Address
Po Box 1077
Pittsboro, NC 27312
Contact
(984) 215-2650
Certification Date
07/22/1988
CMS Certification Number
341531
Ownership Type
Combination Government & Non-Profit
County/Parish
Chatham
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) | 98.9 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 97.9 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Assessment | 98.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Screening | 98.2 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Treatment | 99.1 | 04/01/2022-03/31/2023 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen | 99.5 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 94.2 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 567 | 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 | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 55,475 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 3.4 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 96 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 421 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 66.0 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 65 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 131 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 6.9 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 55 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 131 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 43.5 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 61 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 131 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 3.1 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 30 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 131 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 1.5 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 52 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 1,210 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 9,428 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 13 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 53,359 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 16.7 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 86 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 889,035 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 18.5 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 95 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 1,037 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 92.5 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 46 | 01/01/2021-12/31/2022 |
| Average Daily Census | 82.0 | 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 | 37 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 9 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 9 | 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 | 7 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 7 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 83 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 3 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 5 | 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 | 7 | 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 | 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 | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 77 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 8 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 83 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 4 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually treated the patient with respect | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 87 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 72 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 9 | 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 | 78 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 69 | 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 | 18 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 73 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 3 | 04/01/2021-03/31/2023 |