Hospice

COMPASSUS-FAYETTEVILLE

Address

101 Yorktown Drive, Suite 107a

Fayetteville, GA 30214

Contact

(678) 817-4180

Certification Date

04/04/2007

Details

CMS Certification Number

111649

Ownership Type

For-Profit

County/Parish

Fayette

CMS Region

4

Hospice Provider List

Measure Name Score Measure Date Range
Hospice and Palliative Care Treatment Preferences 99.3 04/01/2022-03/31/2023
Beliefs & Values Addressed (if desired by the patient) 99.3 04/01/2022-03/31/2023
Hospice and Palliative Care Pain Screening 99.3 04/01/2022-03/31/2023
Hospice and Palliative Care Pain Assessment 100.0 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Screening 100.0 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Treatment 100.0 04/01/2022-03/31/2023
Patient Treated with an Opioid Who Are Given a Bowel Regimen 97.1 04/01/2022-03/31/2023
Hospice and Palliative Care Composite Process Measure 98.0 04/01/2022-03/31/2023
Hospice Visits in the Last Days of Life 189 01/01/2021-12/31/2022
Hospice Visits in the Last Days of Life 61.9 01/01/2021-12/31/2022
Hospice Care Index Overall Score 10.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 24,550 01/01/2021-12/31/2022
CHC/GIP provided (% days) 0.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 49 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 146 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 75.3 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 80 01/01/2021-12/31/2022
Early live discharges (% live discharges) 59 01/01/2021-12/31/2022
Early live discharges (% live discharges) 11.9 01/01/2021-12/31/2022
Early live discharges (% live discharges) 84 01/01/2021-12/31/2022
Late live discharges (% live discharges) 59 01/01/2021-12/31/2022
Late live discharges (% live discharges) 33.9 01/01/2021-12/31/2022
Late live discharges (% live discharges) 35 01/01/2021-12/31/2022
Burdensome transitions, Type 1(% live discharges) 59 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 5.1 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 41 01/01/2021-12/31/2022
Burdensome transitions, Type 2(% live discharges) 59 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 3.4 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 76 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 302 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 13,554 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 36 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 24,500 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 10.5 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 29 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 257,475 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 6.4 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 31 01/01/2021-12/31/2022
Visits near death (% decedents) 217 01/01/2021-12/31/2022
Visits near death (% decedents) 95.4 01/01/2021-12/31/2022
Visits near death (% decedents) 68 01/01/2021-12/31/2022
Average Daily Census 45.0 01/01/2020-12/31/2020
Provided Routine Home Care and other levels of care Yes 01/01/2018-12/31/2020
Provided Routine Home Care only No 01/01/2018-12/31/2020
Percent of Patients with Cancer 30 01/01/2020-12/31/2020
Percent of Patients with Dementia 34 01/01/2020-12/31/2020
Percent of Patients with Stroke 7 01/01/2020-12/31/2020
Percent of Patients with Circulatory/heart disease 6 01/01/2020-12/31/2020
Percent of Patients with Respiratory disease 7 01/01/2020-12/31/2020
Percent of Patients with Other Conditions 0 01/01/2020-12/31/2020
Care Provided in Home 40 01/01/2020-12/31/2020
Care Provided in Assisted Living Facility 36 01/01/2020-12/31/2020
Care Provided in Nursing Facility 22 01/01/2020-12/31/2020
Care Provided in Skilled Nursing Facility 0 01/01/2020-12/31/2020
Care Provided in Inpatient Hospital Facility 0 01/01/2020-12/31/2020
Care Provided in Inpatient Hospice Facility 0 01/01/2020-12/31/2020
Care Provided in All other locations 2 01/01/2020-12/31/2020
Hospice served at least 1 patient enrolled in Medicare Advantage during one year Yes 01/01/2020-12/31/2020
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year Yes 01/01/2020-12/31/2020

CAHPS Survey Data List

Measure Name Score Star Rating Date
The hospice team did |not| provide the right amount of emotional and spiritual support 12 Not Applicable 04/01/2021-03/31/2023
The hospice team provided the right amount of emotional and spiritual support 88 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 6 or lower 7 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 7 or 8 20 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 9 or 10 73 Not Applicable 04/01/2021-03/31/2023
NO, they would probably not or definitely not recommend the hospice 2 Not Applicable 04/01/2021-03/31/2023
YES, they would probably recommend the hospice 27 Not Applicable 04/01/2021-03/31/2023
YES, they would definitely recommend the hospice 71 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never treated the patient with respect 2 Not Applicable 04/01/2021-03/31/2023
The hospice team usually treated the patient with respect 7 Not Applicable 04/01/2021-03/31/2023
The hospice team always treated the patient with respect 91 Not Applicable 04/01/2021-03/31/2023
The patient sometimes or never got the help they needed for pain and symptoms 11 Not Applicable 04/01/2021-03/31/2023
The patient usually got the help they needed for pain and symptoms 26 Not Applicable 04/01/2021-03/31/2023
The patient always got the help they needed for pain and symptoms 63 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never communicated well 6 Not Applicable 04/01/2021-03/31/2023
The hospice team usually communicated well 11 Not Applicable 04/01/2021-03/31/2023
The hospice team always communicated well 83 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never provided timely help 9 Not Applicable 04/01/2021-03/31/2023
The hospice team usually provided timely help 20 Not Applicable 04/01/2021-03/31/2023
The hospice team always provided timely help 71 Not Applicable 04/01/2021-03/31/2023
They did not receive the training they needed 9 Not Applicable 04/01/2021-03/31/2023
They somewhat received the training they needed 17 Not Applicable 04/01/2021-03/31/2023
They definitely received the training they needed 74 Not Applicable 04/01/2021-03/31/2023
Family caregiver survey rating Not Applicable Not Available 04/01/2021-03/31/2023