In 2004, we established Bruns House to provide inpatient hospice care for patients who require acute symptom management. Offering privacy and quiet that cannot be found in a hospital, combined with intensive round-the-clock care that cannot be achieved at home, Bruns House has cared for more than 3,000 patients and their family members. Bruns House is the only inpatient hospice house in the East Bay.

Patients are cared for in a homelike environment. The peaceful atmosphere and round-the-clock personal care are what make a stay at Bruns House a unique and special experience for both patients and their families.

Goals of Bruns House

  • Relieve pain and manage symptoms

  • Comfort and care for each patient according to his or her wishes

  • Support all patients and family members who are dealing with emotional, spiritual and practical concerns during the final weeks of life

  • Ensure that life's last journey is what the patient wants it to be

Quality Care

Bruns House is staffed by specially trained professionals, including physicians, registered nurses, licensed vocational nurses, home health aides, dieticians, social workers, spiritual care counselors, bereavement counselors, volunteers and a consulting pharmacist.

Acute Symptom Management

Our skilled medical and nursing staff provide assessments and interventions to control symptoms such as pain, nausea, anxiety, shortness of breath, and seizures. There is a registered nurse on duty at Bruns House twenty-four hours a day.

Family Support

A social worker and spiritual care counselor are available for all patients and family members who are dealing with emotional, spiritual, and practical concerns during the final stages of life.

Transitional Care

Bruns House provides two kinds of transitional care:

  • Hospital -> Bruns House -> Home

  • Home -> Bruns House -> Home

In each case, the patient's condition is stabilized for the transition to a private residence, assisted living center, skilled nursing facility or board & care, while caregivers are taught the necessary skills to care for the patient.

Bruns House meditative labyrinthPeaceful Environment

  • Six private, medically appropriate rooms

  • Open kitchen and living areas

  • Relaxing garden and grounds with fountains, sitting areas and a meditative labyrinth

  • Unrestricted visiting hours with the opportunity to remain with the patient throughout the night

  • On-site parking & patient transportation

  • Pets visits are allowed


  • Referrals are taken on a first-come, first-served basis, and may be made by physicians, hospital discharge planners, case managers or hospice providers.

  • A pre-admission evaluation will be conducted by a Hospice East Bay nurse to determine if Bruns House is appropriate for the patient.

  • Consultations and admissions are offered seven days a week, at no cost.

Admission Requirements

  • All admissions to the Bruns House require a physician's order.

  • Patient symptoms must require daily assessment and RN intervention to meet the hospice criteria for acute inpatient care.

  • Patient chooses to receive comfort care rather than curative treatments.

  • Patient and/or family must consent to hospice services and goals.


Care at Bruns House is covered by the Medicare and Medi-Cal hospice benefit. Hospice East Bay also works closely with private insurers and HMOs to maximize hospice benefits, subject to applicable co-payments and deductibles. Private payment is also an option. Bruns House accepts all medically qualified patients, regardless of their ability to pay.