What Separates Our Hospice

Quality over quantity. Responsive clinical care. Continuity beyond hospice.

1. Provider-Led, Responsive Care
  • Nurse Practitioner who participates in after-hours triage.
  • Families and facilities have access to someone who can assess symptoms, make clinical decisions, and provide orders when needed.
  • We prioritize rapid response and timely signed orders, rather than leaving facilities waiting for the next business day.
  • This helps prevent unnecessary ER visits and hospitalizations while keeping patients comfortable in their preferred setting.
2. We Don’t Automatically Take Patients Off Their Medications
  • We take a patient-centered approach to medication management.
  • We do not simply come in and discontinue a patient’s medications because they are on hospice.
  • Medications are reviewed based on the patient’s goals, prognosis, comfort, and clinical needs.
  • We cover most medications related to the patient’s hospice diagnosis and plan of care, helping reduce financial and logistical burdens for families.
3. Manageable Nursing Caseloads = Better Patient Care
  • We believe hospice nursing should be about quality, not quantity.
  • Our nurses maintain manageable caseloads, allowing them to spend meaningful time with patients and families.
  • Nurses have the capacity to assess changes in condition, communicate with caregivers, coordinate with providers, and address symptoms proactively.
  • We don’t want our nurses racing from patient to patient just to meet a productivity number.
4. Our Goal Is Comfort—not Just Managing a Caseload
  • We focus on the whole patient and family, not simply the diagnosis.
  • We emphasize proactive symptom management, education, communication, and support.
  • Our interdisciplinary approach is designed to help patients remain comfortable and avoid unnecessary crises.
5. Palliative Care Doesn’t Mean Goodbye
One of our biggest differentiators is what happens when a patient no longer meets hospice criteria.
  • We offer a Palliative Care Program for ongoing symptom management.
  • Patients who “graduate” from hospice don’t simply lose their support overnight.
  • When appropriate, we can continue durable medical equipment (DME) to help provide a smoother transition.
  • Patients may continue to receive CNA services when appropriate.
  • RN and Nurse Practitioner visits are available as needed for ongoing assessment and symptom management.
  • Our philosophy is: graduating from hospice shouldn’t mean losing the relationship and support you’ve built with our team.
6. Continuity of Care
  • We want patients and families to know who they are calling and who is involved in their care.
  • Our team works to maintain continuity between the patient, family, facility, nurses, CNA, NP, and other providers.
  • We communicate changes promptly and work collaboratively with the patient’s existing healthcare team.
A Strong Way to Say It
“What separates us is that we are truly patient-centered. Our owner is a Nurse Practitioner who participates in after-hours triage and can provide clinical direction and signed orders when they are needed. We don’t believe hospice should mean automatically taking patients off medications—they deserve individualized medication management based on their goals and comfort. We intentionally keep our nurses’ caseloads manageable so they have the time to provide quality care rather than focusing on volume. And perhaps most importantly, when a patient graduates from hospice, we don’t want them to feel like they’ve been dropped. Our palliative program allows us to continue supporting appropriate patients with symptom management, DME, CNA services, and RN/NP visits as needed. We believe hospice is about building a relationship with the patient and family, not simply providing a service until the hospice benefit ends.”

Teamwork

Teamwork

Our team strives for excellence and we continually work at enhancing our professional expertise.

Communication

Communication

Collaboration between patients, families, physicians, and community partners.

Compassion

Compassion

An individual's worth and dignity have value.

Integrity

Integrity

Ethical practice is demanded in all that we do.
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Bella Bernard profile picture
Bella Bernard
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I really wasn't sure what Palliative Care was until I got very ill. A little over 3 years ago I was diagnosed with Leukemia and prescribed daily oral chemotherapy which I'm still taking today. Because of this, I have to have bloodwork done sometimes multiple times a month. Almost 2 years ago I was diagnosed with Chronic Kidney Disease (CKD). I was getting tired of the bi-monthly visits with at least 2 hours wait time every visit with the GP that I had been seeing for 3 years with no real answers. The pain meds the GP prescribed were no longer helping me. I've lost over 60 pounds and was just so frustrated. I researched Palliative Care and told my boyfriend/partner that I was ready to try it. That's how we found Phil Gallinaro ,FNP of Sierra Hospice and Palliative Care. Phil has changed everything for me and has given me so much hope. He has never not been available and that is so important to me. I'm 71 years old and now I'm not depressed daily which changed everything for me. My pain is under control and I'm so grateful. If you or a loved one is experiencing something similar, I highly recommend Sierra Hospice and Palliative Care.
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Monique Hall
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Sierra Hospice is a very loving and kind hospice. You feel like they are family. Warm caring and professional. I definitely would recommend Sierra Hospice.
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Sandy Yesnick
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⭐️⭐️⭐️⭐️⭐️ Sierra Hospice provided exceptional care for my late mom and incredible support for my dad. Phil leads with genuine kindness, Stormi is the most compassionate caregiver we’ve ever met, and Nurse Dana went above and beyond with her knowledge and warmth. The entire team showed true compassion from start to finish. If you want the best care for your loved one, choose Sierra Hospice.
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Jessica Anderson-Kawano
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Phil the NP is the absolute best human I’ve ever met. He is taking care of my father in law (palliative) and Phil has gone above and beyond to help us make sure he’s comfortable and taken care of. The entire staff is so helpful and kind. I would recommend this palliative care team to any and every one!!!
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Casidy Tuck
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Great company!
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Yocheved Latrell
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Sierra Hospice has a compassionate team of angels waiting to care for your loved ones. This Hospice Company puts hospitality, compassion and love for the terminally ill back on the map. Phil, Dana and the rest of the team wrap their arms around your family and support you and your loved ones in physical, spiritual, emotional ways. Sierra Hospice is care, compassion, remedies and a hug, in one loving package. They are the team our loved ones deserve.
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Hope Lee Sito
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My personal experience with Sierra Hospice of Henderson has been one evident by their true dedication to showing myself and my family: compassion, kindness, empathy, understanding along with their unwavering support. Anytime I call with concerns or questions you always get a caring live person on the other end of the phone willing to help or direct me through whatever is going on at the time! I want to say that at a time when everything seemed so uncertain with my life- talking to and meeting Phil (one of the Owners himself) I felt like I became part of the family! I knew right away and was assured that I made the best decision in placing my trust and care in this highly respected family based company where being treated like family and compassion is key and go hand in hand! From CNA’s to the RN’s to the volunteers, their staff has consistently demonstrated how they excel in what they do best! No matter who I am trying to reach and regardless of the time of day or night it is, I always get a live person who cares and helps throughout every stage I am going through. The Nurses too, they see that every aspect of my care is being treated, they offer a social worker to help me with practical issues; until you or a loved one have to face you wouldn’t realize everything that needs to be addressed, yet Sierra Hospice has never left me on my own to figure out! On a Sunday morning Phil, (one of the Owners) jumped in to help me when I was in so much pain and my RN had a family emergency- they help one another out within the company and that is something you don’t see or hear in the business industry today! Just knowing that this company is here to provide my family and I with the much-needed comfort and support during this very difficult time, it means more than a review could ever convey! I am deeply grateful for Sierra Hospice and I conclude by saying- if you or your Loved One is looking for a place that will treat you like family and is happy and willing to help- Choose them- You could Never Regret it! I Love being home with those who I love- not in a hospital setting that is depressing, scary and let’s all agree, they don’t take care of you like family or become your Home! [Phil, Casidy, Hannah, Amber, William these are just a few of the ones who made a positive impression on me of their level of dedication to my care!]
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Shay
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What a great company! They have taken such great care of my dad and are always there whenever we needed them. Phil is amazing and always attentive for my dad‘s needs. I would highly recommend Sierra hospice and palliative care.
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Princess Bell
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Phil and his wonderful, staff at Sierra Hospice & Palliative Care, are kind, caring, professionals. The staff recognizes, the many emotions this impossible journey can, and will trigger. Serria hospice cared for my Mother beyond measure. The Nurses are amazing and our CNA Amber. This is the staff you want by your side. Thank you, the Bell Family.
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Steve Kellermann
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Phil, Dana, and the entire staff are doing God’s work. To be able to do the job that they are tasked with and remain humble, caring, loving and tender throughout the toughest time we all face, the end of a lived one’s life, is truly an awesome calling. When you reach the decision to call hospice care, please call Phil and he will be there for whatever you and your loved one will need. 5 stars is not enough for them…100 stars would be a great start.

Sierra Hospice & Palliative Care of Nevada is a trusted team that delivers innovative end-of-life care with compassion, dignity, and respect.