Hospice

DEACONESS HOSPICE

Address

1385 Johnny Johnson Drive, Suite C

Brookhaven, MS 39601

Contact

(601) 823-5990

Certification Date

10/09/2018

Details

CMS Certification Number

251707

Ownership Type

For-Profit

County/Parish

Lincoln

CMS Region

4

Hospice Provider List

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 98.3 04/01/2022-03/31/2023
Hospice and Palliative Care Composite Process Measure 99.6 04/01/2022-03/31/2023
Hospice Visits in the Last Days of Life 197 01/01/2021-12/31/2022
Hospice Visits in the Last Days of Life 49.2 01/01/2021-12/31/2022
Hospice Care Index Overall Score 9.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 35,708 01/01/2021-12/31/2022
CHC/GIP provided (% days) 0.2 01/01/2021-12/31/2022
CHC/GIP provided (% days) 71 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 214 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 39.7 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 26 01/01/2021-12/31/2022
Early live discharges (% live discharges) 95 01/01/2021-12/31/2022
Early live discharges (% live discharges) 10.5 01/01/2021-12/31/2022
Early live discharges (% live discharges) 78 01/01/2021-12/31/2022
Late live discharges (% live discharges) 95 01/01/2021-12/31/2022
Late live discharges (% live discharges) 37.9 01/01/2021-12/31/2022
Late live discharges (% live discharges) 46 01/01/2021-12/31/2022
Burdensome transitions, Type 1(% live discharges) 95 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 13.7 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) 95 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 5.3 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 89 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 361 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 14,899 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 45 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 35,530 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 12.1 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 48 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 428,430 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 4.4 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 10 01/01/2021-12/31/2022
Visits near death (% decedents) 244 01/01/2021-12/31/2022
Visits near death (% decedents) 87.7 01/01/2021-12/31/2022
Visits near death (% decedents) 26 01/01/2021-12/31/2022
Average Daily Census 26.0 01/01/2020-12/31/2020
Provided Routine Home Care and other levels of care Not Available 01/01/2018-12/31/2020
Provided Routine Home Care only Not Available 01/01/2018-12/31/2020
Percent of Patients with Cancer 27 01/01/2020-12/31/2020
Percent of Patients with Dementia 23 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 Not Available 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 92 01/01/2020-12/31/2020
Care Provided in Assisted Living Facility Not Available 01/01/2020-12/31/2020
Care Provided in Nursing Facility 0 01/01/2020-12/31/2020
Care Provided in Skilled Nursing Facility 6 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 Not Available 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

CAHPS Survey Data List

Measure Name Score Star Rating Date
The hospice team did |not| provide the right amount of emotional and spiritual support 6 Not Applicable 04/01/2021-03/31/2023
The hospice team provided the right amount of emotional and spiritual support 94 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 7 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 9 or 10 92 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 3 Not Applicable 04/01/2021-03/31/2023
The hospice team always treated the patient with respect 96 Not Applicable 04/01/2021-03/31/2023
The patient sometimes or never got the help they needed for pain and symptoms 6 Not Applicable 04/01/2021-03/31/2023
The patient usually got the help they needed for pain and symptoms 15 Not Applicable 04/01/2021-03/31/2023
The patient always got the help they needed for pain and symptoms 79 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never communicated well 4 Not Applicable 04/01/2021-03/31/2023
The hospice team usually communicated well 9 Not Applicable 04/01/2021-03/31/2023
The hospice team always communicated well 87 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never provided timely help 6 Not Applicable 04/01/2021-03/31/2023
The hospice team usually provided timely help 10 Not Applicable 04/01/2021-03/31/2023
The hospice team always provided timely help 84 Not Applicable 04/01/2021-03/31/2023
They did not receive the training they needed 4 Not Applicable 04/01/2021-03/31/2023
They somewhat received the training they needed 10 Not Applicable 04/01/2021-03/31/2023
They definitely received the training they needed 86 Not Applicable 04/01/2021-03/31/2023
Family caregiver survey rating Not Applicable Not Available 04/01/2021-03/31/2023