In-home hospice care across Southeast Louisiana, including Livingston, St. Tammany, Baton Rouge, and surrounding parishes. Available 24/7 with personalized care and services covered by Medicare for eligible patients.
Mark Malkemus
Founder and CEO of Foundations Hospice
You are here because someone you care about is changing, and you want to make the right decisions without fear, pressure, or confusion. You may be searching for comfort, clear answers, or reassurance that your loved one will be treated with dignity and respect.
This moment matters. The choices you make now shape how your loved one is cared for and how your family remembers this time.
At Foundations Hospice, we understand how personal and emotional this season can be. Our team brings decades of combined hospice experience and a deep commitment to compassionate, faith-based care for families across Southeast Louisiana.
Honest conversations and clear explanations
Experienced clinicians who focus on comfort and dignity
Support for both patients and families, every step of the way
You are not expected to have all the answers. Our role is to help you find them at your pace, with care and respect.
The Local Difference: Decades of Experience, a Servant Heart
Although Foundations Hospice may be a new name, our team is not new to hospice. Together, we bring decades of combined experience in the healthcare industry, and every member is carefully selected for their expertise and commitment to providing exceptional care.
Our local ownership means we take special care of our friends and neighbors across parishes including Ascension, Jefferson, Orleans, St. Tammany, and East and West Baton Rouge. We provide 24/7 support for patients and their families.
Choosing hospice care is not only about clinical support. It is about who is showing up for your family and how present they are during one of life’s most meaningful seasons.
Foundations Hospice was built on the belief that end-of-life care should be personal, accountable, and deeply connected to the community it serves.
Locally owned and operated in Louisiana,
allowing care decisions to be made close to home, not in a corporate office
Direct owner involvement,
including meeting with every family at the start of care to ensure trust, understanding, and alignment
Expanded comfort-focused support,
including palliative care services as programs and licensing allow, designed to help manage symptoms and improve quality of life
A relationship-centered approach,
where families are known by name and care plans reflect individual values, not templates
This level of involvement allows our team to remain present, responsive, and committed to honoring each patient with dignity.
Hospice care supports more than physical symptoms. It supports emotional, spiritual, and practical needs for both patients and those who love them.
Palliative Care
Licensed palliative care services may be available depending on program approval and eligibility, providing additional symptom relief and support earlier in serious illness.
24-Hour On-Call Support
A nurse is available day and night to answer questions, manage symptoms, and provide reassurance when concerns arise.
We provide hospice care that is covered by Medicare and Medicaid, and is also covered by some private insurance plans. This coverage includes medications related to the hospice diagnosis, medical equipment, supplies, and interdisciplinary care.
If you are unsure about eligibility or timing, our team will explain hospice benefits in clear, simple language and help you understand what is covered and what to expect.
Foundations Hospice proudly serves patients and families throughout:
Care is provided where patients feel most comfortable, without limiting support to a single location.
Many families wish they had called sooner. Hospice care can begin when a physician determines that comfort-focused care is appropriate, often alongside ongoing support from loved ones.
If you are asking questions, it may already be the right time to talk.
You do not need to have everything figured out before calling.
We are here to support you in navigating each stage of the hospice journey.
1. Learn More & Assess Eligibility
If you are considering hospice care or are unsure if a loved one qualifies, explore our resources. Hospice care is FREE for people with a qualifying diagnosis.
2. Develop a Personalized Plan
Our team works with you to determine the patient’s needs and develop a personalized care plan that ensures comfort and dignity.
3. Experience Unwavering Support
Let us be your trusted partner. We provide round-the-clock, personalized care, accepting Medicare, Medicaid, and most private insurance plans.
(Self Assessment)
Posted on Google Misty DTrustindex verifies that the original source of the review is Google. Great nurses Melanie Armstrong, Kayla Anthony and Katie wilson on behalf of the Morris Family awesome women and nurses really about the paitence and their family'sPosted on Google Jill RTrustindex verifies that the original source of the review is Google. Momma has been with Foundations for about four months now, give or take. These folks are amazing. First off, know that hospice is not only for very end of life, I didn’t know that, they help in many other ways too. After a nasty fall and surgery and now wheelchair bound among other things she has, we decided to reach out to Mark of foundations (owner) for help and advice for momma. Love us some Mark!!!! Besides where momma lives, next best decision we made!!! So much weight off our chests knowing we have an extra set of eyes helping us take care of momma and where we can no longer easily take her to doctors and nurses, etc., they come to her. Mark and his staff, starting with Lindsey (one of his territory managers), their nurses (momma’s being Rachel and Mackena), mommas care person who comes to shower her, Tiffany, and so many more staff she sees, they are all blessings and God sends! I cannot speak highly enough of this company. Unsure? Call them they will come out and help with your decision. If I could have given above five stars I would have!!!Posted on Google Lydia FTrustindex verifies that the original source of the review is Google. Foundations Hospice has an excellent and caring team who cares about your loved one, but also you. Ashley, the nurse who i could call anytime, took care of my husband , who has passed and my Dad, who is in the Nursing home. My anniversary was coming up, and she knew my husband always got me something. She brought flowers and took a picture of us. He passed 3 days later. She framed that picture and brought it to me at his funeral. I cannot tell you how she got me through the funeral, Don, the Chaplain knew when I needed someone. He was there to listen and pray with me. Sheika, the aide, was excellent. I was amazed to see her move a grown man and how she cared for him. Brad, the social worker was great. If I missed someone, it wasn't intentional. I am telling everyone about my experience with Foundations Hospice. They are the #1 place to use. You won't be disappointed.Posted on Google Karen MTrustindex verifies that the original source of the review is Google. We were treated like part of their family. The whole team from the owner Mark to the nurses were excellent and so caring making sure my husband was comfortable and had everything he and I needed at this difficult time. They went above and beyond. I will be forever grateful.Posted on Google Brian PTrustindex verifies that the original source of the review is Google. Mark and his team provided the best caring and thoughtful attention for my mother during her last days. I highly recommend Foundations Hospice for your family.Posted on Google Tammy BTrustindex verifies that the original source of the review is Google. Friendly and competent staff.Posted on Google Deidra STrustindex verifies that the original source of the review is Google. Definitely recommend! This company helped my sweet uncle manage caring for his wife. Mark and the staff are very caring and I am grateful for their service.Posted on Google Sara MTrustindex verifies that the original source of the review is Google. What kind of a hospice owner would show up on a weekend (or really any day) to shave a guy, cut his hair, and make him feel worthy?? YOU, Mark! What kind of a class act would show up 100% of the time with a literal sparkle in her eye and total joy in every step?? Lindsey D! The joy, love, Kindness, and professionalism from this company is something I have NEVER seen in my LIFETIME as a therapist in a care facility of any kind! I am beyond GRATEFUL that you are caring for the lovely people I have also been fortunate enough to know. God bless you!! ❤️🙏Posted on Google Chris DTrustindex verifies that the original source of the review is Google. Mark was an invaluable asset with the end of life planning for my father in law. One of the most knowledgeable individuals on the topic and a consummate professional.
Compassionate Guidance is Just a Phone Call Away
If you are caring for someone with a serious illness or facing end-of-life decisions, call (225) 209-5629 to speak with a caring member of our team, day or night.
We are honored to serve families across multiple parishes in Louisiana, offering personalized hospice care rooted in dignity, presence, and respect.
Copyright © Foundations Hospice. All Rights Reserved.
Patient services are provided without regard to race, color, religion, age, sex (an individual’s sex, gender identity, sex stereotyping, pregnancy, childbirth and related conditions), sexual orientation, disability (mental or physical), communicable disease, or national origin.