About Avera @ Home
Hospice overview and quality summary
Avera @ Home is an hospice care provider in Mitchell, SD, serving patients and families in Davison County and the surrounding area. Medicare certified since 1993, Avera @ Home has provided 33 years of end-of-life and palliative care to the community.
Avera @ Home serves an average of 101 patients per day, covering 54 ZIP codes across its service area. 17% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Avera @ Home has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Mitchell, SD, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Very Good
CMS CAHPS Hospice Star Rating
Avera @ Home has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Avera @ Home among the higher-rated hospice providers serving families in Mitchell, SD.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Avera @ Home a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
95% of caregivers gave Avera @ Home a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
78% of caregivers gave Avera @ Home a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
83% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
80% of caregivers gave Avera @ Home a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
80% of caregivers gave Avera @ Home a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
86% of caregivers gave Avera @ Home a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
90% of caregivers gave Avera @ Home a top rating for would recommend, above the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.4%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
97.5%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.7%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.1%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
98.9%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
94.1%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Avera @ Home's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
74.1% of Avera @ Home's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
97.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
4.5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
36.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
9.6%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
57.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.8%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.9%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$18,097
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Avera @ Home's patient population is primarily composed of individuals with dementia (25%), followed by cardiovascular disease (22%), cancer (21%), other conditions (19%), respiratory disease (12%), stroke (4%).
Care Settings
Where hospice care is delivered
Avera @ Home delivers 17% of its care in patients' homes, with 73% in nursing facility settings, 9% in assisted living settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 101 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Doctors at Avera @ Home
20 affiliated physicians
Dr. Lance Lim, MD
Family Practice
Dr. Jason Wickersham, MD
Family Practice
Dr. Aaron Baas, MD
Family Practice
Dr. Maurice Chessmore, MD
Family Practice
Dr. Hau Tran, DO
Family Practice
Dr. Alese Allerdings, MD
Family Practice
Dr. Paul Rasmussen, MD
Family Practice
Dr. Benjamin Liscano, MD
Family Practice
Dr. Jonathan Olegario, MD
Internal Medicine
Dr. Jennifer Sheffield, MD
Family Practice
Dr. Terry Weaver, MD
Family Practice
Dr. Charissa Etrheim, MD
Family Practice
+ 8 more physicians
Dr. Kassidy Boyd, MD
Pediatric Medicine
Dr. Lucio Margallo, MD
Internal Medicine
Dr. Douglas Holum, MD
Family Practice
Dr. Antoinette Vanderpol, MD
Family Practice
Dr. Derek Greene, MD
Family Practice
Dr. Shakil Hafiz, DO
Family Practice
Dr. Ty Moody, MD
Internal Medicine
Dr. Michael Gerlach, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Avera @ Home
What is the CMS rating for Avera @ Home?
Avera @ Home has a 4-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Avera @ Home primarily treat?
Avera @ Home's patient population includes dementia (25%), cardiovascular disease (22%), cancer (21%), other conditions (19%), respiratory disease (12%), stroke (4%). This reflects the hospice's experience managing these conditions.
Where does Avera @ Home provide care?
Avera @ Home provides care in nursing facility (73%), patient's home (17%), assisted living (9%).
How large is Avera @ Home?
Avera @ Home serves an average of 101 patients per day and covers 54 ZIP codes in its service area.
How many doctors are affiliated with Avera @ Home?
20 physicians are affiliated with Avera @ Home.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·