Address
827 N Main St
Cleburne, TX 76033
Contact
(817) 517-7336
Certification Date
02/19/2004
CMS Certification Number
451748
Ownership Type
For-Profit
County/Parish
Johnson
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 | 100.0 | 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 | 100.0 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 344 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 61.9 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 8.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 63,470 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.1 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 64 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 322 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 82.0 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 88 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 7.3 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 58 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 45.2 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 66 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 16.9 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 90 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 2.4 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 64 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 582 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 17,549 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 61 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 63,213 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 7.1 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 5 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 451,515 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 9.2 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 63 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 431 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 94.2 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 58 | 01/01/2021-12/31/2022 |
| Average Daily Census | 118.0 | 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 | 17 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 21 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 6 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 30 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 12 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 4 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 37 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 23 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 38 | 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 | Not Available | 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 |
| 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 | 5 | 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 | 79 | 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 | 22 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 74 | 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 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 86 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 13 | 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 | 70 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 8 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 77 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 20 | 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 | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 16 | 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 | Not Available | 04/01/2021-03/31/2023 |