Hurricane Irma's effects are still being felt months later. The latest toll on the home care community is the closure of Key West-based VNA and Hospice of the Florida Keys. The agency serving 11 home health patients and 20 hospice patients in the keys will close next month, thanks in part to financial hardship brought on by Irma, according to press reports. The agency already had been struggling, and affiliated with end-of-life care provider Haven based in Gainesville in 2015 to try to survive, reports WLRN. The closure of the agency, which began furnishing hospice services in 1984, will leave the Lower Keys with no hospice coverage, reports The Keynoter newspaper.