Address
1367 Walter Reed Road Ste 102
Fayetteville, NC 28304
Contact
(910) 833-2629
Certification Date
10/04/2019
CMS Certification Number
341602
Ownership Type
Non-Profit
County/Parish
Cumberland
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) | 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 | 95.7 | 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 | 98.4 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 100 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 55.0 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 17,576 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.4 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 78 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 104 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 37.5 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 24 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 46 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 4.3 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 36 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 46 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 50.0 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 78 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 46 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 10.9 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 72 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 46 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 2.2 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 61 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 177 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 15,508 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 49 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 17,460 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 13.2 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 60 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 230,805 | 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) | 118 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 97.5 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 85 | 01/01/2021-12/31/2022 |
| Average Daily Census | 9.0 | 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 | 23 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 20 | 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 | 67 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 28 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 0 | 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 | 4 | 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 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 90 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 4 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 85 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 4 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 86 | 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 | 4 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 95 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 8 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 17 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 75 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 5 | 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 | 86 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 80 | 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 | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 81 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | Not Available | 04/01/2021-03/31/2023 |