Nursing Homes vs Hospice: How Do They Differ?

Nursing Homes deliver round-the-clock skilled nursing, rehabilitation, and long-term residential care, while hospice deliver comfort-focused end-of-life care wherever someone calls home. Below, we break down how the two settings differ, what CMS data shows for each, and how to choose.

Setting	deliver round-the-clock skilled nursing, rehabilitation, and long-term residential care
Typical focus	Nursing Homes emphasize clinical and residential care needs.
What CMS publishes	Five-Star ratings for many providers, plus inspections, fines, staffing, and ownership.
Listed in this directory	14,693 Medicare-certified · avg CMS rating 3.0/5 among rated

Understanding nursing homes

Nursing homes, also called skilled nursing facilities, care for people who need ongoing nursing, rehabilitation following a hospital stay, or long-term residential support. CMS inspects them about once a year and issues Five-Star ratings covering health inspections, staffing, and quality measures.

Understanding hospice

Hospice programs deliver palliative, comfort-first care to people with a terminal illness, usually at home. Their services span nursing, aide support, counseling, and respite for family caregivers. Hospices certified by Medicare must satisfy federal conditions of participation.

Choosing between the two

To compare nursing homes, look past the star rating to the health inspection findings themselves, review nurse staffing levels and turnover, and ask about rehabilitation, memory care, and how care plans get reviewed. To compare hospice programs, ask how on-call nursing works, how quickly the team responds, and what respite, bereavement, and coordination with the patient's physician look like.

The strongest comparisons weigh several signals together - inspection history, nurse staffing, quality measures, and the particular services someone requires. Ratings pull those signals into a single number, but they cannot stand in for a visit or a conversation with the staff.

Where you can, visit each option in the United States, ask how care plans are created and revisited, and get costs, coverage, and availability confirmed in writing. Steady staffing and open communication with families count for as much as any published rating.

Browse provider directories

Nursing Homes directory (14,693 listings) · Hospice directory (6,669 listings)

Frequently asked questions

How do nursing homes differ from hospice?

Nursing Homes deliver round-the-clock skilled nursing, rehabilitation, and long-term residential care. Hospice deliver comfort-focused end-of-life care wherever someone calls home. The two serve different needs and fall under different Medicare conditions of participation, so compare them by the level of care a person requires.

Are both nursing homes and hospice covered by Medicare?

Yes - both care types in this directory are Medicare-certified. Eligibility, coverage rules, and cost sharing vary by setting and situation. Confirm details with the provider and at Medicare.gov.

How do I choose between the two?

Begin with the person's medical needs. To compare nursing homes, look past the star rating to the health inspection findings themselves, review nurse staffing levels and turnover, and ask about rehabilitation, memory care, and how care plans get reviewed. To compare hospice programs, ask how on-call nursing works, how quickly the team responds, and what respite, bereavement, and coordination with the patient's physician look like.

Data sources

Data source: CMS Provider Data Catalog. Data as of 2026-10-06. This comparison is informational and is not medical advice.

Required disclosures

For general information only, not medical advice. This website shares public data and general information. It does not offer medical advice, diagnosis, or treatment guidance, and it cannot replace a consultation with a qualified health care professional or with Medicare.

Independent and unaffiliated. MedicalFacilities.org is a private, independently run directory. It is not affiliated with, nor endorsed or operated by, the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. CMS has not reviewed or endorsed this site.

Confirm details before acting. Facility records come from public federal datasets and may lag or contain errors. Always verify current ratings, services, availability, and coverage directly with the provider and on Medicare.gov.

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