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Want to Know About Admissions?

The goal of Jim & Lisa’s Circle Home is to provide quality comfort care at the end of life by attending to each resident’s physical, emotional, social, and spiritual needs while respecting their individuality and maintaining their dignity until death. We also extend a circle of support to residents’ family and friends.

Comfort Care focuses on the alleviation of pain and symptoms; it does not cure or change the course of a terminal condition, nor does it hasten or prolong the natural dying process. Circle Home staff and trained volunteers attend to each resident just as family would attend to the needs of their own loved one. In these ways, we enable residents to live fully in each moment up to the last moment of life.

The referred person:

  • Must have a diagnosis of terminal condition with no expectation of recovery and a documented life expectancy of three months or less; must consent to the Circle Home Length of Stay Policy.
  • Must be enrolled in Hudson Valley Hospice.
  • Does not require care in a hospital or skilled nursing facility, and his/her needs can be met in a non-medical setting and do not exceed Circle Home staff/trained volunteer capability.
  • Agrees to the purpose of admission to Circle Home and on the plan of care including management of their needs primarily by trained volunteers, limitations on length of stay, and alternative placement if their needs are determined to exceed the care needs of the home.
  • Must have a valid Do Not Resuscitate/Do Not Intubate order to remain in place throughout the person’s stay. No life-sustaining measures will be implemented including CPR.
  • Will have no need for IV/subcutaneous/intramuscular medication other than IV pain medications managed by hospice staff. Circle Home also cannot take individuals with feeding tubes, finger-stick blood sugar checks, or difficult behaviors.
  • Does not have known active TB or COVID at admission.
  • The person and their family and friends’ behavior does not present a danger to self or others and would not be disruptive to others at Circle Home.
  • Circle Home can accommodate two residents at a time at the maximum length of stay of 3 months.
  • Resident selection is based on the person with the greatest need and fewest options. Individuals who meet the admission criteria will be placed on a waiting list until a room is available.
  • Admission to Circle Home is not determined by age, creed, color, ethnic background, sexual orientation, gender identity, or religious beliefs.
  • Referrals are welcomed from area hospitals, medical professionals and agencies, social workers, case managers, discharge planners, clergy, friends and family members, neighbors, and patients themselves.
  • If you are interested in learning more or know someone who may need to use Jim & Lisa’s Circle Home, reach out to us at: 845 802-0970 or
  • Circle Home is a tax-exempt, not-for-profit organization which offers its services at no cost to the Resident and their guests.
  • Circle Home does not receive any reimbursement from government or private medical insurance.
  • All financial support comes from memorials, donations, fund-raising events, grants, and bequests.
  • The continuous generosity of community members and local businesses, offering financial and in-kind donations, together with the contribution of time and skills offered by our dedicated volunteers, makes possible personalized care in a heart-centered home.
  • We encourage those who benefit from Circle Home to consider the needs of our future residents and families and pay it forward. Your contributions of any size are deeply appreciated.

Want to Know About Services, Staffing, Volunteers?

A small professional staff, including a Home Director, a Coordinator of Volunteers / Administrative Assistant, and a Nurse/Resident Care Coordinator, is supplemented by a large pool of trained volunteer caregivers. In addition to providing personal care to residents, volunteers also help with cooking, light cleaning, home repairs, gardening, etc.

Hospice services will be provided by Hudson Valley Hospice, the professional hospice provider for Ulster and Dutchess Counties.

Services provided by Circle Home and by Hudson Valley Hospice are complementary; each provides a needed service for our residents.

Circle Home is not a medical facility. It is simply home and family to people in need. Medical management for Circle Home residents is provided by Hudson Valley Hospice. Circle Home’s caregivers provide all the custodial care (i.e., everyday, non-medical needs) 24/7, just as would be expected of one’s personal family for individuals receiving hospice services in a private residence.

Four-hour shifts, from 8 am to midnight, seven days a week, are generally covered by two volunteers at one time.