Above & Beyond Home Health and Hospice

    417 E 1st St, Monticello, IA 52310

    Compassionate, dependable hospice care team

    I'm grateful for the knowledgeable, compassionate hospice team - nurses, social worker and bereavement coordinator - who guided us through end-of-life care. Caregivers were dependable, respectful, provided companionship, help with meds and grooming, and kept constant, family-focused communication. They went above and beyond to give us peace of mind; I would recommend them.

    Loved one of client
    May 2026

    Services

    • Home Health Care

    Reviews

    4.13·(23)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Caregivers

      4.2
    • Communication

      3.4
    • Reliability

      3.3
    • Scheduling

      5.0
    • Value

    Pros

    • Compassionate caregivers
    • Knowledgeable hospice and clinical team
    • Interdisciplinary support (nursing, social work, bereavement)
    • Family-inclusive communication
    • Seamless care transitions
    • 24/7 availability for hospice support
    • Companionship and personal-care assistance
    • Professional and respectful staff
    • Emotional support and peace of mind
    • Help with medication administration and grooming

    Cons

    • Inconsistent shift coverage and caregiver reliability
    • Understaffing and caregiver turnover
    • Office communication and responsiveness gaps
    • Limited nursing-visit frequency and clinical availability
    • Medication-management practices
    • Logistics and supplies-delivery limitations
    • Variability in time allocation during caregiver shifts

    Summary of reviews

    Overall impression: Reviews indicate that Above & Beyond Home Health and Hospice provides strong clinical and hospice-oriented services with many families praising the agency's compassion, professionalism, and interdisciplinary support. Clinical staff including nurses, social workers and bereavement coordinators are described as knowledgeable and supportive, and several accounts emphasize the agency's ability to provide emotional support, companionship, and practical assistance that helps keep clients at home during serious illness or end-of-life care.

    Caregiver quality: Caregivers are repeatedly described as caring, respectful and trustworthy; many families say aides provided companionship, help with grooming and medication reminders, and handled household tasks reliably when staffing was stable. The hospice team is highlighted for expertise and for involving families in care decisions, and reviewers frequently cite calming, family-focused interactions that contributed to peace of mind.

    Communication and management: Communication is a clear strength in a number of accounts — families describe constant or clear communication from staff and an inclusive approach to family updates. At the same time, other accounts describe lapses: delayed or unhelpful responses to urgent needs, minimal family contact in some cases, and uneven office responsiveness. These patterns suggest variability in how consistently the office follows up and escalates issues.

    Reliability, scheduling and staffing: A recurring operational concern involves reliability and staffing. Several reviews indicate inconsistent caregiver assignments, last-minute quits or no-shows, and an overall sense of understaffing that can reduce available visit time and continuity. Relatedly, reviewers noted limited nursing-visit frequency and constraints on clinical availability, which affected care plans for some clients who required more frequent clinical oversight.

    Clinical safety and logistics: While many families praised medication support, there are also explicit concerns about medication-management practices in a subset of accounts. Logistics issues such as difficulty obtaining supplies or agency inability to deliver needed items were reported as well, indicating potential gaps in ancillary support services.

    Value and notable patterns: Many reviewers express high satisfaction and would recommend the agency, citing compassionate, professional staff and strong hospice expertise as key strengths. At the same time, a distinct pattern of operational weaknesses — inconsistent shift coverage, staffing turnover, variable office responsiveness, and occasional clinical-safety questions — appears in other accounts. Prospective clients should weigh the strong hospice and interpersonal strengths against potential variability in day-to-day reliability.

    Practical considerations for families: When evaluating this agency, families may want to confirm nurse-visit frequency, backup caregiver and no-show protocols, medication-management procedures, and the agency's approach to supply logistics and urgent-response escalation. Clarifying these operational details in advance can help align expectations with the agency's clinical and compassionate strengths.

    Location

    Map showing location of Above & Beyond Home Health and Hospice

    Above & Beyond Home Health and Hospice is located at 417 E 1st St, Monticello, IA 52310.

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    Disclaimer

    Mirador Home Care is not affiliated with the owner or operator(s) of Above & Beyond Home Health and Hospice. The information on this page is provided as a public resource and may not reflect the most current details. For exact information, please contact Above & Beyond Home Health and Hospice directly. There is no cost for using this service.

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