina Medicaid
Aetna Medicaid
Caresource Medicaid
Buckeye Medicaid Tricare
Bureau of Workers Comp (BWC)
Levels of Hospice Care as Defined by Medicare
When a doctor determines that a patient most likely has no more than six months to live, the person or their family may choose to stop trying to cure the illness and opt to receive hospice care instead.
Hospice, also called “comfort care,” focuses on managing pain and keeping a person comfortable so that they can enjoy a good quality of life for the remainder of their time left.
Medicare defines four distinct levels of hospice care. This benefit provides goods and services to allow you and your family to stay together in the comfort of your home, unless you need care in an inpatient facility, for the duration of your terminal illness.
Under the Medicare hospice benefit, the patient is still responsible for the deductible and
coinsurance amounts for expenses incurred due to health problems not related to the terminal
illness.
One person may experience all four levels, perhaps in just a week or 10 days of hospice services. Another person may experience one level of care throughout the duration of his or her hospice care. Each level of care meets specific needs, and every hospice patient is unique.
Every Medicare-certified hospice provider must provide these four levels of care.
Level 1: Routine Home Care
Routine home care is the basic level of care under the hospice benefit. It is covered for homebound individuals with Medicare part A and B who are under the care of a doctor who has specified the services are needed.
The amount, frequency, and time of the treatment must be reasonable, and you must be expected to improve in a reasonable and predictable amount of time.
3 Routine home care services include:
• Part-time or intermittent skilled nursing services
• Physical therapy
• Occupational therapy
• Speech-language pathology services
• Medical social services
• Part-time or intermittent home health aide services
• Medical supplies for use at home
• Durable medical equipment (Medicare will cover 80% of the cost)
• Injectable osteoporosis drugs
Level 2: Continuous Home Care
Continuous home care is available during times of crisis when a higher level of continuous care is needed for at least eight hours in a 24-hour period to achieve palliation or management of acute medical symptoms.Fifty percent of the care needed must be provided by a nurse.
4 Continuous care is a short-term level of care reevaluated every 24 hours. Symptoms Requiring 24/7 Care Some examples of symptoms requiring continuous care would be:
• Unrelieved pain
• Severe nausea and vomiting
• Severe shortness of breath
• Anxiety or panic attacks
• A breakdown in the primary caregiver support system
Level 3: General Inpatient Care
Some patients have short-term symptoms so severe they cannot get adequate treatment at home, or they may feel more comfortable getting treatment at an inpatient facility. Symptoms requiring inpatient care are the same as those requiring continuous care, only the setting of care may be different. With inpatient care, nurses are available around the clock to administer medications, treatments, and emotional support to make the patient more comfortable.
5 Inpatient Facilities There are several types of facilities that offer inpatient hospice services:
• A free-standing facility owned and operated by a hospice company
• An inpatient hospice unit within a hospital
• A hospice unit in a skilled nursing facility (nursing home)
Level 4: Respite Care
Respite care services are more for the family than for the patient. If the patient does not meet the criteria to qualify them for continuous care or inpatient care, but the family is having a difficult
time, respite care may be an option.
If a patient’s family is the primary source of care and cannot meet their loved one’s needs due to caregiver stress or other extenuating circumstances, a patient may temporarily be admitted to an inpatient environment to give the family a needed break or respite.
5 There is a five-day limit on respite care. Once that period expires, the patient is discharged and returns home.
Determining Level of Care
In order to qualify for hospice care, the patient's doctor, and often a hospice doctor as well, must determine that the patient is terminally ill, with a life expectancy of six months or less; the decision to treat someone at a higher level of care falls to the hospice physician.6 With four levels in place, no terminally ill patient should ever be left without the appropriate care.
"Nurse Owned and Operated"
Why Choose Our Service?
Exceptional Care, Rooted in Trust
We recognize the evolving needs of modern healthcare—and as a reliable agency, we meet them with unmatched expertise, compassion, and integrity. Our mission is simple: to deliver the highest quality home health care while prioritizing safety, professionalism, and meaningful patient relationships.
_________________
Why Families Trust Us
- The Safest, Most Trusted Nurses
Our team is rigorously trained to provide skilled, empathetic care you can rely on—every step of the way. - A Vital Partner in Your Health Journey
We serve as an integral extension of your physician’s care, offering seamless support to ensure continuity and clarity in your treatment plan. - Responsibility at Every Stage
From meticulous medication reviews to dietary compliance and progress evaluations, we proactively monitor your care to optimize outcomes.
Testemonials & Client Success
Thank you for sending support for our staff this week. We have had our third hospice death this morning. Other hospice programs are not supportive like you. I just want you to know how much we love your team. You need to be very proud. Please share with them we appreciate all of you.
Toledo Area Nursing Home
"Nurse Owned and Operated"
“Nurse Owned and Operated: Compassionate Care, Rooted in Expertise”
At Parrish Health Systems, we believe healthcare should be as compassionate as it is skilled—because no one understands patient care like those who’ve dedicated their lives to it. As a nurse-owned and operated agency, every service we provide is infused with firsthand clinical knowledge, unwavering advocacy, and a deeply personal commitment to your well-being.
Here, you’re not just a patient—you’re a person. Our team of nurse leaders ensures that your care is tailored, empathetic, and grounded in the latest evidence-based practices. Whether you’re seeking support for yourself or a loved one, you’ll experience the difference that comes from a system built by nurses, for nurses, and for the communities they serve.
Welcome to healthcare, redefined by those who know it best.