24/7 Compassionate Hospice Care in San Marcos
Compassionate hospice care through a patient-centered approach.
Blue Monarch Hospice cares for patients across San Marcos, including Lake San Marcos, Twin Oaks Valley, Discovery Hills, Richland, and San Elijo Hills. An end-of-life assessment is where our work begins rather than where it ends. Care is customized to the person, which means visit schedules and support services differ from one family to the next. Our physicians, nurses, social workers, and therapists can be reached on any day at any hour, and they focus on managing pain, controlling symptoms, supporting emotional and social needs, and relaxation techniques that make the hard hours easier. The 24-hour structure is there so support never depends on the time of day.
Someone with a terminal illness deserves to spend their last months as comfortably as their condition allows, and that is what compassionate hospice care in San Marcos is built to do. The support does not stop at the patient. San Marcos families get help with symptom management, holding quality of life steady, working through decisions, and meeting the physical, psychosocial, and spiritual needs that come with this period.
Our focus stays on what your loved one wants from the time ahead. San Marcos sits inland where summer heat wears on a patient faster than families tend to expect, so comfort planning here often includes small practical changes to the daily routine. Once we bring the difficult symptoms down using the techniques that suit that individual, the emotional weight usually lightens along with the physical.
Give your loved one the peace and quality care they deserve.
We’re With You and Your Family Every Step of the Way
In San Marcos, every service we offer is measured by how comfortable and settled it leaves your loved one.

Routine Home Care

General Inpatient Hospice Care
Care that moves into an inpatient facility once symptoms become too difficult to manage where the patient lives…

Respite Care

Continuous Home Care
Around the clock support at home, with nursing care, medical services, and psychosocial care running together during…
Our Mission
We promise to provide optimal, compassionate care through a patient-centered approach, one patient, one family at a time.
How Does Blue Monarch Hospice Work?
Rather than asking a patient to travel, our team goes to them in San Marcos. Care can take place at home, in an assisted living center, in a nursing home, or in the hospital. Families in the retirement communities around Lake San Marcos often find this the simplest part of the whole process.
How Long is Blue Monarch Hospice care?
Duration is different for every patient. In San Marcos, care usually begins once a physician believes the final six months have started. Hospice is not a one-way door either, and a patient can leave it and return as their situation changes.
- A physician believes the patient has 6 months or less to live.
- The patient continues to decline in spite of medical treatment.
- The patient chooses to stop treatment and live as comfortably as possible.
Keep in mind that starting hospice does not close off other options, since care can end and begin again.
Questions About Our Hospice Care in San Marcos?
Compassionate Hospice Care with Blue Monarch
Blue Monarch Hospice serves San Diego County under the direction of Raphael Akobundu and Britt Akobundu, nurses who are married to each other and who opened the agency to raise the standard on two fronts, care for patients at the end of life and treatment of the staff who provide it. Raphael spent years watching the same weak point in the system, where the move into hospice came with a drop in service and attention. Founding Blue Monarch was how the two of them addressed it.
That experience carries into every San Marcos home we enter, where the goal is a transition handled calmly and without gaps.