Clinical Services

Bear Valley Hospice provides weekly visits from both an RN and an LVN as well as Home Health Aide visits three to five times a week depending on patient and family needs.  RN visits consist of comprehensive health assessment and review, medication administration, and developing a plan of care.  LVN visits are focused on carrying out the plan of care and monitoring patient needs.  Home Health Aide visits can consist of baths or showers, dressing or undressing, planning or preparing meals and assisting with eating, helping to keep the living area clean and clutter free, etc.


Meet Our Clinical Team

Providing Quality Care


Dr. Cary Stewart

Medical Director

Dr. Stewart graduated from BBHS in the 80's and has since studied at Point Loma Nazarene College and Loma Linda University. He completed his residency at UC Irvine and has over 20 years of experience working in hospice. His passion for his hometown community has led him to establish Big Bear's first and only local, community-based hospice care provider in 2013.


Sarah Bonomo, RN, NP

Clinical Director

Sarah has been a nurse just over 10 years and hospice stole her heart during her first job working with oncology patients. She believes that the opportunity to serve patients and families at the end of life is an honor. It is incredibly meaningful to support the physical, emotional, and psychosocial needs of individuals through hospice. Sarah's favorite things about living and working in the mountains are the slower pace of life and real sense of community to be found, not to mention the beautiful scenery and access to great hiking!


Shaylee Hall, BSN

Registered Nurse Graduate

Shaylee is a recent graduate from nursing school and has just started her career with Bear Valley Hospice.  She believes that it is important to maximize the quality of life for each of our patients.  Being able to reflect with our patients on their fulfilling lives and memories is what Shaylee loves most about hospice care.  Growing up in Big Bear gave Shaylee a strong sense of community and she loves how everyone comes together during times of crisis.  The way that locals encourage and support each other makes her proud to be part of the Big Bear community.


Christine Early, RN

Registered Nurse

Christine has been a nurse for over 30 years and has been with bear Valley Hospice since the beginning of 2020.  She enjoys the teamwork approach of hospice care and knows that it's not just about caring for patient but for the entire family.  Christine loves building lasting relationships with patients and families within our little community.  She also loves our perfect Big Bear weather!


Michelle Minor, RN

Registered Nurse

Michelle has been a nurse since 1989 and joined our team a little over three years ago.  She loves working with hospice patients because she feels that she learns so much from each patients and their families.  Michelle's favorite thing about living and working in he Big Bear community is that "small town, small world" culture that we all know and love!


Robin Moore, RN

Registered Nurse

Robin has been an RN for almost 45 years and is one of our newest nurses here at Bear Valley Hospice.  Robin believes that compassion, dignity, respect, support, and education through end of life care can empower patients and their families to make choices and advocate for themselves.  Her favorite thing about living and working in Big Bear is the beauty of all four seasons and the slow pace of the small town atmosphere.  She also loves not commuting or sitting in traffic!


Kelly Newton, LVN

Licensed Vocational Nurse

Kelly has been a nurse for two years and began working with us in 2019.  As a hospice nurse, she is able to improve the quality of life for her patients and their families and provide dignity at the time of death. Kelly has lived in Big Bear for almost 25 years and has raised all four of her kids in this community.


Alecia Costello, CNA, CHHA

Home Health Aide

Alecia has been a Certified Nursing Assistant for the past three years and began working with Bear Valley Hospice at the end of 2019.  She loves working in hospice care because of the opportunities to spend one-on-one time with each patient in the comfort of their homes.  Alecia enjoys the small town culture of living and working in the Big Bear community.


Join Our Team!

If you are interested in working with Bear Valley Hospice, feel free to download and fill out our application for employment.  Applications can be submitted via email to or to our office at
909 W. Big Bear Blvd., Big Bear City, CA 92386