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The Apreva Difference

Lower Patient/Nurse Ratio

Apreva Hospice is a nurse driven organization, which means Registered Nurses are at the leadership helm of the company, placing patient safety and satisfaction at the forefront.  Our Registered Nurse Case Managers have substantially lower patient to nurse ratios than other hospices in the county and the industry as a whole.  We believe our work is so vitally important that nurses should not be rushed during their visits and should have ample time to address every patient need or concern.

Local Nurses Standing By

Apreva nurses are centrally located in San Diego County so they may be more reactive for emergency visits. During after-hours and weekend periods, you will NOT need to wait for a nurse to be contacted, as every call is answered by a nurse located in San Diego, who will be eagerly waiting to help. Many other healthcare organizations source those calls to out of state or out of country call centers.

Locally Owned

Apreva Hospice is locally owned, locally grown, and locally operated by healthcare providers right here in San Diego County. It is NOT a small sliver of some huge healthcare system where patients are just numbers. Apreva takes pride in caring for our neighbors; we see you in the local market, at social events, at church, or at sporting events. Because you are our neighbors, we want to provide the very best care available.

Fully Staffed 24/7/365

Apreva nurses are waiting in our centrally located office in San Diego County to ensure patients receive a rapid response for emergency situations 24 hours a day, 7 days a week, 365 days a year. When a patient has uncontrolled symptoms during the night, they should not wait for a call-back from a nurse. Apreva cares for patients like they are family, therefore we invest in maintaining nursing staff in our office, waiting to help around the clock.

Joint Commission Accreditation

Apreva Hospice is one of the few hospices in San Diego county accredited with the honorable title of Joint Commission Certified, the gold standard in healthcare. An accreditation from Joint Commission shows deep commitment to every patient’s end of life experience, assurance of strong interdisciplinary case management, and a robust patient safety program. Apreva Hospice is re-accredited every two years through a stringent and highly regulated survey process with requirements well beyond the state and the federal minimum standards to which other are held.

Continuous Care

Occasionally, patients may experience symptoms requiring greater attention. When this occurs, the patient may be eligible for a short-term level of care referred to as Continuous Care.  While on Continuous Care, a nurse or certified home aid would provide care at the bedside of the patients home.   Depending on each patient’s individual needs, this bedside care may range from a minimum of 8 to a maximum of 24 hours a day until the symptoms are controlled. Once the patients symptoms are managed, the patient would return to the previous level of care as mandated by federal regulations.

Our Team


Leigh Anne GrassChief Executive Officer

Leigh Anne Grass, RN, BSN, PHN maintains focus toward creating a culture of treating patients and families as if they were our own family members.  She places concentration toward the ultimate goal of patient-oriented healthcare and finds each day a blessing in doing so.  Her career consists of 13 years of emergency, trauma and flight nursing; with the last 15 years in hospice and palliative care.  Every day her professional objectives include using her skills, knowledge, and theory to improve the quality of life and comfort level of her fellow San Diego County community members. In addition to her important career at Apreva, she also sits on a local hospital Board of Directors.


Patty Shigley – Chief Nursing Officer, Director of Patient Care Services

Patty Shigley is a Board Certified Family Nurse Practitioner with her MBA in Healthcare Management. Patty has been in the medical field since 1982, where she started her nursing career in the United States Army. Her clinical career and healthcare operation experience encompasses a comprehensive background. She has been a flight nurse involved in search & rescue missions, trauma/emergency, home-health, hospice, and clinical operations. Patty is a true nursing and patient advocate.


Danish Farook – Chief Business Officer

Danish Farook is the Chief Business Officer for Apreva Hospice. His background as a Physician MBA allows him to focus on the transformation of healthcare in the Hospice arena, including development of patient focused teams, outcomes-based models, and business development. Danish Farook strongly believes in a “Patient First” model of care.  He is an alumnus of University of Xochicalco Medical School with post graduate training in the art of surgery. Danish is a member of the American College of Surgeons, Latino-American Federation of Surgery, American Society of Bariatric Physicians, American Association of Physician Leadership and National Hospice & Palliative Care Organization.


Natasha Vakili – Chief Financial Officer

Natasha Vakili found her passion for hospice very early in her career.  After personally utilizing hospice services for her grandparents, she quickly saw the value hospice has for patients and families.  She strives to ensure all patients and families benefit from hospice care in the same positive way as her family.  Natasha’s focus is on maintaining financial stability so patients and families may receive the best care possible. Not only is she a Certified Hospice Administrator, she has her BBA in Business Administration and a BA in Psychology.  Natasha joined Apreva Hospice in early 2011 and has since been dedicated to providing the highest service to Apreva patients.

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