Address
8132 Secor Road
Lambertville, MI 48144
Contact
(414) 661-4001
Certification Date
04/28/2010
CMS Certification Number
231618
Ownership Type
Non-Profit
County/Parish
Monroe
CMS Region
5
| 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) | 100.0 | 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 | 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 | Not Available | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 100.0 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 83 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 66.3 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 13,707 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 2.5 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 94 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 88 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 52.3 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 44 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 10 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 0.0 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 18 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 10 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 70.0 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 97 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 10 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 0.0 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 20 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 10 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 0.0 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 41 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 180 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 13,993 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 39 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 13,306 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 14.4 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 71 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 191,655 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 11.7 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 81 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 135 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 99.3 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 94 | 01/01/2021-12/31/2022 |
| Average Daily Census | 25.0 | 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 | 14 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | Not Available | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 10 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | Not Available | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 0 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 78 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 12 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 4 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Inpatient Hospital Facility | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Inpatient Hospice Facility | 2 | 01/01/2020-12/31/2020 |
| Care Provided in All other locations | Not Available | 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 | 1 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 84 | 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 | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 94 | 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 | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 93 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 21 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 69 | 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 | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 85 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 78 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 23 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 70 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | Not Available | 04/01/2021-03/31/2023 |