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Spirit’s Rest is a nonprofit organization that opened its first residential hospice care home in the Roanoke Valley in December 2024. It was created to address a gap that many in end-of-life care know well: the lack of options for hospice patients who cannot safely remain at home and do not have a caregiver to support them.
The organization was founded by a hospice chaplain who, through years of bedside ministry, witnessed that a high percentage of hospice patients were spending their final days in nursing homes — not because it was the best setting for them, but because there were few alternatives. For individuals without family caregivers or adequate home support, nursing facilities often become the default in our area. Yet these settings, particularly for those at the end of life, can feel clinical, understaffed and ill-suited to the dignity, comfort and presence this season of life deserves.
Spirit’s Rest exists to offer another way.
The home provides a peaceful, residential setting where up to three hospice patients live at a time. By intentionally limiting capacity, the team is able to offer consistent presence, meaningful relationships and care that honors each resident’s preferences and rhythms. Each resident has a private bedroom that can be personalized and a guest room is available for family members to stay close when it matters most. Family and friends are encouraged to be present and participate as they wish.
Daily support includes meals, companionship, assistance with activities of daily living, medication administration and continuous presence. Care plans are developed with a strong emphasis on quality of life and responsiveness to each resident’s physical, emotional, spiritual and relational needs.
“At Spirit’s Rest, we believe every person has inherent dignity at every stage of life,” shares the founder. “Our role is to create a home where that dignity is honored through attentive care, compassion and presence.” She adds, “Our goal is simple: to ensure every person is treated with dignity and has excellent care until their very last breath.”
Spirit’s Rest currently offers care on a sliding scale to expand access regardless of financial means, with a long-term vision of offering care free of charge. Recent months have focused on strengthening referral relationships with local hospice agencies and community partners, expanding volunteer recruitment and training and refining systems to support sustainability while preserving the intimacy of the home.
As members of the Omega Home Network, Spirit’s Rest is grateful for the shared wisdom, encouragement and practical support of fellow members. Being part of this community reinforces the belief that small, home-based models can profoundly shape how people experience the final chapter of life — one home, one guest and one family at a time.
Caroline Stanfill Executive Director, Spirit's Rest - Vinton, VA
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