Excell Home Care & Hospice is a licensed home health and hospice agency serving Oklahoma County and surrounding areas, providing skilled nursing, therapy, and end-of-life care on an in-home basis. It operates as part of a regional network and handles both short-term recovery after hospitalization and long-term chronic illness management, with a separate hospice division for patients with terminal diagnoses.
Excell divides its services into two tracks. Home health care addresses acute and chronic conditions: skilled nursing visits for wound care, catheter management, medication oversight, and symptom monitoring; physical therapy and occupational therapy for mobility and function after surgery or stroke; speech therapy for swallowing and cognitive issues; and aide services for bathing, dressing, and toileting. Hospice care focuses on pain and symptom control, spiritual support, and family counseling for patients with a six-month or less life expectancy, with 24/7 on-call nurses and volunteers available to patients in their homes.
The agency is Medicare and Medicaid certified, which means it meets federal licensing standards and accepts those insurance types. Private insurance and out-of-pocket payment are also available. The distinction matters: skilled nursing under Medicare is partially covered based on medical necessity and prior hospitalization; hospice is covered in full when the patient meets criteria, eliminating the cost barrier at end of life.
Home health nursing visits typically cost $150 to $250 per visit for uninsured patients, though final out-of-pocket expense depends on insurance coverage and the number of visits prescribed. Medicare covers skilled nursing and therapy if ordered by a physician and deemed medically necessary; the patient pays a 20 percent coinsurance after the annual deductible. Aides for non-medical personal care run roughly $20 to $30 per hour for private-pay clients. Verify current rates directly, as service intensity and regional costs fluctuate.
Hospice operates under a different model: Medicare and Medicaid cover hospice in full when a patient's physician certifies terminal illness. Out-of-pocket hospice costs for uninsured patients average $150 to $300 per day, though many agencies offer sliding scales or partner with community grants to reduce burden.
Excell competes with larger national chains like Amedisys and LHC Group, as well as smaller independent agencies such as Visiting Angels OKC and ComForCare. Amedisys and LHC Group offer broader geographic reach and 24/7 scheduling coordination, which can ease logistics for families coordinating multiple weekly visits. Excell's regional footprint gives it tighter local knowledge and faster response times in Oklahoma County proper. Visiting Angels and ComForCare emphasize companion care and light assistance, not skilled nursing, so they suit families needing help with daily tasks but not wound care or medication management. If your relative requires both skilled nursing and long-term consistency of staff, Excell's combined home health and hospice licensing and local presence reduce transition friction compared to agencies that specialize in one domain.
Excell works well for patients recently discharged from hospital or skilled nursing facilities who need short-term skilled care to continue recovery at home, and for homebound seniors with ongoing chronic illnesses (diabetes, COPD, heart failure) who benefit from nurse monitoring. It is the right fit if your family wants to avoid or delay nursing home placement. Hospice services suit patients and families ready to prioritize comfort and quality of life over curative treatment, and who have support systems (family, caregivers) to be present in the home.
It is not appropriate for patients who need 24/7 in-person supervision (memory care communities and skilled nursing facilities fill that gap), nor for healthy seniors seeking only housekeeping or errand assistance (companion care agencies are more cost-effective). If you need behavioral health crisis intervention, Excell's scope does not include psychiatric emergency response; you would call 911 or a crisis line.
An intake nurse will conduct a comprehensive assessment in your home: medical history, current medications, mobility and fall risk, cognitive status, home safety, and support system availability. The nurse will review insurance, establish a care plan with your physician, and clarify what Medicare or private insurance will cover. You will sign consent and privacy forms and receive a schedule of planned visits. The process typically takes 45 to 90 minutes. If you choose hospice, an additional meeting with the social worker and chaplain will happen within 24 to 48 hours to discuss goals and grief support.
Excell operates Monday through Friday during standard business hours for intake and administrative support, with nurse visits available six days a week. Hospice services run 24/7. Visits are provided in the patient's home, so there is no travel or parking burden; the nurse arrives at the scheduled time. Confirm scheduling flexibility and whether evening or weekend visits fit your needs before enrollment, as availability varies by staffing and geography within the service area.
Excell Home Care & Hospice fills a specific role in Oklahoma City's senior care ecosystem: it bridges the gap between hospital discharge and independent recovery, and it removes financial and logistical barriers to end-of-life care. For families managing chronic illness or planning for hospice, the Medicare and Medicaid certification and local footprint make it a stable, regulated option.
