Ownership Type: Other
Address
1692 Hospital Drive Suite 101
Santa Fe, NM 87505
Contact
(505) 983-9212
Certification Date
05/23/2005
CMS Certification Number
321557
Ownership Type
Other
County/Parish
Santa Fe
CMS Region
6
| 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 | 99.2 | 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 | 99.6 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 129 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 54.3 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 20,262 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 2.7 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 94 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 101 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 80.2 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 86 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 52 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 23.1 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 98 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 52 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 23.1 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 13 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 52 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 1.9 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 24 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 52 | 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 $) | 380 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 10,273 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 17 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 19,713 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 10.1 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 25 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 199,455 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 6.7 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 35 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 317 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 94.0 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 56 | 01/01/2021-12/31/2022 |
| Average Daily Census | 33.0 | 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 | 35 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 5 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 5 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 16 | 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 | 79 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 13 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 4 | 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 | 1 | 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 | 3 | 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 | 21 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 79 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 62 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 13 | 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 | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually treated the patient with respect | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 76 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 21 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 23 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 56 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 22 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 65 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 20 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 24 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 56 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 27 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 20 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 53 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | Not Available | 04/01/2021-03/31/2023 |