Address
80 Candler Road
Mcdonough, GA 30253
Contact
(678) 432-8811
Certification Date
08/28/2014
CMS Certification Number
111750
Ownership Type
For-Profit
County/Parish
Henry
CMS Region
4
| Measure Name | Score | Measure Date Range |
|---|---|---|
| Hospice and Palliative Care Treatment Preferences | 100.0 | 04/01/2022-03/31/2023 |
| Beliefs & Values Addressed (if desired by the patient) | 96.4 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Assessment | 99.4 | 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 | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 96.2 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 805 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 62.1 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 156,336 | 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) | 762 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 60.2 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 55 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 167 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 7.8 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 62 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 167 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 47.9 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 72 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 167 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 13.8 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 82 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 167 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 3.6 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 77 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 1,308 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 19,031 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 69 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 156,219 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 14.5 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 72 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 2,265,375 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 8.5 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 56 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 937 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 95.9 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 72 | 01/01/2021-12/31/2022 |
| Average Daily Census | 217.0 | 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 | 18 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 22 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 16 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 21 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 4 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 3 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 38 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 33 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 5 | 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 | 24 | 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 |
| Measure Name | Score | Star Rating | Date |
|---|---|---|---|
| The hospice team did |not| provide the right amount of emotional and spiritual support | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 95 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 0 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 93 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 1 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 0 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 99 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 1 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually treated the patient with respect | 2 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 97 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 8 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 85 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 3 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 92 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 88 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 80 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 5 | 04/01/2021-03/31/2023 |