San Diego Senior AdvisorBlue Monarch Hospice is a Medicare-certified hospice based at 7220 Trade St. Suite 245 in San Diego, CA 92121. It has been certified since 2021. It cares for about 40 patients on an average day, making it a small hospice. It scores 9 out of 10 on Medicare's Hospice Care Index; the California average is 8.3. The index flags 3 areas where it is worse than the California average, starting with live discharge followed by a hospital stay and readmission to hospice.
What is Blue Monarch Hospice's Medicare record?
| Hospice | Blue Monarch Hospice |
|---|---|
| Address | 7220 Trade St. Suite 245, San Diego, CA 92121 |
| Phone | (619) 780-4332 |
| Medicare provider number (CCN) | B21621 |
| Ownership | Other |
| Medicare-certified since | 07/02/2021 |
How does Blue Monarch Hospice score on Medicare's Hospice Care Index?
Blue Monarch Hospice scores 9 out of 10 on the Hospice Care Index, which counts how many of ten visit, discharge and staffing indicators a hospice meets. Against the California average it is better on 3 of the indicators below and worse on 3.
| Indicator | Blue Monarch Hospice | California average | U.S. average | vs. California |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 49.2% | 58.9% | 52.4% | Better |
| Patients discharged alive within 7 days (lower is better) | 3.7% | 5.4% | 7.3% | About the same |
| Patients discharged alive after 180 days or more (lower is better) | 35.2% | 42.7% | 37.4% | Better |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 22.2% | 6.5% | 8.5% | Worse |
| Live discharge followed by death in hospital (lower is better) | 1.9% | 1.9% | 2.1% | About the same |
| Nurse minutes per routine home care day | 14.5 min | 30.4 min | 19.9 min | Worse |
| Share of skilled nursing minutes given on weekends | 9.3% | 13.7% | 9.6% | Worse |
| Patients visited by a nurse in the last 3 days of life | 93.5% | 83.6% | 89.3% | Better |
Separately, 91.3% of its patients received all seven recommended care steps at admission (California average 93.4%) and 29.1% were visited by a nurse or social worker on at least two of their last three days (California average 20.4%).
What do families say about Blue Monarch Hospice?
76% of family caregivers said they would definitely recommend Blue Monarch Hospice; the California average is 82%. The survey goes to the family member who was the main caregiver, after the patient has died.
| Survey question | Blue Monarch Hospice | California average | U.S. average | vs. California |
|---|---|---|---|---|
| Team always communicated well | 74% | 79% | 82% | Worse |
| Team always provided timely help | 69% | 73% | 78% | Worse |
| Team always treated the patient with respect | 86% | 89% | 91% | Worse |
| Right amount of emotional and spiritual support | 88% | 89% | 91% | About the same |
| Patient always got help for pain and symptoms | 71% | 75% | 76% | Worse |
| Caregivers rated the hospice 9 or 10 | 73% | 80% | 83% | Worse |
| Would definitely recommend the hospice | 76% | 82% | 85% | Worse |
Where does Blue Monarch Hospice deliver care, and to whom?
50% of blue monarch hospice's care is delivered at home and its largest patient group by diagnosis is dementia (31%). It has provided levels of care beyond routine home visits, such as continuous care at home or inpatient stays, in the last three years.
| Where care is delivered | Share of patients |
|---|---|
| At home | 50% |
| In assisted living | 44% |
| In a skilled nursing facility | 6% |
| Primary diagnosis | Share of patients |
|---|---|
| Dementia | 31% |
| Stroke | 23% |
| Cancer | 19% |
| Other conditions | 19% |
| Heart and circulatory disease | 11% |
Which San Diego-area ZIP codes does Blue Monarch Hospice serve?
Blue Monarch Hospice tells Medicare it serves 46 ZIP codes in San Diego County.
- 91941
- 91977
- 92003
- 92007
- 92008
- 92009
- 92010
- 92011
- 92014
- 92024
- 92025
- 92026
- 92027
- 92028
- 92029
- 92036
- 92037
- 92054
- 92056
- 92057
- 92058
- 92064
- 92065
- 92067
- 92069
- 92075
- 92078
- 92081
- 92082
- 92083
- 92084
- 92109
- 92111
- 92116
- 92117
- 92119
- 92120
- 92121
- 92122
- 92123
- 92126
- 92127
- 92128
- 92129
- 92130
- 92131
What should you ask Blue Monarch Hospice before choosing it?
Ask how a crisis at home is handled
22.2% of its live discharges were followed by a hospital stay and a return to hospice (California average 6.5%). Ask who comes to the house in a symptom crisis and how fast.
Ask how long nursing visits last
Its nurses average 14.5 minutes per routine care day, against 30.4 minutes across California. Ask how long a typical visit lasts and whether the same nurse comes each time.
Ask about weekend coverage
9.3% of its nursing time is delivered on weekends (California average 13.7%). Ask who is on call Saturday and Sunday and whether routine visits happen then.
Ask how fast they can admit
Ask how soon after the call a nurse can come out, including evenings and weekends, and how quickly medications and equipment arrive.
Which other hospices serve San Diego, CA?
- Goodwill Healthcare Services, Inc — Hospice Care Index 10 of 10
- Hospice of the South Coast LLC — Hospice Care Index 10 of 10
- Lightbridge Hospice — Hospice Care Index 9 of 10
- Sea Coast Hospice Care Inc — Hospice Care Index 9 of 10
- Accentcare Hospice & Palliative Care of California — Hospice Care Index 10 of 10
- Advantage Health Systems — Hospice Care Index 10 of 10
All Medicare-certified hospices in San Diego County
Last verified: November 2026, against the Medicare hospice data release dated 2026-08-07.
Common questions
Is Blue Monarch Hospice Medicare-certified?
Yes. Blue Monarch Hospice is certified by Medicare under provider number B21621 and has been since 2021.
What is Blue Monarch Hospice's Hospice Care Index score?
9 out of 10 in the current Medicare data. The California average is 8.3.
How large is Blue Monarch Hospice?
It cares for about 40 patients on an average day.
