The Caring Choice

RMC Hospice touches lives, supports families, strengthens communities...  when a helping hand is needed most. Choosing hospice provides a focus on quality of life, symptom control, relationships, values, and choices. Hospice care is designed to help the person make the most of each hour and each day of their remaining life.

Philosophy and Mission

We uses a team approach to provide compassionate healthcare for individuals facing life-limiting illness; stressing quality of life, enabling the dying patient and family to make personal choices leading to a fuller, more meaningful life.

The mission of hospice is to enhance quality of life for terminally ill individuals and their significant others by providing physical, emotional, and spiritual support before, during, and following the individual’s death.

Qualifications for Care

  • Patient must be certified as terminally ill by your physician
  • The focus of care has changed from cure to comfort
  • Patient/family must have a desire for hospice care
  • Referrals may be made by any interested person

Hospice care may be appropriate when the patient, family, and physician determine that medical treatment no longer offers a cure, or the patient and family have decided to stop treatment.

The primary focus of care becomes comfort and quality of life. The sooner the hospice team becomes involved, the more they can assist with supportive care, providing physical and emotional comfort to the patient and family.

Services Provided

We provide support and peace at the end of life’s journey, creating a loving environment where family members and friends can say goodbye.

  • Family involvement in the care of a loved one.
  • Expert pain and symptom management.
  • A team of hospice professionals including a physician, nurse, social worker, home care aide, spiritual coordinator, massage therapist, music therapist, and volunteers who make regular home visits. The number of visits is dependent on each person’s needs.
  • Medications, medical supplies, and equipment necessary to keep people comfortable in their home.
  • Continuous care during periods of crisis.
  • Inpatient hospital care, if needed, for management of pain or symptoms.
  • Respite care to provide caregivers relief, if needed.
  • Services of a dietitian and physical, occupational, or speech therapist are available with physician approval.
  • Bereavement education and support to family.
  • Grief support and counseling.
  • Speakers are available if your club or organization would like more information regarding hospice.
  • Hospice offers a free non-denominational Grief Support Group for anyone grieving the loss of a loved one, to help them in their healing process.

Our Team

We strive to allow patients to live at home as long as possible. If no caregiver is available at home, the hospice team can help arrange an alternative setting where the person’s needs can most appropriately be met.

  • Attending physician consults with the hospice team to plan care.
  • Registered nurses coordinate the plan of care; teach and supervise home management of the terminally ill patient; and provide nursing care as often as necessary, including emergency visits when needed. Nurses coordinate services with hospice team members.
  • Social workers assist with Advance Directives planning, access community and financial resources, and provide counseling support and guidance to the patient and family.
  • Spiritual coordinator provides spiritual support for patients and families of all faiths.
  • Home care aides assist with personal care and occasional light housekeeping duties.
  • Music Therapist provides relaxation, mood elevation, and comfort.
  • Massage Therapist eases discomfort and tension with a caring, nurturing touch.
  • Trained volunteers provide supportive relationships to individuals receiving hospice and their family members. Volunteers offer a listening ear, caring heart, and a helping hand.
  • Bereavement Counselors/Volunteers provide calls, mailings, support groups, and counseling for family members and children to help cope with grief following loss. Support groups are open to the public.

Our team is available 24 hours a day, 7 days a week.

Phone: 563-927-7303

Office Location: 613 W Main St, Manchester (Parking Lot 1, Entrance H)

Cost of Hospice

Medicare, Medicaid, VA and most private insurances cover care when patients choose
hospice. As a non-profit agency, no one is denied services because of inability to pay.

Donations and memorials are appreciated.

Grief Support Group

We offer a free non-denominational Grief Support Group for anyone grieving the loss of a loved one, to help them in their healing process. Meetings are informal and confidential. The Grief Support Group meets the first Wednesday of each month at Regional Medical Center. Click here for the next Grief Support Group session.

  • Members can find comfort in sharing their thoughts and feelings (or just by listening to others) in a caring, supportive, and non-judgmental atmosphere.
  • The Group offers the reassurance of knowing they are not alone in their suffering and that their thoughts, feelings, and reactions are normal.
  • Information on the subject of grief is shared through articles, speakers, and videos, as well as by members’ personal experiences.

“Twelve Freedoms of Healing in Grief”

  1. You have the freedom to realize your grief is unique.
  2. You have the freedom to talk about your grief.
  3. You have the freedom to expect to feel a multitude of emotions.
  4. You have the freedom to allow for numbness.
  5. You have the freedom to be tolerant of your physical and emotional limits.
  6. You have the freedom to experience grief attacks or memory embraces.
  7. You have the freedom to develop a support system.
  8. You have the freedom to make use of ritual.
  9. You have the freedom to embrace your spirituality.
  10. You have the freedom to allow a search for meaning.
  11. You have the freedom to treasure your memories.
  12. You have the freedom to move toward your grief and heal.

Excerpts taken from article “Twelve Freedoms of Healing in Grief” by Alan D. Wolfelt, PhD.
Reprinted by permission from February 1993 issue of Bereavement.

Nondiscrimination Statement

Regional Medical Center (RMC) Hospice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. RMC Hospice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

RMC Hospice provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats.
RMC Hospice provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact Agency Director at 563-927-7303. If you believe that RMC Hospice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

RMC Home Care and Hospice Director
613 W. Main St.
PO Box 359
Manchester, IA 52057

P: 563-927-7303 F: 563-927-7444
TTY: 563-927-7326 or State Relay Service 711 or 1-800-735-2943

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Agency Director is available to help.

You can also file a civil rights complaints with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hss.gov/ocr/portal/lobby.jsf, or by mail or phone at:

US Department of Health & Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, DC 20201

800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html 


I was extremely pleased with Hospice of Comfort, specifically Amanda Kalb. She is a terrific person. Her help with my dad and his comfort was immeasurable. Betty's hands on care and Amanda's approach to analyzing my dad's situation was critical in making my dad comfortable. I appreciate Hospice of Comfort in general. Jon Reed, Hospice patient's son