Paradigm Home Health, Hospice and Palliative

Pros

• Nurse Viola and Social Worker Michelle are true angels.
• Paradigm Hospice helped the family through an extremely difficult time during the final weeks.
• Paradigm arranged for a hospital bed to be delivered the same day, keeping her comfortable.
• They provided a generous supply of incontinence products and essential comfort and pain management medications at no cost.
• They arranged for a singer and guitar player to quietly perform during the final days.
• Peggy, Lisa, Dorinda, Eric, Brian, and Victoria are great; they make families feel like their own.
• The staff continued to call and check on the family months after the passing.

Cons

• Paradigm Health ignored hospital discharge orders and pushed hospice enrollment without cause, while failing to provide legally required Medicare billing details.
• The nurse told the patient she was "going to die soon," a message the caregiving team strongly opposed and found emotionally harmful.
• The CEO ambushed the elderly parents, arrived unannounced, and used hollow religious deflection instead of accountability.
• Paradigm later claimed it "removed itself" from the case, which the reviewers say is false.
• They ignored the co-POA and communicated with the sister instead of exercising joint authority.
• They supplied oxygen concentrators that were as loud as a motorcycle.
• They did not provide coordination calls or updates and failed to supply detailed Medicare billing statements.
• Paradigm is private-equity-owned and profit-driven, not patient-care oriented.
• They blurred the line between palliative and hospice, ignored physician orders, disrespected legal authority, and alienated caregivers and family.
• The overall experience was manipulative rather than compassionate.

Review

The experiences people have had with Paradigm Health span a wide spectrum, from deeply troubling allegations to heartfelt praise for individual caregivers. On one end, a detailed account describes a family navigating end-of-life care that felt more like an institutionally driven process than a patient-centered service. The family asserts that Paradigm Health was invited to provide palliative support following a hospital discharge, but the agency allegedly exceeded the scope of that discharge, enrolling a patient into hospice care despite physicians and independent geriatric specialists indicating that hospice was inappropriate for the case. The narrative emphasizes a sense of obstruction and lack of transparency, arguing that hospice status was pursued for cost-saving and billing reasons rather than medical necessity. The family also contends that the agency failed to provide the legally required Medicare billing statements and did not clearly communicate how funds or services were being allocated.

Central to the negative portrayal is a perceived misalignment between the family's needs and Paradigm Health's approach. The discharge papers supposedly did not authorize hospice services, and the family maintains that the care plan remained static despite inquiries and requests for updates. They describe a lack of coordination calls and general accountability, noting that the agency did not supply detailed Medicare statements that families are legally entitled to review. The financial dimension is highlighted with claims that a single nurse visited only twice weekly while substantial Medicare bills accumulated each month, fueling suspicion that billing was a primary driver of the agency's practices rather than patient comfort and dignity. The account also mentions a troubling lack of drug provisions and question marks around the medical justification for hospice, which independent geriatric specialists reportedly deemed inappropriate and unethical in the patient's specific situation.

The day-to-day interactions with Paradigm Health are described as emotionally harmful by the reviewers. A nurse assigned to the case allegedly told the patient's mother that she was "going to die soon" on multiple occasions, a message that the caregivers who were present rejected as misleading and distressing. The family says four professionals on the caregiving team confronted the nurse directly, expressing strong disagreement with the doom-laden messaging. The broader mood within the caregiving team is portrayed as tense and adversarial, with caregivers advocating for hope and dignity while perceiving the agency as being oriented toward decline rather than living, breathing, and meaningful daily comfort.

Complications intensified when the CEO reportedly intervened in a highly personal and unannounced manner. The reviewer describes a meeting where the caregiver on duty was sent away on an errand, leaving the elderly parents isolated and cornered during what was described as an ambush. The CEO's responses during and after the encounter are characterized as evasive, with references to religion and morals rather than concrete facts or a clear plan. When the family sought documentation or clarification afterward, the follow-up notes are described as continuing the same pattern - avoiding accountability and deflecting to religious sentiment instead of providing the requested information. At one point Paradigm allegedly claimed it had "removed itself" from the case, a claim the family disputes with written and audio evidence suggesting the father stated an intention to terminate Paradigm's services.

A separate strand of the critique concerns the agency's approach to power structures within the family, including a co-acting power of attorney. The review asserts that Paradigm ignored the co-POA arrangement, which designated joint authority for agency and business matters, choosing instead to communicate selectively with the sister who was described by the author as aligned with a "doom-care squad" rather than with the living-care approach the parents sought. This perceived sidelining of a key family authority contributed to feelings of distrust and a sense that the agency's priorities did not align with the patient's best interests or the family's wishes for living-focused, comfort-driven care.

In addition to the interpersonal and organizational concerns, the account draws attention to the equipment and practical realities of home-based hospice care. Oxygen concentrators were described as extraordinarily loud - loud enough to be likened to a constantly revving motorcycle. The family claims to have measured the noise levels themselves and found them disruptive and distressing. When concerns were raised, the agency allegedly responded with a dismissive line - "this is the best we can do" - which led the family to purchase quieter machines themselves. The overall narrative here is that the environment created by the agency added an additional layer of stress at a time when families are seeking quiet, respectful, and unobtrusive support.

Despite these grave criticisms, the record presented also contains a substantial collection of positive testimonials that paint Paradigm Health in a markedly different light. Several reviewers speak with gratitude about specific staff members and the compassionate care they provided. Names such as Viola and Michelle recur in the praise, with notes about Viola's consistent presence, guidance, and emotional support during difficult days. Others celebrate the work of a nurse named Gabi at a skilled nursing facility, and a group of providers - including Peggy, Lisa, Dorinda, Eric, Brian, and Victoria - are singled out for their kindness, personal touches, and the sense that they became part of the patient's extended family. One reviewer highlights "amazing care," expressing that Paradigm took great care of not just the patient but the entire family, and even months after the patient's passing, staff continued to check in and offer support. Another family member remembers a hospital bed being delivered promptly, the provision of essential comfort items, and the presence of music and singing during the final days, all of which left a lasting impression of peace and dignity.

In this mosaic of experiences, the themes that surface repeatedly are the importance of clear communication, ethical alignment with physician orders, and a true commitment to patient-centered, living-focused care. Some reviewers describe Paradigm Health in terms that reflect professional, compassionate caregiving, with staff who made meaningful differences in patients' last weeks and in family well-being. They recount timely supplies, comprehensive support for daily living needs, and a sense that the caregivers treated families with respect and empathy. Yet the darker accounts insist that the company's practices - especially around hospice enrollment, billing transparency, and respect for legal authority and patient autonomy - deserve serious scrutiny. They argue that the agency's private-equity ownership and profit-driven motives may color decisions more than patient welfare, and they urge potential clients to proceed with caution, conduct thorough due diligence, and demand documentation, coordination, and accountability.

Taken together, the collection of reviews presents a nuanced portrait. For some families, Paradigm Health appears to offer genuine, life-affirming support at a difficult time, with caregivers who become a trusted presence and a sense of relief amid the daily challenges of terminal illness or end-of-life planning. For others, the experience is marred by concerns about scope creep into hospice enrollment, questionable billing practices, obstructed communication, and a perceived lack of respect for patient autonomy and family structure. The messages consistently emphasize the need for transparency, rigorous adherence to medical orders, and a caregiving culture that prioritizes living with dignity and comfort over procedural or financial considerations. As with many healthcare experiences, the truth may lie in the specifics of each case, the quality of the individual caregivers involved, and the degree to which an agency can align its operations with the patient's and family's stated goals, values, and rights.

The area of Indianapolis, Indiana surrounding Castleton offers a variety of amenities for senior living. With theaters such as Regal Ua Galaxy and Flix Brewhouse nearby, entertainment options are plentiful. Numerous dining options like Culver's, Panda Express, Twin Peaks, and Joella's Hot Chicken provide convenient choices for meals. Access to pharmacies including CVS Pharmacy and Walgreens ensures easy access to medications and healthcare needs. Medical care is also readily available with physicians like Castleton Family Physicians and Northeast Family Physicians close by. Additionally, places of worship such as St Simon the Apostle Catholic Church and First Friends Church offer spiritual support. Parks like Gray Road Park and Founders Park provide opportunities for outdoor recreation. In terms of transportation, National Car Rental is conveniently located for any travel needs. Overall, this area provides a diverse range of services and facilities suitable for seniors looking to reside in a vibrant community with access to essential amenities.

Theaters

• Regal Ua Galaxy - Indianapolis (0.7 miles)
• Flix Brewhouse (5.2 miles)

Restaurants

• Culver's (0.7 miles)
• Panda Express (1 miles)
• Twin Peaks (1 miles)
• Main Event on 96th (1.5 miles)
• One World Market (2.1 miles)
• Arby's (2.7 miles)
• Joella's Hot Chicken (2.9 miles)

Pharmacies

• CVS Pharmacy (0.8 miles)
• CVS Pharmacy (1.8 miles)
• Walgreens (1.9 miles)
• CVS Pharmacy (2.7 miles)
• CVS Pharmacy (2.8 miles)
• CVS Pharmacy (2.9 miles)
• Innovative Rx (3 miles)

Physicians

• Castleton Family Physicians (0.9 miles)
• Northeast Family Physicians (1.6 miles)
• Central Indiana Centers (1.7 miles)
• Geist Family Medicine (4.2 miles)
• Fall Creek Family Medicine (4.2 miles)
• Dermatology (4.8 miles)
• Riverview Health Pavillion (5.9 miles)

Cafes

• Panera Bread (1.2 miles)
• Starbucks (3 miles)
• Panera Bread (4.6 miles)
• Starbucks (5 miles)
• Starbucks (5.5 miles)
• Panera Bread (5.8 miles)
• Starbucks (6.5 miles)

Hospitals

• Community Heart And Vascular Surgery ICU Waiting Room (1.2 miles)
• Community (1.2 miles)
• Community North Hospital (1.3 miles)
• Community Rehabilitation Hospital North (1.3 miles)
• Indiana Surgery Center (6.2 miles)

Places of Worship

• Castleton United Methodist School (2.3 miles)
• St Simon the Apostle Catholic Church (4.4 miles)
• Lawrence Apostolic Church (4.6 miles)
• Orchard Park Presbyterian Church (5.1 miles)
• First Friends Church (5.6 miles)
• Hazel Dell Christian Church (5.8 miles)

Parks

• Gray Road Park (3.2 miles)
• Founders Park (3.5 miles)
• Ft Harrison State Park (3.9 miles)
• Central Park Playground (6.2 miles)

Transportation

• National Car Rental (5.5 miles)