Hospice Knowledge Center

What is Respite? Inpatient respite hospice care

Inpatient respite care is one of the four Medicare hospice levels of care. Unlike GIP or CHC, respite is not about the patient’s clinical crisis — it exists to give family caregivers a short break so hospice at home remains sustainable.

By Goodwin Hospice Academy Editorial Team· Published February 16, 2026·Last reviewed February 16, 2026· 5 min read

Respite, in one sentence

Respite is up to 5 consecutive days of inpatient hospice care provided so the primary caregiver can rest.

Duration cap

Each respite admission is limited to no more than 5 consecutive days. There is no strict limit on the number of respite admissions across a hospice election, but frequent respite use should trigger a plan-of-care conversation about caregiver resources and sustainability.

Setting

Respite may be provided in a hospice inpatient unit, hospital, or Medicare-certified skilled nursing facility that has a contract with the hospice.

How to pair with caregiver support

A hospice team using respite well pairs the admission with a plan for what changes after respite: additional aide visits, volunteer support, or a family conference about longer-term caregiving needs.

Frequently asked questions

Is respite for the patient or the family?
Both. It provides symptom management for the patient in an inpatient setting and relief for the primary caregiver.
How often can respite be used?
There is no strict limit on frequency, but each stay is capped at 5 consecutive days.
Is a respite stay always in a hospice unit?
It can be in a hospice IPU, hospital, or contracted SNF.

Sources & further reading

  1. CMS Medicare Benefit Policy Manual, Ch. 9
  2. 42 CFR §418.204 — Levels of care

Educational content only. Not a substitute for your organization’s policies, your medical director’s clinical judgment, or current CMS guidance.

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